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For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities

Escobar-Viera, Cesar G. and Whitfield, Darren L. and Wessel, CB and Shensa, A and Sidani, JE and Brown, Andre L. and Chandler, Cristian and Hoffman, Beth L. and Marshal, MP and Primack, BA (2018) For Better or for Worse? A Systematic Review of the Evidence on Social Media Use and Depression Among Lesbian, Gay, and Bisexual Minorities. JMIR Mental Health, 5 (3). e10496.

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Background: Over 90% of adults in the United States have at least one social media account, and lesbian, gay, and bisexual
(LGB) persons are more socially active on social media than heterosexuals. Rates of depression among LGB persons are between
1.5- and 2-fold higher than those among their heterosexual counterparts. Social media allows users to connect, interact, and
express ideas, emotions, feelings, and thoughts. Thus, social media use might represent both a protective and a risk factor for
depression among LGB persons. Studying the nature of the relationship between social media use and depression among LGB
individuals is a necessary step to inform public health interventions for this population.
Objective: The objective of this systematic review was to synthesize and critique the evidence on social media use and depression
among LGB populations.
Methods: We conducted a literature search for quantitative and qualitative studies published between January 2003 and June
2017 using 3 electronic databases. Articles were included if they were peer-reviewed, were in English, assessed social media use
either quantitatively or qualitatively, measured depression, and focused on LGB populations. A minimum of two authors
independently extracted data from each study using an a priori developed abstraction form. We assessed appropriate reporting of
studies using the Strengthening the Reporting of Observational Studies in Epidemiology and the Consolidated Criteria for Reporting
Qualitative Research for quantitative and qualitative studies, respectively.
Results: We included 11 articles in the review; 9 studies were quantitative and cross-sectional and 2 were qualitative. Appropriate
reporting of results varied greatly. Across quantitative studies, we found heterogeneity in how social media use was defined and
measured. Cyberbullying was the most studied social media experience and was associated with depression and suicidality.
Qualitative studies found that while social media provides a space to disclose minority experiences and share ways to cope and
get support, constant surveillance of one’s social media profile can become a stressor, potentially leading to depression. In most
studies, sexual minority participants were identified inconsistently.
Conclusions: This review supports the need for research on the role of social media use on depression outcomes among LBG
persons. Using social media may be both a protective and a risk factor for depression among LGB individuals. Support gained
via social media may buffer the impact of geographic isolation and loneliness. Negative experiences such as cyberbullying and
other patterns of use may be associated with depression. Future research would benefit from more consistent definitions of both
social media use and study populations. Moreover, use of larger samples and accounting for patterns of use and individuals’
experiences on social media may help better understand the factors that impact LGB mental health disparities.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Escobar-Viera, Cesar
Whitfield, Darren L.
Wessel, CBcbw@pitt.eduCBW0000-0002-5018-0156
Shensa, Aars146@pitt.eduARS146
Sidani, JEjes107@pitt.eduJES107
Brown, Andre L.
Chandler, CristianCJC143@pitt.eduCJC1430000-0003-1770-4357
Hoffman, Beth L.blh72@pitt.eduBLH72
Marshal, MPmpm1@pitt.eduMPM1
Primack, BAbprimack@pitt.eduBPRIMACK
Centers: Other Centers, Institutes, Offices, or Units > Center for Research on Media, Technology, and Health
Date: July 2018
Date Type: Publication
Journal or Publication Title: JMIR Mental Health
Volume: 5
Number: 3
Page Range: e10496
DOI or Unique Handle: 10.2196/10496
Schools and Programs: School of Medicine > Medicine
Refereed: Yes
Article Type: Research Article
MeSH Headings: social media; social networking sites; sexual minorities; lesbian; gay; bisexual; depression; systematic review
Date Deposited: 16 Aug 2018 15:51
Last Modified: 16 Aug 2018 15:51


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