Frequency Of Social Media Use Research Articles

FoMO, but not self-compassion, moderates the link between social media use and anxiety in adolescence

ABSTRACT Objective Social media use is ubiquitous during adolescence, and emerging research suggests an association with anxiety symptoms in some individuals. Two psychological constructs which may moderate this relationship are Fear of Missing Out (FoMO) and self-compassion. Higher FoMO tendencies may exacerbate the link between social media use and anxiety symptoms through greater fixation on social comparison, whereas higher self-compassion may weaken this link. The purpose of this study was to examine whether FoMO and self-compassion independently moderate the relationship between social media use and anxiety symptoms in adolescents. Method Participants included 951 adolescents (M age = 13.69, SD = 0.72; 54% male). Online questionnaires assessed frequency of social media use, anxiety symptoms, FoMO, and self-compassion. Results FoMO moderated the relationship between social media use and anxiety, ΔR 2 = .022, ΔF(1,945) = 26.26, p < .001. Increased social media use was associated with increased anxiety symptoms in adolescents high in FoMO and reduced anxiety for adolescents low in FoMO. Self-compassion was not a significant moderator. Conclusion These findings have implications for social media use, public guidelines and clinical practice and support adoption of a discerning approach to adolescent’s social media use.

Globalizing information networks, social media, and participation

AbstractObjectivesThis study is one of the first to systematically evaluate the relationship between the Internet and social media use and participation in politics cross‐nationally, in democracies and non‐democracies. Most existing research on this topic analyzes one country or region. We contend that access to globalizing information networks—which exist within digital media space and where discussions of political norms and values are frequent—promotes higher rates of political participation.MethodsUsing multivariate analysis and individual‐level data from the seventh wave of the World Values Survey with representative samples from 45 countries, we employ jackknifed samples to investigate the association between self‐reported frequent Internet and social media use, our proxy for the exposure to globalizing information networks, and political participation.ResultsResults show that more frequent social media use is associated with higher political participation, all else equal. This relationship is significant in democracies and non‐democracies, suggesting that information networks increase political participation even in countries with Internet shutdowns, censorship, and limited rights and freedoms.ConclusionsDespite censorship, propaganda, and misinformation, the Internet and social media may help foster political participation across international borders.

Social media use and cannabis vaping initiation among US youth

BackgroundYouth cannabis vaping has increased in recent years, and there is growing evidence of cannabis vaping content on social media. This study investigated if social media use is associated with the initiation of cannabis vaping among US youth, using the youth dataset from Population Assessment of Tobacco and Health (PATH) Study Waves 4 (2016–2018) and 5 (2018–2019). MethodsUsing youth respondents who never vaped cannabis at Wave 4 (N=8357), we conducted a multivariable logistic regression analysis on initiation of cannabis vaping at Wave 5 (i.e., ever-vaped cannabis) by frequency of social media use, after controlling for covariates (e.g., sociodemographic, other tobacco and substance use). ResultsIn this analytic sample, 66.5% reported daily social media use, 16.2% reported non-daily and 17.3% reported ‘not having a social media account’ or ‘no social media use’ at Wave 4. Further, 14.0% (n=1183) initiated cannabis vaping at Wave 5. In the multivariable logistic regression model, daily social media use (vs. never use; aOR=2.68; 95% CI=2.05, 3.49) and non-daily social media use (vs. never use; aOR=1.54; 95% CI=1.14, 2.09) at Wave 4 were associated with cannabis vaping initiation at Wave 5. ConclusionsOur evidence suggests that social media use by youth is associated with cannabis vaping initiation among youth in subsequent years, even after controlling for other risk factors. Consistent surveillance and regulation of cannabis vaping-related content on social media, as well as prevention efforts, including counter-messaging on social media about the potential harms of cannabis vaping, are critically needed.

