| Literature DB >> 34686952 |
Xiangyu Tao1, Celia B Fisher2,3.
Abstract
Offline and online racial discrimination has been associated with mental health problems among adolescents of color. Pandemic shelter-at-home policies and the reignited racial justice movement increased the use of social media among youth of color, potentially exposing them to social media racial discrimination. Yet, it is unclear which aspects of social media significantly contributed to youth exposure to racial discrimination and associated mental health issues during this period. This study assessed the relationships among social media use (hours, racial intergroup contact, and racial justice civic engagement), individual and vicarious social media discrimination (defined as personally directed versus observing discrimination directed at others), and mental health among 115 black, 112 East/Southeast Asian, 79 Indigenous, and 101 Latinx adolescents (N = 407, 82.31% female, aged 15-18 years, M = 16.47, SD = 0.93). Structural equation modeling (SEM) analyses indicate that hours of use and racial justice civic engagement were associated with increased social media racial discrimination, depressive symptoms, anxiety, alcohol use disorder, and drug use problems. Furthermore, individual social media racial discrimination fully mediated the relationship between racial justice civic publication and depressive and alcohol use disorder. Vicarious social media racial discrimination fully mediated the relationship between racial justice activity coordination with depressive symptoms, anxiety, and alcohol use disorder. Alternative SEM models indicate that exposure to individual and vicarious social media racial discrimination increased depressive symptoms and drug use problems among youth of color, further increasing their social media use frequency and racial justice civic publication. The findings call for strategies to mitigate the effects of social media racial discrimination in ways that support adolescents' racial justice civic engagement and mental health.Entities:
Keywords: Adolescent; COVID-19; Mental health; Racial discrimination; Racial justice; Social media
Mesh:
Year: 2021 PMID: 34686952 PMCID: PMC8535107 DOI: 10.1007/s10964-021-01514-z
Source DB: PubMed Journal: J Youth Adolesc ISSN: 0047-2891
Fig. 1Standardized results for structural equation model with bootstrapping approach testing the mediating effect of individual social media racial discrimination on the association between social media use with mental health. Results were statistically significant based on the 95% confidence interval. Covariates included race/ethnicity, age, financial insecurity, COVID-19-related worry and frequency of seeing friends outside the home. For presentation purpose, direct effects of hours of social media use on depressive symptoms (β = 0.15, 95% CI [0.014, 0.065]) and anxiety (β = 0.14, 95% CI [0.005, 0.020]), and direct effects of social media racial justice civic publication on depressive symptoms (β = 0.14, 95% CI [0.096, 3.66]) and anxiety (β = 0.16, 95% CI [0.16, 1.86]) were omitted
