Chulalongkorn Medical Journal


Background: Social media use has been increasing dramatically. Some evidences suggest that excessive use of social media may impact the level of self-esteem. Objective: To explore the level of social media addiction, self-esteem and associated factors among high school students in Hat Yai municipality. Methods: A cross-sectional descriptive design was employed with participation of 415 high school students in Hat Yai municipality. The instruments included a set of questionnaires to assess the demographic data and patterns of social media use, media addiction test (SMAT), Thai version of the Pittsburgh Sleep Quality Index (T-PSQI), Center for Epidemiological Studies-Depression Scale (CES-D) and revised version of social Thai Rosenberg Self-Esteem Scale (RSES). Results: Among the subjects, fifteen point seven percent had social media addiction. Sixty-one point seven percent had moderate level of self-esteem, while twenty one point four percent had low level of self-esteem. Factors associated to social media addiction included using Instagram, depression, poor quality of sleep, long online duration on weekday and weekend. Factors related to low self-esteem were, namely: age17 years old, poor relationship with father, depression and poor quality of sleep. Also, it is found that social media addiction was negatively correlated to self-esteem. Conclusion: One over six of grade 10-12th high school students were classified as social media addiction. Social media addiction tended to significantly associate with lower self-esteem and depression. Therefore, it is suggested that high school students who are at risk should be screened for depression and the related parties should take an action in increasing students’self-esteem and decreasing social media addiction level.



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