ArticleThe American journal on addictions2026
Social media use and health outcomes as moderated by rurality among sexual minority young adults.
Article in The American journal on addictions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND AND
objectivesSocial media use may influence substance use and mental health symptoms differently for urban versus rural sexual minority young adults (SMYAs).
methodsSMYAs aged 18-25 in Oklahoma and surrounding states were recruited via social media for a two-wave online survey study in 2023-2024. Among participants reporting any social media use, multivariable logistic regressions examined associations of social media use variables and rural-urban residence with health outcomes. Multiple group regressions examined whether associations varied for rural- versus urban-residing participants.
resultsThe sample (N = 493; M DISCUSSION AND
conclusionsUrban SMYAs may experience negative effects of social media use, including increased risk of substance use. Rural SMYAs may benefit from supportive connection from SMYA peers on social media, reducing their substance use risk. SCIENTIFIC SIGNIFICANCE: Prior research has identified benefits (e.g., social support) and harms (e.g., substance use) of social media use. This study found that associations of social media use with substance use among SMYAs differed by urbanicity.
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