TY - JOUR AU - Berger, Matthew N AU - Taba, Melody AU - Marino, Jennifer L AU - Lim, Megan S C AU - Skinner, S Rachel PY - 2022 DA - 2022/9/21 TI -女同性恋、男同性恋、双性恋、跨性别者和酷儿青年的社交媒体使用和健康与福祉:系统回顾JO - J Med Internet Res SP - e38449 VL - 24 IS - 9 KW -女同性恋、男同性恋、双性恋、变性人和酷儿KW - LGBTQ KW -青少年KW -青年KW -福祉KW -心理健康KW -社交媒体KW -身份KW -支持KW -手机AB -背景:女同性恋、男同性恋、双性恋、变性人和酷儿(LGBTQ)个体心理健康和福祉不良的风险较高。社交媒体平台可以为LGBTQ青年提供一个对抗异性恋规范环境的空间，并有可能支持心理健康和福祉。心理健康包括个人的心理和情感健康状态，而不仅仅是没有精神障碍。目的:我们试图确定LGBTQ青年和青少年如何使用社交媒体与其他LGBTQ同龄人和群体联系、身份发展和社会支持，以及这些如何影响心理健康和福祉。方法:采用PRISMA(系统评价和元分析首选报告项目)程序来指导本综述。检索于2021年3月在ACM数字图书馆、CINAHL、Ovid Embase、Ovid MEDLINE和Web of Science上进行。本综述主要针对10至24岁的LGBTQ青年。同行评议的研究必须包括社交媒体;探索同伴关系、身份发展或社会支持; and be published from 2012 onward. In total, 2 researchers extracted data and performed quality assessments independently using the Newcastle-Ottawa Scale for quantitative articles and the Critical Appraisal Skills Programme for qualitative articles. Qualitative synthesis was performed on articles that satisfied the eligibility criteria. Results: A total of 26 studies (n=15, 58% qualitative; n=8, 31% quantitative; n=3, 12% mixed methods) met the inclusion criteria. Of the 8 quantitative studies, 6 (75%) were cross-sectional, and 2 (25%) were cohort studies. All studies ranged from moderate to high quality. Social media was a popular tool used by LGBTQ youths to connect with LGBTQ communities. In qualitative data, we found that LGBTQ youths negotiated and explored identity and obtained support from peers on social media. Instagram, Tumblr, and Twitter were commonly used to access LGBTQ content owing to ease of anonymity. Identity management was the most studied social media affordance, important to LGBTQ youths for strategic disclosure. Key strategies for managing identities included being anonymous, censoring locations or content, restricting audiences, and using multiple accounts. Quantitative studies (3/8, 38%) showed that social media was associated with reduced mental health concerns and increased well-being among LGBTQ youths. Mental health concerns arising from social media use were attributed to discrimination, victimization, and policies that did not accommodate changed identities. Conclusions: We found that social media may support the mental health and well-being of LGBTQ youths through peer connection, identity management, and social support, but findings were limited by weaknesses in the evidence. More robust and longitudinal studies are needed to determine the relationship between social media use and LGBTQ mental health, particularly among adolescents. The findings may inform interventions to promote social media health literacy and the mental health and well-being of this vulnerable group. Trial Registration: PROSPERO CRD42020222535; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=222535 SN - 1438-8871 UR - //www.mybigtv.com/2022/9/e38449 UR - https://doi.org/10.2196/38449 UR - http://www.ncbi.nlm.nih.gov/pubmed/36129741 DO - 10.2196/38449 ID - info:doi/10.2196/38449 ER -