Background
Although the etiology of eating concerns is multi-factorial, exposure to media messages is considered to be a contributor. While traditional media, such as television and magazines, have been examined extensively in relation to eating concerns risk, the influence of social media has received relatively less attention.
Objective
To examine the association between social media use and eating concerns in a large, nationally representative sample of young adults.
Design
Cross-sectional survey.
Participants/setting
Participants were 1765 young adults ages 19-32 years, who were randomly selected from a national probability-based online non-volunteer panel.
Outcome measures
An eating concerns scale was adapted from two validated measures: the SCOFF Questionnaire and the Eating Disorder Screen for Primary Care (ESP). Social media use (including Facebook, Twitter, Google+, YouTube, LinkedIn, Instagram, Pinterest, Tumblr, Vine, Snapchat, and Reddit) was assessed using both volume (time per day) and frequency (visits per week).
Statistical analyses
To examine associations between eating concerns and social media use, ordered logistic regression was used, controlling for all covariates.
Results
Compared to those in the lowest quartile, participants in the highest quartiles for social media volume and frequency had significantly greater odds of having eating concerns (adjusted odds ratio [AOR] = 2.18, 95% CI = 1.50 - 3.17 and AOR = 2.55, 95% CI = 1.72 - 3.78, respectively). There were significant positive overall linear associations between the social media use variables and eating concerns (P < 0.001).
Conclusions
The results from this study indicate a strong and consistent association between social media use and eating concerns in a nationally-representative sample of young adults ages 19 to 32 years. This association was apparent whether social media use was measured as volume or frequency. Further research should assess the temporality of these associations. It would also be useful to examine more closely the influence of specific characteristics of social media use—including content-related and contextual features.