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Research Article| Volume 53, ISSUE 1, P1-8, July 2017

Social Media Use and Perceived Social Isolation Among Young Adults in the U.S.

  • Brian A. Primack
    Correspondence
    Address correspondence to: Brian A. Primack, MD, PhD, 230 McKee Place, Suite 600, Pittsburgh PA 15213.
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

    Division of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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  • Ariel Shensa
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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  • Jaime E. Sidani
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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  • Erin O. Whaite
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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  • Liu yi Lin
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    UPMC McKeesport Family Medicine and Psychiatry Residency Program, Pittsburgh, Pennsylvania
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  • Daniel Rosen
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    School of Social Work, University of Pittsburgh, Pittsburgh, Pennsylvania
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  • Jason B. Colditz
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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  • Ana Radovic
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    Division of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
    Search for articles by this author
  • Elizabeth Miller
    Affiliations
    Center for Research on Media, Technology, and Health, University of Pittsburgh, Pittsburgh, Pennsylvania

    Division of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
    Search for articles by this author

      Introduction

      Perceived social isolation (PSI) is associated with substantial morbidity and mortality. Social media platforms, commonly used by young adults, may offer an opportunity to ameliorate social isolation. This study assessed associations between social media use (SMU) and PSI among U.S. young adults.

      Methods

      Participants were a nationally representative sample of 1,787 U.S. adults aged 19–32 years. They were recruited in October–November 2014 for a cross-sectional survey using a sampling frame that represented 97% of the U.S. population. SMU was assessed using both time and frequency associated with use of 11 social media platforms, including Facebook, Twitter, Google+, YouTube, LinkedIn, Instagram, Pinterest, Tumblr, Vine, Snapchat, and Reddit. PSI was measured using the Patient-Reported Outcomes Measurement Information System scale. In 2015, ordered logistic regression was used to assess associations between SMU and SI while controlling for eight covariates.

      Results

      In fully adjusted multivariable models that included survey weights, compared with those in the lowest quartile for SMU time, participants in the highest quartile had twice the odds of having greater PSI (AOR=2.0, 95% CI=1.4, 2.8). Similarly, compared with those in the lowest quartile, those in the highest quartile of SMU frequency had more than three times the odds of having greater PSI (AOR=3.4, 95% CI=2.3, 5.1). Associations were linear (p<0.001 for all), and results were robust to all sensitivity analyses.

      Conclusions

      Young adults with high SMU seem to feel more socially isolated than their counterparts with lower SMU. Future research should focus on determining directionality and elucidating reasons for these associations.
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