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Original Articles

Associations between Health-Related Use of Social Media and Positive Lifestyle Behaviors: Findings from a Representative Sample of US Adult Smokers

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Abstract

Background: Cigarette smokers have elevated cardiovascular risk factors, which contributes significantly to mortality. Although social media is a potential avenue to deliver smoking interventions, its role in health promotion among smokers remains relatively unexplored.Objective: To examine the uptake and impact of health-related social media use in cigarette smokers.Methods: Using data from the 2017–2020 Health Information National Trends Survey, we evaluated differences in health-related social media use between smokers and nonsmokers. Multivariable logistic regression was performed to examine the association between social media use and positive health behaviors.Results: We included 1863 current smokers and 13,560 nonsmokers; Most participants were women (51.0%), White (64.6%), and 49.2% were aged ≥50 years. Smokers who used ≥1 social media site for health-related purposes in the past year were significantly more likely to meet the guideline recommendations for: (i) weekly physical activity (AOR 2.00, 95% CI 1.23–3.24), (ii) daily vegetable intake (AOR 2.48, 95% CI 1.10–5.59), and (iii) weekly strength training (AOR 1.80, 95% CI 1.10–2.94). However, the odds of reporting intentions to quit smoking (AOR 1.81, 95% CI 0.98–3.34) and attempts at smoking cessation (AOR 1.68, 95% CI 0.90–3.12) did not differ by health-related social media use.Conclusion: Smokers use social media for health-related purposes at comparable rates to nonsmokers. While our findings indicate that these platforms present a novel opportunity for health promotion among smokers, future research exploring the utility of social media in smoking cessation is crucial.

Declaration of interest

No potential conflict of interest was reported by the authors.

Additional information

Funding

Time for study and manuscript preparation was supported by the National Cancer Institute through Grant No. K08CA251654 (to Dr. Amonoo).

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