{"title":"美国各州关于社交媒体的政策:政策与证据相符吗?","authors":"Marco Thimm-Kaiser, Katherine M Keyes","doi":"10.1111/1468-0009.70021","DOIUrl":null,"url":null,"abstract":"<p><p>Policy Points State policymakers have moved rapidly to regulate adolescent social media use, frequently stating concerns about mental health, harmful content exposure, and developmental impacts. The degree to which policymakers' arguments in favor of state social media regulations correspond to the state of the current scientific evidence remains questionable. The evidence to substantiate policymakers' assertions has substantial limitations in the ability to answer causal questions, but some promising directions are emerging around targeted protections for highly susceptible youth.</p><p><strong>Context: </strong>The potential adverse effects of social media use for adolescents have received substantial attention. In response, a growing number of state-level social media regulations are emerging in the United States. These policy interventions are being implemented in the context of mixed scientific evidence, forcing policymakers to weigh the need for proactive regulation against the limitations of extant research. We explore policymakers' publicly stated rationales for social media regulations and contextualize their claims within extant scientific literature.</p><p><strong>Methods: </strong>We conducted a media content analysis of elected government officials' statements about 69 state social media legislative initiatives that were adopted or enacted prior to September 2024 using Google News. Subsequently, we critically reviewed the strength of the evidence underlying common themes.</p><p><strong>Findings: </strong>We screened 637 documents, included 161, and extracted three main themes connected to claims about social media-related adolescent harms: (1) harm to adolescents' mental health (mentioned in 55 articles), including six subthemes (e.g., social media addiction, self-harm or suicide, anxiety and depression); (2) exposure to dangerous online content (73 mentions), including five subthemes (e.g., access to pornography, risks of sexual exploitation); and (3) harm to adolescent development (38 mentions), including three subthemes (i.e., negative impacts on learning, social relationships, and brain development). We identified some evidence to support associations between social media use and adverse outcomes, particularly for vulnerable youth, but, overall, the current research base has significant limitations and cannot definitively establish causal effects.</p><p><strong>Conclusions: </strong>State policymakers have moved rapidly to regulate adolescent social media use, often citing concerns about mental health, harmful content, and developmental impacts. The evidence to substantiate these assertions remains preliminary, but some promising directions are emerging around targeted protections for highly susceptible youth. We formulate a research agenda to inform evidence-based policy.</p>","PeriodicalId":49810,"journal":{"name":"Milbank Quarterly","volume":" ","pages":""},"PeriodicalIF":4.8000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"US State Policies Regarding Social Media: Do Policies Match the Evidence?\",\"authors\":\"Marco Thimm-Kaiser, Katherine M Keyes\",\"doi\":\"10.1111/1468-0009.70021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Policy Points State policymakers have moved rapidly to regulate adolescent social media use, frequently stating concerns about mental health, harmful content exposure, and developmental impacts. The degree to which policymakers' arguments in favor of state social media regulations correspond to the state of the current scientific evidence remains questionable. The evidence to substantiate policymakers' assertions has substantial limitations in the ability to answer causal questions, but some promising directions are emerging around targeted protections for highly susceptible youth.</p><p><strong>Context: </strong>The potential adverse effects of social media use for adolescents have received substantial attention. In response, a growing number of state-level social media regulations are emerging in the United States. These policy interventions are being implemented in the context of mixed scientific evidence, forcing policymakers to weigh the need for proactive regulation against the limitations of extant research. We explore policymakers' publicly stated rationales for social media regulations and contextualize their claims within extant scientific literature.</p><p><strong>Methods: </strong>We conducted a media content analysis of elected government officials' statements about 69 state social media legislative initiatives that were adopted or enacted prior to September 2024 using Google News. Subsequently, we critically reviewed the strength of the evidence underlying common themes.</p><p><strong>Findings: </strong>We screened 637 documents, included 161, and extracted three main themes connected to claims about social media-related adolescent harms: (1) harm to adolescents' mental health (mentioned in 55 articles), including six subthemes (e.g., social media addiction, self-harm or suicide, anxiety and depression); (2) exposure to dangerous online content (73 mentions), including five subthemes (e.g., access to pornography, risks of sexual exploitation); and (3) harm to adolescent development (38 mentions), including three subthemes (i.e., negative impacts on learning, social relationships, and brain development). We identified some evidence to support associations between social media use and adverse outcomes, particularly for vulnerable youth, but, overall, the current research base has significant limitations and cannot definitively establish causal effects.</p><p><strong>Conclusions: </strong>State policymakers have moved rapidly to regulate adolescent social media use, often citing concerns about mental health, harmful content, and developmental impacts. The evidence to substantiate these assertions remains preliminary, but some promising directions are emerging around targeted protections for highly susceptible youth. We formulate a research agenda to inform evidence-based policy.</p>\",\"PeriodicalId\":49810,\"journal\":{\"name\":\"Milbank Quarterly\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":4.8000,\"publicationDate\":\"2025-06-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Milbank Quarterly\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/1468-0009.70021\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Milbank Quarterly","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/1468-0009.70021","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
US State Policies Regarding Social Media: Do Policies Match the Evidence?
Policy Points State policymakers have moved rapidly to regulate adolescent social media use, frequently stating concerns about mental health, harmful content exposure, and developmental impacts. The degree to which policymakers' arguments in favor of state social media regulations correspond to the state of the current scientific evidence remains questionable. The evidence to substantiate policymakers' assertions has substantial limitations in the ability to answer causal questions, but some promising directions are emerging around targeted protections for highly susceptible youth.
Context: The potential adverse effects of social media use for adolescents have received substantial attention. In response, a growing number of state-level social media regulations are emerging in the United States. These policy interventions are being implemented in the context of mixed scientific evidence, forcing policymakers to weigh the need for proactive regulation against the limitations of extant research. We explore policymakers' publicly stated rationales for social media regulations and contextualize their claims within extant scientific literature.
Methods: We conducted a media content analysis of elected government officials' statements about 69 state social media legislative initiatives that were adopted or enacted prior to September 2024 using Google News. Subsequently, we critically reviewed the strength of the evidence underlying common themes.
Findings: We screened 637 documents, included 161, and extracted three main themes connected to claims about social media-related adolescent harms: (1) harm to adolescents' mental health (mentioned in 55 articles), including six subthemes (e.g., social media addiction, self-harm or suicide, anxiety and depression); (2) exposure to dangerous online content (73 mentions), including five subthemes (e.g., access to pornography, risks of sexual exploitation); and (3) harm to adolescent development (38 mentions), including three subthemes (i.e., negative impacts on learning, social relationships, and brain development). We identified some evidence to support associations between social media use and adverse outcomes, particularly for vulnerable youth, but, overall, the current research base has significant limitations and cannot definitively establish causal effects.
Conclusions: State policymakers have moved rapidly to regulate adolescent social media use, often citing concerns about mental health, harmful content, and developmental impacts. The evidence to substantiate these assertions remains preliminary, but some promising directions are emerging around targeted protections for highly susceptible youth. We formulate a research agenda to inform evidence-based policy.
期刊介绍:
The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.