Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental Study

BackgroundAdolescents and young adults frequently post alcohol-related content (ie, alcoholposts) on social media. This is problematic because both social norms theory and social learning theory suggest that viewing alcoholposts of peers could increase drinking behavior. It i...

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Main Authors: Hanneke Hendriks, Wouter de Nooy, Winifred A Gebhardt, Bas van den Putte
Format: Article
Language:English
Published: JMIR Publications 2021-11-01
Series:Journal of Medical Internet Research
Online Access:https://www.jmir.org/2021/11/e28237
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author Hanneke Hendriks
Wouter de Nooy
Winifred A Gebhardt
Bas van den Putte
author_facet Hanneke Hendriks
Wouter de Nooy
Winifred A Gebhardt
Bas van den Putte
author_sort Hanneke Hendriks
collection DOAJ
description BackgroundAdolescents and young adults frequently post alcohol-related content (ie, alcoholposts) on social media. This is problematic because both social norms theory and social learning theory suggest that viewing alcoholposts of peers could increase drinking behavior. It is therefore paramount to understand the effects of exposure to alcoholposts on viewers. ObjectiveThis study aimed to investigate the causal effects of exposure to alcoholposts on alcohol consumption by using a rigorous design. MethodsWe conducted a 6-week longitudinal study during which alcoholposts were measured by a newly developed app that copied Facebook posts shared by participants (n=281) to a new social media environment. In addition, daily questionnaires assessed alcohol use. Effects of natural alcoholposts (ie, posted by the participants) were assessed in phase 1, and effects of experimental posts (ie, posted by fake participants) were explored in phase 2. ResultsResults showed that natural alcoholposts increased the occurrence and quantity of drinking the following day. That is, exposure to a single additional alcoholpost increased the log odds of drinking the next day by 0.27 (b=.27, credible interval [CI] .18 to .35). Furthermore, the number of natural alcoholposts had a positive (predictive) effect on the number of glasses drunk the next day (b=.21, CI .14 to .29). In phase 2 when experimental posts were also present, these effects decreased. Experimental posts themselves had hardly any effects. ConclusionsThis study illustrates clear and direct effects of exposure to alcoholposts on next-day alcohol consumption and suggests that alcoholposts represent an important societal problem that interventions need to address.
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spelling doaj.art-2d331a6ed56f4f42abbbd65e18e2495b2023-08-28T19:45:48ZengJMIR PublicationsJournal of Medical Internet Research1438-88712021-11-012311e2823710.2196/28237Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental StudyHanneke Hendrikshttps://orcid.org/0000-0003-4184-0252Wouter de Nooyhttps://orcid.org/0000-0002-5644-5901Winifred A Gebhardthttps://orcid.org/0000-0002-8067-5598Bas van den Puttehttps://orcid.org/0000-0002-3635-6880 BackgroundAdolescents and young adults frequently post alcohol-related content (ie, alcoholposts) on social media. This is problematic because both social norms theory and social learning theory suggest that viewing alcoholposts of peers could increase drinking behavior. It is therefore paramount to understand the effects of exposure to alcoholposts on viewers. ObjectiveThis study aimed to investigate the causal effects of exposure to alcoholposts on alcohol consumption by using a rigorous design. MethodsWe conducted a 6-week longitudinal study during which alcoholposts were measured by a newly developed app that copied Facebook posts shared by participants (n=281) to a new social media environment. In addition, daily questionnaires assessed alcohol use. Effects of natural alcoholposts (ie, posted by the participants) were assessed in phase 1, and effects of experimental posts (ie, posted by fake participants) were explored in phase 2. ResultsResults showed that natural alcoholposts increased the occurrence and quantity of drinking the following day. That is, exposure to a single additional alcoholpost increased the log odds of drinking the next day by 0.27 (b=.27, credible interval [CI] .18 to .35). Furthermore, the number of natural alcoholposts had a positive (predictive) effect on the number of glasses drunk the next day (b=.21, CI .14 to .29). In phase 2 when experimental posts were also present, these effects decreased. Experimental posts themselves had hardly any effects. ConclusionsThis study illustrates clear and direct effects of exposure to alcoholposts on next-day alcohol consumption and suggests that alcoholposts represent an important societal problem that interventions need to address.https://www.jmir.org/2021/11/e28237
spellingShingle Hanneke Hendriks
Wouter de Nooy
Winifred A Gebhardt
Bas van den Putte
Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental Study
Journal of Medical Internet Research
title Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental Study
title_full Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental Study
title_fullStr Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental Study
title_full_unstemmed Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental Study
title_short Causal Effects of Alcohol-Related Facebook Posts on Drinking Behavior: Longitudinal Experimental Study
title_sort causal effects of alcohol related facebook posts on drinking behavior longitudinal experimental study
url https://www.jmir.org/2021/11/e28237
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AT wouterdenooy causaleffectsofalcoholrelatedfacebookpostsondrinkingbehaviorlongitudinalexperimentalstudy
AT winifredagebhardt causaleffectsofalcoholrelatedfacebookpostsondrinkingbehaviorlongitudinalexperimentalstudy
AT basvandenputte causaleffectsofalcoholrelatedfacebookpostsondrinkingbehaviorlongitudinalexperimentalstudy