Social Media Use, Health Behavior and Body Appreciation Among Romanian University Students

Abstract

Background: In contemporary society, marked by rapid transformations in the sphere of communication and social interaction, social networks have gone beyond the role of simple communication platforms, becoming places where identities are formed, cultural norms are negotiated and self-perceptions are shaped. This reality has generated a growing interest in studying the relationship between the digital environment and health behaviors, especially among young people, a social category extremely receptive to visual and normative influences promoted online. Methods: A cross-sectional study was conducted among students enrolled in different kinds of faculties and specialties. An online questionnaire was distributed to gather socio-demographic, academic and medical data along with lifestyle and health-related behaviors. Several psychometric instruments were used: Health Behaviour Scale (HBS) to measure various dimensions of health-related actions, Bergen Social Media Addiction Scale (BSMAS) to screen for addictive or problematic social media use, Social Media Disorder Scale (SMDS) to measure the problematic social media use among adolescents, Body Appreciation Scale–2 (BAS-2) to evaluate measure of one’s acceptance, favorable opinions and respect of their own body, and Dutch Eating Behavior Questionnaire (DEBQ) to identify the psychological motives behind overeating. Results: More than 70% of students declared that they had their first smartphone before the age of 12 and 65% of students had screentime higher than 3 h per day during the weekdays, with a small increase during the weekends. Women scored higher than men in emotional eating (food consumption in response to negative emotions), and external eating (response to food stimuli in the environment, independent of hunger). Respondents from rural areas showed a significantly lower level of respect and acceptance of their own body and higher risk for Social Media Disorder compared to participants from urban areas. Important statistical correlation has been identified among the variables of the research. Social media addiction was associated with higher emotional eating both directly and indirectly, via lower body appreciation. The analysis also indicated that it does not show a direct relationship with restrictive eating behaviors; rather, its association with restrained eating is fully mediated by the individual’s body appreciation. Conclusions: The use of social platforms is a challenging process, with a great impact on psychological and emotional balance of young people. Even if the study identified a normative use among young people with a high education level, the risks factors should be taken into consideration when dealing with screentime, psychological and mental health and the risk for addiction.