Social media and disordered eating among middle-aged women: Not just an adolescent concern

Evidence suggests social media use is strongly linked to disordered eating (e.g., binge eating and dietary restraint) among adolescent and young adult women, in part because it promotes engagement in social comparison (the tendency to evaluate one's own standing or ability by comparing it to another's). Yet no study has examined the impact of social media use and comparison on disordered eating among middle-aged women. Participants (N = 347), ages 40–63, completed an online survey about their social media use, social comparison, and disordered eating (bulimic symptoms, dietary restraint, and broad eating pathology). Results indicated that 89 % (n = 310) of middle-aged women used social media in the past year. Most participants (n = 260; 75 %) used Facebook, and at least a quarter used Instagram or Pinterest. Approximately 65 % (n = 225) used social media at least daily. Controlling for age and body mass index, social media-specific social comparison was positively associated with bulimic symptoms, dietary restriction, and broad eating pathology (all ps < 0.001). Multiple regression models evaluating frequency of social media use and social media-specific social comparison together revealed that social comparison explained a significant amount of unique variance in bulimic symptoms, dietary restriction, and broad eating pathology (all ps < 0.001) above and beyond frequency of social media use. Instagram explained a significant proportion of variance of dietary restraint compared to other social media platforms (p = .001). Findings suggest a large percentage of middle-aged women frequently engage with some type of social media. Further, social media-specific social comparison, rather than frequency of social media use, may be driving disordered eating in this age group of women.

Like, Comment, and Share: Speech-Language Pathologists' Use of Social Media for Clinical Decision Making.

Many social media sites are dedicated for speech-language pathologists (SLPs); however, the extent to which SLPs utilize them in clinical decision making and evidence-based practice (EBP) is not well understood. The purpose of this study was to explore SLPs' use of traditional and modern resources, including social media, within clinical decision making for assessment and intervention practices. Using a stratified random sampling approach, we invited school-based SLPs in Florida and Ohio and on pediatric-focused, SLP Facebook sites to complete an online survey. The majority (N = 271) reported using social media for professional purposes at least once per week: most frequently Facebook (19-25% of SLPs) or Pinterest (15-18% of SLPs) to learn about new treatment ideas or resources for (12-18%) or read others' summaries of treatment-related research (8-11%), but rarely to pose or answer a clinical question (3-5%). The number of reasons for one's professional social media use was moderately correlated with frequency of social media use, traditional EBP training, and reading a greater number of articles from ASHA and other sources. The results warrant further consideration of how to leverage social media as a tool to increase SLPs' knowledge and implementation of EBP.

Bidirectional Associations of Awareness of Age-Related Change and Attitudes Toward Own Aging With Social Media Use.

We test whether higher awareness of age-related gains (AARC-gains), lower awareness of age-related losses (AARC-losses), and more positive attitudes toward own aging (ATOA) are cross-sectionally related to more frequent social media use. We also investigate the strength and direction of the associations of AARC-gains, AARC-losses, and ATOA with social media use over 1 year, from before to after the onset of the coronavirus 2019 pandemic. We used cross-sectional data from 8,320 individuals (mean age = 65.95 years; standard deviation = 7.01) and longitudinal data from a subsample of 4,454 individuals participating in the UK PROTECT study in 2019 and 2020. We used ordered regression models, linear regression models, and tests of interaction. Models were adjusted for age, sex, education, and employment. Higher AARC-gains and more positive ATOA, but not AARC-losses, were cross-sectionally associated with more frequent social media use. Social media use became more frequent at follow-up. In the longitudinal models controlling for baseline levels of the outcome variable, more frequent baseline social media use predicted increases in AARC-gains, whereas baseline AARC-gains did not significantly predict the frequency of social media use at follow-up. Baseline frequency of social media use did not significantly predict AARC-losses, nor ATOA at follow-up, whereas lower levels of AARC-losses and more positive ATOA predicted more frequent social media use at follow-up. Although effect sizes were small, decreasing negative views on aging may help increase the engagement of middle-aged and older people with social media. At the same time, fostering social media use could promote positive self-perceptions of aging.

The association between evening social media use and delayed sleep may be causal: Suggestive evidence from 120 million Reddit timestamps

Public health officials and clinicians routinely advise social media users to avoid nighttime social media use due to the perception that this delays the onset of sleep and predisposes to the health risks of insufficient sleep. With some exceptions, the evidence behind this advice mostly derives from surveys identifying an association between self-reported social media usage and self-reported sleep patterns. In principle, these associations could alternatively be explained by users turning to social media to pass the time when they are otherwise having difficulty sleeping, or by individual differences that draw some people to frequent social media use, or by offline activities that overlap with both social media use and delayed sleep. To attempt to distinguish among these explanations, we leveraged estimated bedtimes from 44,000 Reddit users reported in a recent study and their 120 million posts to test whether the relationship between sleep and social media has properties suggestive of a causal relationship. We find that users are especially likely to be active on Reddit after their bedtime (and therefore awake) on nights that they posted to Reddit shortly before bedtime, especially if they posted multiple times or in high-engagement forums that night. Overall, this study lends additional support to the notion that there likely is some causal effect of evening social media use on delayed sleep onset.

