美国各州关于社交媒体的政策:政策与证据相符吗?

IF 4.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Marco Thimm-Kaiser, Katherine M Keyes
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引用次数: 0

摘要

国家政策制定者迅速采取行动,规范青少年社交媒体的使用,经常表示对心理健康、有害内容接触和发展影响的担忧。政策制定者支持国家社交媒体监管的观点在多大程度上符合当前科学证据的现状,这一点仍然值得商榷。支持政策制定者断言的证据在回答因果问题的能力方面有很大的局限性,但围绕对高度易感青年的有针对性的保护,一些有希望的方向正在出现。背景:社交媒体使用对青少年的潜在不利影响已经受到了广泛关注。作为回应,美国出现了越来越多的州级社交媒体法规。这些政策干预是在混合科学证据的背景下实施的,迫使决策者权衡主动监管的必要性和现有研究的局限性。我们探讨了政策制定者对社交媒体监管的公开陈述的理由,并将他们的主张置于现有的科学文献中。方法:我们使用b谷歌News对民选政府官员关于69个州在2024年9月之前通过或颁布的社交媒体立法倡议的声明进行了媒体内容分析。随后,我们严格审查了共同主题的证据强度。研究结果:我们筛选了637份文件,包括161份,并提取了与社交媒体相关的青少年危害主张相关的三个主题:(1)对青少年心理健康的危害(55篇文章中提到),包括6个副主题(例如,社交媒体成瘾、自残或自杀、焦虑和抑郁);(2)接触危险的网络内容(提及73次),包括五个次级主题(例如,接触色情内容、性剥削风险);(3)对青少年发展的危害(提及38次),包括三个副主题(即对学习、社会关系和大脑发育的负面影响)。我们确定了一些证据来支持社交媒体使用与不良结果之间的关联,特别是对弱势青少年而言,但总体而言,目前的研究基础存在显著局限性,无法确定因果关系。结论:国家政策制定者已经迅速采取行动来规范青少年社交媒体的使用,经常引用对心理健康、有害内容和发展影响的担忧。证实这些断言的证据仍然是初步的,但围绕有针对性地保护高度易感青少年,一些有希望的方向正在出现。我们制定了一个研究议程,为基于证据的政策提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
Milbank Quarterly
Milbank Quarterly 医学-卫生保健
CiteScore
9.60
自引率
3.00%
发文量
37
审稿时长
>12 weeks
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.
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