Fig. 2Standardized results for structural equation model with bootstrapping approach testing the mediating effect of vicarious social media racial discrimination on the association between social media use with mental health. Results were statistically significant based on the 95% confidence interval. Covariates included race/ethnicity, age, financial insecurity, COVID-19-related worry and frequency of seeing friends outside the home. For presentation purpose, direct effects of hours of social media use on depressive symptoms (β = 0.16, 95% CI [0.015, 0.065]) and anxiety (β = 0.13, 95% CI [0.003, 0.027]), and direct effects of social media racial justice activity coordination on illicit drug use (β = 0.22, 95% CI [0.047, 0.26]) and alcohol use disorder (β = 0.18, 95% CI [0.019, 0.21]) were omitted
Frequency, percentages, and χ2 test results for demographic items and mental health based on race/ethnicity
| Asian | Black | Indigenous | Latinx | Total | |||
|---|---|---|---|---|---|---|---|
| Frequency (%) | Frequency (%) | Frequency (%) | Frequency (%) | Frequency (%) | |||
| 15.01 (9) | 0.08 | ||||||
| 15 | 22 (19.64) | 22 (19.13) | 13 (16.46) | 9 (8.91) | 66 (16.22) | ||
| 16 | 39 (34.82) | 41 (35.65) | 22 (27.85) | 40 (39.60) | 142 (34.89) | ||
| 17 | 42 (37.50) | 34 (29.57) | 26 (32.91) | 38 (37.62) | 140 (34.40) | ||
| 18 | 9 (8.04) | 18 (15.65) | 18 (22.78) | 14 (13.86) | 59 (14.50) | ||
| 32.31 (9) | <0.001 | ||||||
| 10th or less | 28 (25.00) | 30 (26.09) | 21 (26.58) | 16 (15.84) | 95 (23.34) | ||
| 11th | 35 (31.25) | 35 (30.43) | 26 (32.91) | 42 (41.58) | 138 (33.91) | ||
| 12th | 49 (43.75) | 50 (43.48) | 26 (32.91) | 43 (42.57) | 168 (41.28) | ||
| Not in school/college | 0 (0.00) | 0 (0.00) | 6 (7.59) | 0 (0.00) | 6 (1.47) | ||
| 73.08 (9) | <0.001 | ||||||
| Northeast | 30 (26.79) | 14 (12.17) | 5 (6.33) | 19 (18.81) | 68 (16.71) | ||
| Midwest | 12 (10.71) | 26 (22.61) | 19 (24.05) | 16 (15.84) | 73 (17.94) | ||
| South | 23 (20.54) | 66 (57.39) | 30 (37.97) | 26 (25.74) | 145 (35.63) | ||
| West | 47 (41.96) | 9 (7.83) | 25 (31.65) | 40 (39.60) | 121 (29.73) | ||
| 21.00 (6) | 0.002 | ||||||
| In person | 7 (6.25) | 9 (7.83) | 16 (20.25) | 9 (8.91) | 41 (10.07) | ||
| Hybrid | 19 (16.96) | 11 (9.57) | 16 (20.25) | 9 (8.91) | 55 (13.51) | ||
| Online | 86 (76.79) | 95 (82.61) | 47 (59.49) | 83 (82.18) | 311 (76.41) | ||
| 18.49 (9) | 0.03 | ||||||
| Unemployed | 103 (91.96) | 93 (80.87) | 57 (72.15) | 84 (83.17) | 337 (82.80) | ||
| Work at home fully online | 4 (3.57) | 8 (6.96) | 4 (5.06) | 4 (3.96) | 20 (4.91) | ||
| Hybrid working | 0 (0.00) | 3 (2.61) | 5 (6.33) | 5 (4.95) | 13 (3.19) | ||
| Work outside the home | 5 (4.46) | 11 (9.57) | 13 (16.46) | 8 (7.92) | 37 (9.09) | ||
| 80 (71.43) | 85 (73.91) | 66 (83.54) | 72 (71.29) | 303 (74.45) | 0.80 (3) | 0.85 | |
