Association of Facebook Use With Compromised Well-Being: A Longitudinal Study

Am J Epidemiol. 2017 Feb 1;185(3):203-211. doi: 10.1093/aje/kww189.


Face-to-face social interactions enhance well-being. With the ubiquity of social media, important questions have arisen about the impact of online social interactions. In the present study, we assessed the associations of both online and offline social networks with several subjective measures of well-being. We used 3 waves (2013, 2014, and 2015) of data from 5,208 subjects in the nationally representative Gallup Panel Social Network Study survey, including social network measures, in combination with objective measures of Facebook use. We investigated the associations of Facebook activity and real-world social network activity with self-reported physical health, self-reported mental health, self-reported life satisfaction, and body mass index. Our results showed that overall, the use of Facebook was negatively associated with well-being. For example, a 1-standard-deviation increase in "likes clicked" (clicking "like" on someone else's content), "links clicked" (clicking a link to another site or article), or "status updates" (updating one's own Facebook status) was associated with a decrease of 5%-8% of a standard deviation in self-reported mental health. These associations were robust to multivariate cross-sectional analyses, as well as to 2-wave prospective analyses. The negative associations of Facebook use were comparable to or greater in magnitude than the positive impact of offline interactions, which suggests a possible tradeoff between offline and online relationships.

Keywords: body mass index; mental health; social interaction; social media; social networks; social support.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Body Mass Index
  • Health Status*
  • Humans
  • Interpersonal Relations*
  • Linear Models
  • Longitudinal Studies
  • Mental Health*
  • Multivariate Analysis
  • Personal Satisfaction*
  • Self Report
  • Social Behavior
  • Social Media*
  • Social Networking
  • Surveys and Questionnaires
  • United States