Influence of social media on the esthetic perception of the lip profile of orthodontic patients

ObjectiveTo identify the use of social media as an influencing factor of the orthodontic patient’s preferences regarding the lip profile protrusion. MethodsA two-part cross-sectional questionnaire was distributed to orthodontic patients in Spain and The Netherlands. The first part collected general data and frequency of use of different social media. The second part consisted of a series of modified female and male silhouettes presenting different lip profile positions. Each participant was required to choose both the (male and female) most attractive silhouette and the least attractive one.Student t-test, one-way ANOVA and Chi-square test were performed. Effect sizes were calculated to express the magnitude of differences between samples. ResultsThe Spanish sample resulted in a moderate higher tendency (R2 = 0.060) to choose protrusive lips as the most attractive lip profile for females, on subjects with more frequent use of social media. A medium tendency (R2=0,26) was observed as result of low users of social media choosing and ideal lip profile for men.The Dutch sample showed that high users of social media tended to choose as attractive a more protrusive female lip profile versus low users (p < .01). This was also observed (p < .05) on male attractive lip profiles. ConclusionsResults suggest that frequent users of social media platforms tend to prefer more protruded lips than their less frequent counterparts. This information is valuable to be considered when formulating a treatment plan to satisfy the patient’s expectations.

Low Optimism and Social Media Use Characteristics in Pregnancy [ID: 1375605

INTRODUCTION: Dispositional optimism (DO) is a resilience factor associated with improved perinatal somatic and mental health outcomes. Low DO has been associated with lower perceived control over labor. Little is known about the relationship between DO and social media (SM) use characteristics, which might provide context for the differences in perceived labor control. METHODS: This is a cross-sectional descriptive study of patients from a single tertiary institution. Participants were approached during their postpartum hospitalization and completed a short series of questionnaires including DO (Life-Orientation Test-Revised), perceived labor control (Labour Agentry Scale), and SM use characteristics (frequency, time spent on SM, frequency of posting). Those with low DO (score ≤14) were compared to those with high DO using bivariable analyses. Institutional review board approval was obtained prior to enrollment initiation. RESULTS: Two hundred ninety-nine postpartum individuals took part in the study, and 97 (32.4%) had low DO. Those with low DO were younger, had lower education, and were more likely to self-identify as non-White. Overall frequency of SM use did not differ between groups; however, those with low DO were more likely to post information about their pregnancy online (P&lt;.01). They also had nonsignificantly lower rates of posting pregnancy-related questions (37.1% versus 62.9%, P=.25). Lastly, they had lower perceived control over the labor process (47.1 versus 52.9, P&lt;.01). CONCLUSION: Recently postpartum individuals with low versus high DO reported using SM differently during their pregnancy, which may have contributed to differences in perceived control over labor, an important predictor for postpartum psychopathology.

Persuasion or polarization? LGBTQ+ attitudes among young social media users in Kazakhstan

ABSTRACT Does social media exposure contribute to progressive or polarized views among youth? With a large and young population online, Kazakhstan offers a polarized authoritarian context in which to study the effects of social media. We use a mixed-method approach that contrasts wider statistical trends from an online survey and experiment with Kazakhstani youth aged 18–30 (N = 1027) and empirical data from 23 exploratory semi-structured interviews with mainly urban Kazakhstani youth conducted in the southern regions of the country in August 2022. The findings from both analyses show that the frequent use of social media positively influences Kazakhstani youth attitudes toward the LGBTQ+ community. We also causally identify that pro-LGBTQ+ social media posts in general promote positive LGBTQ+ attitudes but post wording may matter less. The findings from statistical and non-statistical analyses show the frequent use of social media positively influences Kazakhstani youth attitudes toward the LGBTQ+ community.

