More than Entertainment: The Association of Social Media Exposure with Adolescents' Preferences for and Consumption of Sugar-Sweetened Beverages.

Social media has become a significant factor in unhealthy consumption behaviors among adolescents, given the prevalent use of mobile phones and the internet. This study investigates the association between social media exposure and adolescents' sugar-sweetened beverage (SSB) preferences, as well as their consumption behavior. This study included 1517 adolescents across Henan Province, China, in 2025. We employ a mixed logit model, a hurdle model, and an Ordinary Least Squares (OLS) model to assess the association of social media exposure with adolescents' SSB preferences and consumption behavior. The findings indicate that social media exposure is positively associated with adolescents' overall preference for SSB products. Specifically, it is associated with a higher preference for carbonated drinks and beverages containing sweeteners and a lower preference for juice. Furthermore, the association between social media exposure and SSB preferences differs between urban and rural adolescents. Rural adolescents exposed to social media tend to show a lower willingness to forgo SSB options, whereas urban adolescents exposed to social media tend to show less sensitivity to price attributes. Additionally, social media exposure is positively associated with both the selection and consumption of SSBs among adolescents, which in turn are linked to health concerns such as overweight and obesity.