Social Media Use as a Predictor of Higher Body Mass Index in Persons living with HIV
Social media tools have been touted as an approach to bring more democratic, and effective, communication networks to health care and to improve the experiences of those either receiving or delivering it. At the same time there are risks associated with social media use. We conducted a multi-site cross-sectional study among persons living with HIV (PLWH) to understand their social media use. We conducted a secondary analysis of data collected from the parent study to understand technology use among PLWH in the US and the association between social media use and body-mass index (BMI). Our primary predictor variable was social media use. Our primary outcome was BMI measured through height and weight during the study visit. Descriptive statistics were used to describe the demographic profiles of the study participants and linear regression models were used to analyze associations between the outcome and predictor variables controlling for demographic characteristics. Study participants (N=606) across 6 study sites in the United States (US) were predominately 50–74 years old (67%). 33% of study participants had a normal weight (BMI 18.5–25), 33% were overweight (BMI 25–30), and 32% were obese (BMI>30). Participants used several social media sites with Facebook (45.6%) predominating with more than five-times as many people using this site than Google+ (8.4%) and Instagram (6.1%). Social media use was associated with higher BMI in study participants (p<.001) and this effect persisted, although not as strongly, when limiting the analysis to those who only used Facebook (p=.03) or only used other social media sites (not including Facebook) (p=.03). Further consideration of social factors that can be ameliorated to improve health outcomes are timely and needed.