Determinants of COVID-19 vaccine Hesitancy: 2020 California Health Interview Survey

Although the COVID-19 vaccine is a key intervention against the ongoing COVID-19 pandemic, vaccine hesitancy is a barrier to vaccination coverage, leading to a higher risk of COVID-19-related morbidity and mortality. To reduce vaccine hesitancy, the factors affecting it must be addressed. Based on the determinants of health approach, this study aimed to investigate whether the distribution of determinants of health differed between the vaccine hesitancy group and the vaccine acceptance group and to identify determinants of participants’ hesitancy to receive the COVID-19 vaccine if it was available. This study utilized the 2020 California Health Interview Survey Data collected between May and December 2020. Data were collected using a population-based web and telephone health survey. Data from 21,949 participants in California were included, and 4,183 (23.4 %) showed vaccine hesitancy. The following determinants were positively associated with vaccine hesitancy: female sex, Black and American Indian/Alaskan Native ethnicity, smoking, poverty, U.S.-born citizen, frequent use of social media, food insecurity, and limited healthcare access. Older age, not having severe psychological distress, not having diabetes, and high perceived safety in the neighborhood were negatively associated with COVID-19 vaccine hesitancy. This study also found that higher use of social media potentially threatened vaccine uptake, whereas frequent internet use was negatively associated with vaccine hesitancy. Public health and other relevant service providers should address the determinants of vaccine hesitancy and develop effective strategies and interventions for vaccine-hesitant groups.

Assessment of MBBS students’ attitudes on social media use: A cross-sectional study in Government Medical College and Hospital, Tiruvannamalai, Tamil Nadu

Background: The latest internet and social media facilitate communication and increase the speed of work. However, it has a negative side also. Aims and Objectives: The present study aimed to assess the MBBS students’ attitudes toward social media use. Materials and Methods: A total of 322 MBBS students (1st year, 2nd-year, 3rd-year, and final-year students) from Government Thiruvannamalai Medical College were part of the study. Willing students were included in the study. Those students who are not using the smartphone were excluded from the study. Pre-tested semi-structured questionnaires assessing the frequency of social media use and attitudes toward the use of social media in their daily activities were used in the study. Results: Most of the participants belong to 18 and 19 years of age. About 77.3% of participants started using the smartphone at the age of 10–15 years. About 92.8% of participants bought smartphones at age of 15–20 years. About 62.2% were not involved in physical activity. About 55.72% check their phone every 10–20 min. About 84.8% of participants sleep &lt;6 h in 24 h. About 56.9% of participants reported that they will not experience neck pain after prolonged use of smartphones. About 52.3% of the participants reported that they have started using spectacles due to refraction errors after using smartphones. Conclusion: The study results present that students in the medical field are addicted to smartphones and this overuse is associated with significant hazardous events. Hence, students should be counseled to reduce the use of smartphones.

Social Media Addiction and Poor Mental Health: Examining the Mediating Roles of Internet Addiction and Phubbing.

Many researchers have examined the potential detrimental role of problematic social media use (often referred as 'social media addiction') on mental health. The present study investigated how social media addiction is associated with three components of mental health: depression, anxiety, and stress. In addition, structural equation modeling was used to test the mediating roles of internet addiction and phubbing among a sample of young adults (N = 603). Results showed that social media addiction was associated with poorer mental health via internet addiction and phubbing. More specifically, associations between social media addiction and stress, and social media addiction and anxiety were explained by both internet addiction and phubbing. The association between social media addiction and depression was explained by internet addiction only. These results remained consistent after controlling for gender, age, frequency of internet use, frequency of social media use, and frequency of smartphone use. These findings extend the extant literature by providing evidence for the dual roles of internet addiction and phubbing in explaining the relationship between social media addiction and poor mental health. Social media addiction did not directly influence poorer mental health but did via internet addiction and phubbing. Therefore, greater awareness of the inter-relationships between technology-based behaviors and their impact on mental health is needed among a wide range of stakeholders, and these inter-relationships need considering in the prevention and treatment of technology-based disorders.

Islamic Political Communication System Mapping Millennial Muslim Geopolitics on Social Media in Facing the 2024 Presidential Election

