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Social Media and Texting Were Linked to Early Teen Substance Use, But TV and Video Games Were Not

Prospective CohortModerate evidence
The takeaway

Among eight types of screen time studied, social media, texting, and video chatting were the only modalities associated with cannabis experimentation in 11-12 year olds one year later, while TV, videos, and gaming were not.

Parents managing children's screen time, pediatricians advising families, school-based prevention programs.

Social media and texting predicted cannabis experimentation; TV and video games did not

What the researchers found

Each additional hour of social media (AOR 1.20) and texting (AOR 1.18) was associated with higher odds of any substance experimentation one year later. Social media and texting were specifically associated with cannabis, alcohol, and nicotine experimentation, while TV/movies, videos, video games, and general internet use were not. Video chatting was linked to cannabis and nicotine experimentation.

Why it matters

This study challenges the idea that "screen time" is a monolithic risk factor. The finding that interactive social screens (social media, texting, video chat) drive the substance use association while passive screens (TV, video games) do not has important implications for how parents and policymakers approach screen time guidelines.

The numbers in context

n=8,006; 47.9% female; 41.6% racial/ethnic minority; social media AOR 1.20 (95% CI 1.14-1.26) per hour; texting AOR 1.18 (95% CI 1.12-1.24) per hour; video chatting AOR 1.09 (95% CI 1.03-1.16) per hour for any substance use.

How the study worked

Prospective cohort analysis of ABCD Study data (n=8,006 early adolescents aged 11-12), using logistic regression to examine associations between eight types of screen time at Year 2 and substance use experimentation at Year 3, adjusting for covariates and baseline substance use.

What this study cannot tell us

Self-reported screen time is likely imprecise. Cannot determine what content adolescents encounter on social media or in texts. One-year follow-up only captures initial experimentation. The distinction between screen types may blur as platforms converge (e.g., video games increasingly include chat features).

How to read the evidence

Moderate: Large prospective cohort from the ABCD Study differentiating eight screen modalities, though self-reported measures and single-year follow-up are limitations.

When this study was published

Published in 2025 using ABCD Study data.

The bigger picture

This study is part of a growing body of ABCD research distinguishing between types of screen use rather than treating all screens equally. The pattern that social/communicative screen activities carry more risk than passive consumption aligns with theories about peer influence and social norming.

Questions still open

  • What specific content or interactions on social media and text messages drive the substance use association? Would these associations hold with objectively measured screen time? Do these screen-substance associations differ by demographic groups?

Common questions

Why might social media increase substance use risk but TV does not?
Social media, texting, and video chatting involve interactive peer communication where substance use norms can be shared and reinforced. Passive screen activities like watching TV or playing video games typically do not involve the same degree of peer influence around substance use.
Should parents restrict all screen time to prevent substance use?
This study suggests that not all screen time carries equal risk. Social and communicative screen activities showed associations with substance experimentation, while passive consumption did not. The findings point toward managing specific types of screen use rather than imposing blanket restrictions.

Read the original research

Prospective association between screen use modalities and substance use experimentation in early adolescents.

Drug and alcohol dependence, 266, 112504

Citation

Nagata, Jason M; Shim, Joan; Low, Patrick; Ganson, Kyle T; Testa, Alexander; He, Jinbo; Santos, Glenn-Milo; Brindis, Claire D; Baker, Fiona C; Shao, Iris Y. (2025). Prospective association between screen use modalities and substance use experimentation in early adolescents.. Drug and alcohol dependence, 266, 112504. https://doi.org/10.1016/j.drugalcdep.2024.112504

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