| 32.62 (9) | <0.001 | ||||||
| High school graduate or less | 37 (38.14) | 54 (50.00) | 42 (56.76) | 69 (71.13) | 202 (53.72) | ||
| Some college (at least one year) | 21 (21.65) | 24 (22.22) | 14 (18.92) | 15 (15.46) | 74 (19.68) | ||
| Graduate degree | 39 (40.21) | 30 (27.78) | 18 (24.32) | 13 (13.40) | 100 (26.60) | ||
| 22.12 (6) | 0.001 | ||||||
| Unemployed | 12 (10.71) | 17 (14.78) | 22 (27.85) | 20 (19.80) | 71 (17.44) | ||
| Employed | 96 (85.71) | 86 (74.78) | 50 (63.29) | 80 (79.21) | 312 (76.66) | ||
| I don’t know | 4 (3.57) | 12 (10.43) | 7 (8.86) | 1 (0.99) | 24 (5.90) | ||
| 17.83 (6) | 0.007 | ||||||
| We can’t make ends meet | 4 (3.57) | 9 (7.83) | 12 (15.19) | 10 (9.90) | 35 (8.60) | ||
| We have just enough | 49 (43.75) | 59 (51.30) | 37 (46.84) | 61 (60.40) | 206 (50.61) | ||
| We are comfortable | 59 (52.68) | 47 (40.87) | 30 (37.97) | 30 (29.70) | 166 (40.79) | ||
| 5 (4.46) | 11 (9.57) | 10 (12.66) | 15 (14.85) | 41 (10.07) | 7.05 (3) | 0.07 | |
| Asthma or chronic lung disease | 12 (10.71) | 27 (23.48) | 24 (30.38) | 10 (9.90) | 73 (17.94) | 19.11 (3) | <0.001 |
| Obesity | 4 (3.57) | 8 (6.96) | 15 (18.99) | 7 (6.93) | 34 (8.35) | 15.58 (3) | 0.001 |
| Heart condition | 7 (6.25) | 9 (7.83) | 8 (10.13) | 2 (1.98) | 26 (6.39) | 5.53 (3) | 0.14 |
| 23 (20.54) | 19 (16.52) | 31 (39.24) | 32 (31.68) | 105 (25.80) | 16.07 (3) | 0.001 | |
| 22 (19.64) | 23 (20.00) | 27 (34.18) | 31 (30.69) | 103 (25.31) | 8.45 (3) | 0.038 | |
| 22.77 (6) | 0.001 | ||||||
| Low risk (=0) | 97 (86.61) | 93 (80.87) | 47 (59.49) | 72 (71.29) | 309 (75.92) | ||
| Moderate risk (1–4) | 12 (10.71) | 15 (13.04) | 20 (25.32) | 20 (19.80) | 67 (16.46) | ||
| High risk (>4) | 3 (2.68) | 7 (6.09) | 12 (15.19) | 9 (8.91) | 31 (7.62) | ||
| 21.83 (6) | 0.001 | ||||||
| Have not been used drugs | 92 (82.14) | 81 (70.43) | 45 (56.96) | 73 (72.28) | 291 (71.50) | ||
| Have used drugs but without problems | 15 (13.39) | 18 (15.65) | 20 (25.32) | 23 (22.77) | 76 (18.67) | ||
| Drug use has led to any health, social, legal, or financial problem | 5 (4.46) | 16 (13.91) | 14 (17.72) | 5 (4.95) | 40 (9.83) |
Means, SDs, percentages, and comparison test results for social media use, social media racial discrimination, and mental health based on race/ethnicity
| Asian | Black | Indigenous | Latinx | Total | |||
|---|---|---|---|---|---|---|---|
| Hours of social media use per weeka | 48.06 (42.44) | 68.98 (56.4) | 65.87 (51.33) | 50.07 (35.6) | 57.93 (47.89) | 5.43 | 0.001 |
| Intergroup contactb | 2.15 (0.64) | 1.76 (0.69) | 1.88 (0.67) | 1.75 (0.65) | 1.89 (0.68) | 8.8 | <0.001 |
| Racial justice civic publicationc | 1.78 (1.72) | 2.38 (1.88) | 1.73 (1.76) | 2.48 (2.12) | 2.11 (1.90) | 4.28 | 0.005 |
| Racial justice activity coordinationd | 0.99 (1.28) | 1.6 (1.66) | 1.01 (1.32) | 1.39 (1.58) | 1.27 (1.50) | 4.23 | 0.006 |
| Individual social media racial discriminatione | 0.7 (0.79) | 0.92 (1.01) | 0.97 (0.95) | 0.72 (0.79) | 0.82 (0.89) | 2.4 | 0.068 |
