Evidence map›Paper›PMID 41929890›Full record

ArticleFrontiers in public health2026

A multi-dataset exploratory framework for understanding digital behavior and substance use risk profiles.

Perla Shiva Sindhu, Modigari Narendra

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Perla Shiva SindhuSchool of Computer Science and Engineering, Vellore Institute of Technology, Chennai, India.
Modigari NarendraSchool of Computer Science and Engineering, Vellore Institute of Technology, Chennai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Substance use continues to evolve as a multidimensional public health challenge influenced by traditional behavioral triggers and emerging digital interactions. This study investigates how demographic factors, psychological states, and patterns of digital engagement shape substance use behaviors using multiple behavioral data sources. Methods: Quantitative analyses were conducted using the NHANES dataset and a Kaggle social media psychology dataset to identify statistical relationships and train predictive machine learning models for substance use indicators and digital behavioral patterns. Random Forest, XGBoost, AdaBoost, Support Vector Regression (SVR), and Logistic Regression models were evaluated, with hyperparameter tuning applied to improve predictive performance. In addition, a supplementary survey ( Results: The analysis revealed nonlinear relationships between social media engagement, anxiety, and loneliness. Contrary to the widely cited linear dose-response assumption, anxiety scores plateaued at higher levels of digital engagement, suggesting that the qualitative nature of online interactions may exert greater influence on psychological distress than usage duration alone. Machine learning models demonstrated improved predictive performance after hyperparameter tuning across both datasets. Discussion: These findings highlight the importance of considering digital engagement patterns alongside traditional behavioral and demographic factors in substance use research. The results support the development of platform-specific digital well-being strategies, nuanced behavioral modeling approaches, and culturally sensitive interventions that integrate both objective behavioral data and subjective user experiences. The proposed multi-source evidence framework provides a foundation for future exploratory behavioral risk profiling and prevention systems.

Indexed as

Social MediaSubstance-Related DisordersDigital MediaHumansMachine LearningNutrition SurveysPredictive Learning ModelsRandom Forestbehavioral triggersdigital environmentsintervention strategiespeer pressurepredictive modelingsocial influencesubstance use

Identifiers

PMID41929890
PMCPMC13038959

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.