Adolescents’ Experiences of Online Harms by Platform

IF 17.1 1区医学 Q1 PEDIATRICS

JAMA Pediatrics Pub Date : 2026-09-18 DOI:10.1001/jamapediatrics.2026.4692

Angela Y. Lee, Carmen H. J. Lim, Sunny Xun Liu, R. Kang Xing Jin, Anneke Buffone, Ravi Iyer, Zachary Rausch, Jonathan Haidt, Nathanael J. Fast, Jeffrey T. Hancock, Eleni Linos

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引用次数: 0

Abstract

Importance Concerns about the risks adolescents face online are rising, and existing research on online harms rarely examines platform-level differences. Objective To estimate the prevalence of negative experiences reported by US adolescents online, offline, and across 20 different online platforms using a national survey. Design, Setting, and Participants This was a cross-sectional, nationally representative, pilot survey of US adolescents aged 13 to 17 years conducted from February to December 2025 through the probability-based Understanding America Study panel. Self-reported use and negative experiences on 20 online platforms (eg, Facebook, Instagram, Snapchat, TikTok, and YouTube) were assessed. Exposures Self-reported use of 20 online communication platforms (eg, Facebook, Instagram, TikTok, Snapchat, and YouTube) in the past 4 weeks. Main Outcomes and Measures Prevalence of adolescents’ reporting experiencing major risks and harms online, offline, and for each of 20 online platforms in the last 4 weeks. Harms include harassment, sexual solicitation, exposure to violent content, and technology-related sleep disruption. Survey-weighted logistic regression examined demographic associations. Results The weighted sample included 472 adolescents (mean [SE] age 14.9 [0.1] years; 46.8% female) from 47 states. Across online and offline contexts, 44.7% witnessed harassment and 29.8% reported experiencing it directly in the past 4 weeks. Online exposure exceeded offline exposure for several harms, including reported exposure to violent imagery (10.7% vs 1.6%), unwanted sexual images (13.4% vs 2.0%), and content encouraging self-harm (9.7% vs 5.2%), while direct harassment was reported at similar rates offline and online (18.5% vs 16.4%). More than half (51.5%) self-reported sleep disruption due to technology use. Prevalence varied by platform. Conclusions and Relevance The findings suggest that negative online experiences are commonly reported by US adolescents and vary across platforms and subgroups of adolescents. Measuring the prevalence of negative online experiences is feasible and analogous to public health risk monitoring frameworks.

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不同平台的青少年网络伤害体验

对青少年在网络上面临的风险的担忧正在上升，现有的关于网络危害的研究很少检查平台层面的差异。目的通过一项全国性调查，估计美国青少年在线、离线和20种不同在线平台上报告的负面经历的流行程度。这是一项横断面的、具有全国代表性的试点调查，通过基于概率的了解美国研究小组于2025年2月至12月对13至17岁的美国青少年进行了调查。对20个在线平台（如Facebook、Instagram、Snapchat、TikTok和YouTube）的自我报告使用情况和负面体验进行了评估。自我报告在过去4周内使用20个在线交流平台（如Facebook、Instagram、TikTok、Snapchat和YouTube）。主要结果和措施青少年在过去4周内在线上、线下以及在20个在线平台上报告遭受重大风险和伤害的发生率。危害包括骚扰、性引诱、接触暴力内容以及与科技相关的睡眠中断。调查加权逻辑回归检验了人口统计学关联。结果加权样本包括来自47个州的472名青少年（平均[SE]年龄14.9[0.1]岁，女性46.8%）。在线上和线下，44.7%的人目睹过骚扰，29.8%的人在过去4周内直接经历过骚扰。在一些危害方面，在线曝光超过了线下曝光，包括报告的暴力图像（10.7%比1.6%）、不受欢迎的性图像（13.4%比2.0%）和鼓励自残的内容（9.7%比5.2%），而直接骚扰的报告率在线下和线上相似（18.5%比16.4%）。超过一半（51.5%）的人自我报告说，使用科技产品会导致睡眠中断。患病率因平台而异。结论和相关性研究结果表明，负面的网络体验在美国青少年中普遍存在，并且在不同的平台和青少年亚群体中有所不同。衡量负面在线体验的普遍程度是可行的，类似于公共卫生风险监测框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JAMA Pediatrics PEDIATRICS-

CiteScore

31.60

自引率

1.90%

发文量

357

期刊介绍： JAMA Pediatrics, the oldest continuously published pediatric journal in the US since 1911, is an international peer-reviewed publication and a part of the JAMA Network. Published weekly online and in 12 issues annually, it garners over 8.4 million article views and downloads yearly. All research articles become freely accessible online after 12 months without any author fees, and through the WHO's HINARI program, the online version is accessible to institutions in developing countries. With a focus on advancing the health of infants, children, and adolescents, JAMA Pediatrics serves as a platform for discussing crucial issues and policies in child and adolescent health care. Leveraging the latest technology, it ensures timely access to information for its readers worldwide.