| Vicarious social media racial discriminationf | 1.84 (1.12) | 2.11 (1.23) | 1.92 (1.17) | 1.64 (1.03) | 1.88 (1.15) | 3.03 | 0.029 |
| Depression (CES-D)g | 15.31 (9.16) | 15.20 (8.06) | 20.28 (10.47) | 16.98 (10.42) | 16.66 (9.63) | 5.54 | 0.001 |
| Anxiety (GAD-7)h | 8.77 (5.25) | 8.41 (5.52) | 11.11 (6.29) | 10.15 (5.72) | 9.5 (5.73) | 4.64 | 0.003 |
| Frequency (%) | Frequency (%) | Frequency (%) | Frequency (%) | Frequency (%) | |||
| At least one type of individual social media racial discrimination | 88 (78.57) | 93 (80.87) | 63 (79.75) | 78 (77.23) | 322 (79.12) | 0.47 (3) | 0.92 |
| At least one type of vicarious social media racial discrimination | 108 (96.43) | 112 (97.39) | 70 (88.61) | 94 (93.07) | 384 (94.35) | 8.10 (3) | 0.044 |
aRange = 6–192 for each racial/ethnic group
bRange = 0.4–3 for Asian, 0.2–3 for black and Latinx, 0–3 for Indigenous
cRange = 0–6 for each racial/ethnic group
dRange = 0–5.33 for Asian, 0–6 other racial/ethnic groups
eRange = 0–3.5 for Asian, 0–4 for other racial/ethnic groups
fRange = 0–4 for each racial/ethnic group
gRange = 0–39 for Asian and black, 4–42 for Indigenous, 0–47 for Latinx
hRange = 0–21 for each racial/ethnic group
Correlations among study variables and covariates
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Hour of social media use | 1 | ||||||||||||||
| 2. Social media intergroup contact | −0.02 | 1 | |||||||||||||
| 3. Social media civic engagement civic publication | 0.08 | 0.11* | 1 | ||||||||||||
| 4. Social media civic engagement activity coordination | 0.06 | 0.08 | 0.68*** | 1 | |||||||||||
| 5. Individual social media racial discrimination | 0.19*** | 0.05 | 0.30*** | 0.39*** | 1 | ||||||||||
| 6. Vicarious social media racial discrimination | 0.16** | 0.03 | 0.30*** | 0.27*** | 0.60*** | 1 | |||||||||
| 7. Depression | 0.24*** | 0.05 | 0.23*** | 0.22*** | 0.32*** | 0.32*** | 1 | ||||||||
| 8. Anxiety | 0.20*** | 0.07 | 0.22*** | 0.21*** | 0.20*** | 0.23*** | 0.75*** | ||||||||
| 9. Alcohol use disorder | 0.13* | 0.00 | 0.12* | 0.22*** | 0.30*** | 0.15** | 0.24*** | 0.16** | 1 | ||||||
| 10. Illicit drug use problems | 0.12* | 0.01 | 0.16** | 0.22*** | 0.20*** | 0.076 | 0.23*** | 0.16*** | 0.41*** | 1 | |||||
| 11. Financial insecurity | 0.10* | 0.09 | 0.061 | 0.07 | 0.09 | 0.021 | 0.15** | 0.14*** | 0.12* | 0.16*** | 1 | ||||
| 12. Worry associated with COVID-19 infection | −0.02 | 0.01 | 0.17*** | 0.18*** | 0.20*** | 0.033 | 0.20*** | 0.17** | 0.06 | 0.02 | −0.01 | 1 | |||
| 13. Seen friends outside the home frequency | 0.02 | 0.08 | −0.02 | 0.04 | 0.09 | −0.03 | 0.00 | 0.01 | 0.18*** | 0.20*** | −0.00 | 0.0 | 1 | ||
| 14. Age | 0.02 | 0.00 | −0.02 | 0.05 | 0.10* | 0.10* | 0.08 | 0.01 | 0.19*** | 0.16** | 0.02 | 0.12* | −0.00 | 1 | |
| 15. Geographical region | −0.03 | −0.02 | −0.003 | −0.03 | 0.01 | 0.07 | 0.001 | −0.03 | −0.02 | 0.007 | 0.03 | 0.04 | −0.03 | 0.02 | 1 |
*p < 0.05, **p < 0.003, ***p < 0.001