Among People Who Use Drugs, a Third Post on Social Media and Half Text or Make Calls While High

person holding marijuana joint and cell phone
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Posting on social media, texting, and appearing in photos while high is prevalent among people who use drugs—and many regret these behaviors, according to a study by the Center for Drug Use and HIV/HCV Research (CDUHR) at NYU College of Global Public Health.

The research, published online August 6 in the journal Substance Abuse, points to the potential social harms associated with substance use, which are likely overlooked and go beyond well-established health risks.

The use of social media—particularly among younger generations—is ubiquitous in today’s culture. A recent Pew Research report found that, among 18 to 29-year-olds, more than nine in 10 use some form of social media. Meanwhile, the technology that allows people to use social media anywhere is essentially universal: 100 percent of young Americans (ages 18-29) have mobile phones, 94 percent of which are smartphones.

While technology and social media platforms offer benefits, such as enabling people to be more connected, using mobile phones to post on social media or engage in other forms of communication also can cause long-lasting social harm, a risk that may increase when people are under the influence of drugs or alcohol.

“Risky social media posts, including those showing people high on drugs, have the potential to cause embarrassment, stress, and conflict for users and those in their social networks,” said CDUHR researcher Joseph Palamar, PhD, MPH, the study’s lead author and an associate professor of Population Health at NYU School of Medicine. “It can also have adverse implications for one’s career, since the majority of employers now use social media platforms to screen job candidates and may search for evidence of substance use.”

In this study, the researchers examined data from 872 adults surveyed while entering electronic dance music (EDM) parties in New York City who reported current or previous drug use. Participants were asked if they were ever high on a drug while they posted on social media, called or texted someone, or were in a photo. Those who had were also asked if they later regretted the behavior.

The researchers estimate that more than a third of EDM attendees (34.3 percent) posted on social media while high, with 21.4 percent regretting it. In addition, more than half (55.9 percent) had texted or called someone while high, with 30.5 percent regretting making a call or sending a text. Nearly half (47.6 percent) had been in a photo while high, with 32.7 percent regretting it.

“At least one in five experienced regret after engaging in these behaviors while high, suggesting that some situations may have resulted in socially harmful or embarrassing scenarios,” said Palamar.

Females and young adults (ages 18-24) were at particularly elevated risk for posting on social media while high and were also more likely to text, make calls, and take photos while high. Although young adults are a known high-risk demographic for substance use, females are typically at lower risk than males. However, research shows that females are more likely to use social media. EDM attendees who identified as neither heterosexual, nor gay, nor bisexual were also at a higher risk for social media posting and related behaviors while high. Separately, black participants were at a much lower risk for these activities.

Compared to users of other drugs, current marijuana users were at the highest risk for engaging in these risky behaviors while high, followed by current cocaine users.

“A significant portion of our sample engaged in the use of social media while high and regretted it. While more research is needed, our findings suggest a need for prevention or harm reduction programs to educate high-risk groups not only about the adverse health effects of substance use, but also about the potential negative social outcomes,” said study coauthor Austin Le, MSc, a research associate in the NYU Langone Department of Population Health and a dental student at NYU College of Dentistry.

“While prevention programs have largely focused on physical safety—for example, not driving after drinking—such programs can also stress that using a smartphone while high can increase the risk of someone engaging in regretful behavior. Tactics such as using apps to prevent texting while intoxicated or delaying posting on social media until one is no longer experiencing drug effects may help to minimize social harm,” added Palamar.

Patricia Acosta of NYU Langone’s Department of Population Health co-authored the study with Palamar and Le. Funding support for the study was provided by National Institute on Drug Abuse of the National Institutes of Health under Award Numbers K01DA038800 and R01DA044207. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

About CDUHR
The mission of the Center for Drug Use and HIV/HCV Research (CDUHR) is to end the HIV and HCV epidemics in drug using populations and their communities by conducting transdisciplinary research and disseminating its findings to inform programmatic, policy, and grass roots initiatives at the local, state, national, and global levels. CDUHR is a Core Center of Excellence funded by the National Institute on Drug Abuse (Grant #P30 DA011041).  It is the first center for the socio-behavioral study of substance use and HIV in the United States and as of October 2018, is located at the NYU College of Global Public Health. For more information, visit www.cduhr.org.

About NYU Langone Health
NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. Included in the 200+ locations throughout the New York area are five inpatient locations: Tisch Hospital, its flagship acute-care facility; Rusk Rehabilitation, ranked as one of the top 10 rehabilitation programs in the country; NYU Langone Orthopedic Hospital, a dedicated inpatient orthopedic hospital with all musculoskeletal specialties ranked top 10 in the country; Hassenfeld Children's Hospital at NYU Langone, a comprehensive pediatric hospital supporting a full array of children's health services; and NYU Langone Hospital—Brooklyn, a full-service teaching hospital and level 1 trauma center located in Sunset Park, Brooklyn. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute–designated cancer center, and NYU School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on FacebookTwitterYouTube, and Instagram.

About NYU College of Global Public Health
At the NYU College of Global Public Health (NYU GPH), we are preparing the next generation of public health pioneers with the critical thinking skills, acumen, and entrepreneurial approaches necessary to reinvent the public health paradigm. Devoted to employing a nontraditional, inter-disciplinary model, NYU GPH aims to improve health worldwide through a unique blend of global public health studies, research and practice. The College is located in the heart of New York City and extends to NYU's global network on six continents. Innovation is at the core of our ambitious approach, thinking and teaching. For more, visit: http://publichealth.nyu.edu/