Scrolling into substance use: Social media use frequency and substance use among U.S. high school students
Abstract
Adolescent substance use imposes lasting costs on education, mental health, and lifetime earnings, with early initiation strongly predicting adult dependence. Despite legal prohibition, approximately 21% of U.S. high school students report current alcohol use, 18% report current nicotine vaping, and 16% report current cannabis use. Social media plausibly contributes to these patterns, yet prior studies rely on broad screen time measures that conflate passive consumption with compulsive checking. We analyzed 2023 Youth Risk Behavior Survey (YRBS) data, the first standalone measure of social media frequency in the YRBS series, from 10,027 U.S. high school students. We estimated survey weighted Linear Probability Models with state fixed effects, adjusting for demographics, mental health, electronic bullying, sleep, and physical activity. Students checking social media more than once per hour show a 19 %age point (pp) higher probability of current alcohol use, a 16 pp higher probability of current nicotine vaping, and a 13 pp higher probability of current cannabis use relative to nonusers, following a dose response gradient. Applied to 17.1 million U.S. high school students, this associates with approximately 1 million additional students drinking alcohol, 870,000 additionally nicotine vaping, and 681,000 additionally using cannabis among the 5.4 million students checking social media more than once per hour. Associations concentrate in alcohol, cannabis, and nicotine vaping,…
Read the paper
Related studies
- Tobacco and COPD: presenting the World Health Organization (WHO) Tobacco Knowledge Summary
- Comparative effects of e-cigarette smoking on periodontal status, salivary pH, and cotinine levels
- Association between exposure to environmental pollutants and increased oral health risks, a comprehensive review
- Influence of gestational window on offspring vascular health in rodents with in utero exposure to electronic cigarettes
- Natural products as kinase inhibitors in lung cancer: molecular mechanisms, therapeutic potential, and clinical trials
- Nicotine in electronic cigarettes
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.