In political preferences, religion plays a vital role as a consideration for the millennial generation. This is because Indonesia still considers religion in setting policies as it does in political parties and general elections. This study analyzes the political communication system of millennial Muslim Islam on social media in the face of the 2024 presidential election (netnographic analysis). This study applies the netnographic research method through a qualitative approach to understand how the Islamic political communication system works in millennial Muslim society on social media and the geopolitics of millennial Muslims in Indonesia in the face of the 2024 presidential election. Data collection uses analytics related to election data—President in 2024. The study results show that the application of political communication among millennial Muslims on social media is in the form of support and criticism on the hashtag #pemilu2024. Social media proves that distance and time limits are not obstacles to voicing opinions, criticizing and supporting each other. Several things that can be done to map Islamic political communication systems and millennial Muslim geopolitics on social media include: (1) Analyze Islamic political trends that occur on social media, such as Twitter, Facebook, and Instagram, by searching for keywords related to Islamic politics and monitor how communication patterns are between Muslim millennials; (2) Understanding millennial Muslim sentiments on social media by reading and monitoring conversations on social media; and (3) understand the patterns used in communicating, taking into account the type of content they share, the frequency of social media use, as well as the most used platforms. Too much social media reach without knowing boundaries makes social media challenging to control. The strength of political competition becoming increasingly evident must be accompanied by carefulness in filtering information not to complicate the situation. As millennials amid vulnerable hostilities, they should be able to become pioneers or fortresses in avoiding the opposing currents of the impact of social media in political times.Keywords: Political Communication, Millennial Muslims, Geopolitical Mapping, Social Media, Presidential Election

The Impact of Social Media Use on the Academic Performance of Students of Private Tertiary Institutions in Ghana: The Valley View University Perspective

This paper examines the impact of social media use on the academic performance of students in private tertiary institutions in Ghana. The descriptive survey design was adopted for the study. The Valley View University, Oyibi Campus, Accra, was used as a case study. The population for the study was 2,172. The simple random sampling technique was used to sample 388 students. The questionnaire was used to solicit data for the study. 388 copies of the questionnaire were administered to the students. However, 362 copies were filled correctly and used for the analysis. The data were analysed using the IBM Statistical Product and Service Solutions (IBM-SPSS) version 22.0. The findings revealed that entertainment and relaxation, posting pictures and chatting with friends were students' motivators for social media use. The study found out that the frequent use of social media had negatively affected the academic performance of some students. The study recommended that the Management of the University should motivate students to use the various social media platforms for educational activities rather than non-academic ones. The study also suggested that students should be advised to reduce the number of hours spent on social media platforms.

Prospective predictors of electronic nicotine delivery system initiation in tobacco naive young adults: A machine learning approach

The use of electronic nicotine delivery systems (ENDS) is increasing among young adults. However, there are few studies regarding predictors of ENDS initiation in tobacco-naive young adults. Identifying the risk and protective factors of ENDS initiation that are specific to tobacco-naive young adults will enable the creation of targeted policies and prevention programs. This study used machine learning (ML) to create predictive models, identify risk and protective factors for ENDS initiation for tobacco-naive young adults, and the relationship between these predictors and the prediction of ENDS initiation. We used nationally representative data of tobacco-naive young adults in the U.S drawn from the Population Assessment of Tobacco and Health (PATH) longitudinal cohort survey. Respondents were young adults (18–24 years) who had never used any tobacco products in Wave 4 and who completed Waves 4 and 5 interviews. ML techniques were used to create models and determine predictors at 1-year follow-up from Wave 4 data. Among the 2,746 tobacco-naive young adults at baseline, 309 initiated ENDS use at 1-year follow-up. The top five prospective predictors of ENDS initiation were susceptibility to ENDS, increased days of physical exercise specifically designed to strengthen muscles, frequency of social media use, marijuana use and susceptibility to cigarettes. This study identified previously unreported and emerging predictors of ENDS initiation that warrant further investigation and provided comprehensive information on the predictors of ENDS initiation. Furthermore, this study showed that ML is a promising technique that can aid ENDS monitoring and prevention programs.

Tweet Your Heart Out: The Personality Correlates and Affective Consequences of Social Media Use on Close Relationships and Psychological Health

Social media is a purported tool to foster and maintain close supportive relationships. However, previous research has established the negative impacts that social media use can have on well-being. The present study explored the connections between mental health and social media use to further address important gaps in understanding the psychological and interpersonal impact it may have. The personality correlates and affective consequences of social media use on close relationship satisfaction and psychological health were examined. Responses from 375 participants on the Big Five Inventory (BFI), UCLA Loneliness Scale, Social Networking Time Use Scale (SONTUS), the Multidimensional Relationship Questionnaire (MRQ), and the Affective Consequences of Social Media Use scale (ACSMU) were analyzed. Results confirmed as social media usage increased, close relationship satisfaction decreased. Findings also indicated a significant positive association between social media use and loneliness. Personality was a significant predictor of self reported levels of social media usage. Less conscientiousness and more neuroticism were indicative of a greater frequency of social media use. Broadly, social media use was significantly associated with negative affective reactions to time spent on social media. Overall, additional research is necessary to explore and replicate the novel findings.

Psychology of aesthetics: Beauty, social media, and body dysmorphic disorder.

The perception of beauty is fluid within society and can morph based on cultural practices and societal interaction, such as social media exposure. The exposure to digital conference platforms has increased significantly, leading users to check their appearance constantly and find flaws in their perceived virtual appearance. Studies have shown that frequent social media use may lead to unrealistic body image ideals, a significant concern with appearance, and anxiety. Also, social media exposure can worsen body image dissatisfaction, social networking site addiction, and comorbidities of body dysmorphic disorder (BDD) such as depression and eating disorders. Additionally, excessive social media use can increase preoccupation with imagined image defects among BDD patients leading them to pursue minimally invasive cosmetic and plastic surgery procedures. This contribution aims to provide an overview of the evidence surrounding the perception of beauty, cultural aspects of aesthetics, and social media's consequences, especially on BDD's clinical specifics.

RELATIONSHIP OF CYBER-AGGRESSION TO THE CHARACTERISTICS OF DIGITAL EXPERIENCE IN ADOLESCENTS

The presentation includes the results of a study focused on the relationship between the propensity for various types of cyber-aggression and the digital experience of adolescents. Electronic and mobile communication devices have become an important means of socialization for them. Most teenagers reported using mobile phones for instant messaging. It is teenagers who are characterized by signifi cant risks associated with deviant behavior in the Internet space, namely, the cyber-aggression. Thus, the purpose of our study was to study the relationship between the propensity to display cyber-aggression and digital experience in a sample of adolescents. The study focuses on whether the time spent on the Internet and the frequency of social media use is associated with a risk factor for cyber-aggression. The experimental study involved  adolescents. The manifestation of cyber-aggression in our study was studied with the questionnaire “Typology of cyber-aggression”. The assessment of the involvement of teenagers in Internet communication was implemented by the questionnaire. The results of our study indicate that teenagers are interested in online communication. Simultaneously, they assess their experience of online aggression as quite rare. Strong correlations are found between the indicators of cyber-aggression and the characteristics describing digital experience of adolescents (. ≤ rs ≤ . at p ≤ .). The relationship between the propensity to cyber-aggression and the digital experience of adolescents is more mediated by age than by gender. According to the regression analysis, it was revealed that the time spent on the Internet is a signifi cant predictor of the manifestation of their cyber-aggressive behavior. Thus, the results of the study should be used to teach teenagers safe behavior on the Internet, while preventive and correctional programs of cyber-aggressive behavior of adolescents should take into account age-specifi c manifestations of aggression on the Internet.

Frequency of social media use and exposure to tobacco or nicotine-related content in association with E-cigarette use among youth: A cross-sectional and longitudinal survey analysis

Exposure to social media and its content featuring tobacco products is associated with e-cigarette use among adolescents. This study measured the association between frequency of Instagram, TikTok and YouTube use and exposure to tobacco-related content on each of these platforms with e-cigarette ever-use, current (past 30-day) use and initiation among adolescents. A cross-sectional and longitudinal analyses were used based on a self-reported survey conducted online in January – May 2021–2022 among socioeconomically- and racially-diverse Los Angeles, California high school students (N = 2,036). Adolescents had higher odds of e-cigarette ever-use (adjusted odds ratio [AOR] = 2.16; CI: 1.20;3.90) and current (past 30-day) use (AOR = 3.11; CI: 1.64;5.89) if they used TikTok several times per day, compared to adolescents who used TikTok less frequently or not at all. Adolescents also had higher odds of e-cigarette initiation (AOR = 2.97; CI: 1.53;5.77) if they used TikTok daily or several times per day, compared to adolescents who used TikTok less frequently or not at all. Adolescents had higher odds of e-cigarette ever-use (AOR = 2.60; CI: 2.02;3.35) and current use (AOR = 3.11; CI: 1.64;5.89) if they reported seeing tobacco or nicotine posts, including e-cigarettes, on TikTok at least weekly. Frequent use of and frequent exposure to tobacco content on TikTok is associated with increased risk of e-cigarette use and initiation among adolescents. Tobacco-related content on social media popular among youth, especially on TikTok, requires stronger regulation and better enforcement by platforms of their policies restricting tobacco content.