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Amid "Likes" and "Shares," Facebook Jeopardizes Children's Health and Safety

Mar 14, 2024

3 min

Elizabeth Burgess Dowdell, PhD

On February 4, 2004, a 19-year-old Mark Zuckerberg launched “TheFacebook.” Developed in his Harvard University residence hall, it began as a networking service for his roughly 7,000 classmates. Today, it is the most popular social media platform in existence, boasting over three billion monthly active users worldwide.


Through two decades of “likes” and “shares,” Facebook has transformed how people connect, interact and think. Driving everything from dinner parties and concert outings to political campaigns and protest movements, it has frequently been celebrated for its ability to convey information, mobilize groups and galvanize change. However, it has also been criticized for its questionable content management choices, its suspect data collection practices and, perhaps most notably, its role in feeding an ever-growing mental health crisis among children and adolescents—a charge Zuckerberg refutes.


Elizabeth Burgess Dowdell, PhD, RN, FAAN, is a professor in Villanova University’s M. Louise Fitzpatrick College of Nursing and an expert on the health and safety risks posed by social media. From her perspective, Facebook and platforms like it have undoubtedly played a part in heightening levels of emotional distress and physical harm among youths.


“Statistically, it’s well-established in the literature that mental health issues and concerning behaviors among children have escalated tremendously,” said Dr. Dowdell. “They’re becoming sadder, more depressed and lonelier, even though they’re very connected.”


To Dr. Dowdell’s point, mental health disorders began rising precipitously among young people in the years following Facebook’s launch. Per the Centers for Disease Control and Prevention (CDC), the percentage of children aged 6 to 17 years “ever having been diagnosed with either anxiety or depression” increased from 5.4% in 2003 to 8% in 2007 and 8.4% in 2011-2012.


And just last year, in the era of Instagram and TikTok, Mental Health America found that 11.5% of children in the United States were struggling with severe depression, with 16% of youths aged 12 to 17 years having experienced a major depressive episode in the past 12 months.


A contributing factor, according to Dr. Dowdell, is the way social media construes reality. Flooded with images, posts and videos that show hyper-idealized, rose-colored representations of life, impressionable young users can be made to feel isolated, inept or dissatisfied with their appearance.


“I think adults understand that a ‘perfect’ picture is often preceded by a dozen other photos,” she said. “Kids don’t always see it like that. They focus on what makes them happy and what makes them sad—and what makes them feel sad about themselves.”


Tragically, throughout the social media age, this sadness has been tied to increasing rates of suicide, self-harm and risky behavior among youths. A 2023 CDC study found that the suicide rate for children aged 10 to 14 years tripled from 2007 to 2018 (from 0.9 deaths per 100,000 to 2.9), and in 2021-2022, the National Center for Missing and Exploited Children noted a 35% year-over-year increase in reports of suspected child sexual exploitation.


Amid these frightening statistics, Dr. Dowdell emphasizes the importance of caring, compassionate adults’ involvement in young people’s lives. She notes these individuals’ presence can not only shield youths from potentially hazardous situations but give them the tools to cope with traumatic episodes and feelings of despair.


“The critical factor that helps children become resilient is having a support system—having family members, parents or trusted adults with whom they can talk,” Dr. Dowdell shared. “They might go down the rabbit hole, but they have someone to pull them out, someone to help them.”


For adults concerned about their loved ones’ social media use, Dr. Dowdell stresses that empathy and understanding are key. In turn, she advocates for an approach that reflects the supposed purpose of Facebook and platforms like it: active conversation.


“It all comes back to communication,” she said. “Parents and guardians need to role-model responsible behaviors. They need to talk about these things: ‘What did you look at today?’ ‘What was good?’ ‘What was bad?’ ‘What did you think?’ ‘How did you feel about that?’


“It’s much like, when children are little, reading them books. When we read to children, we engage them… Why not read the social media feeds, look at the Facebook posts or go through Instagram? These forms of engagement, the conversations we have, let them know they can come and talk.”


Connect with:
Elizabeth Burgess Dowdell, PhD

Elizabeth Burgess Dowdell, PhD

Professor and Coordinator of Undergraduate Research | M. Louise Fitzpatrick College of Nursing

Elizabeth Dowdell, PhD, RN, FAAN, is an expert in the use of social media by adolescents and the health risks posed by online behaviors.

CyberbullyingGun ViolenceHealth Risk Behaviors in Children and AdolescentsInternet SafetySleep Texting

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Steve Goldsmith: In 2022, we published a paper showing that salt—sodium in particular—is seeping into Philadelphia's water supply, and it's timed with snow melts. We found that if you drank a glass of tap water during the peak period in the winter of 2018-19, your sodium intake would be six times what the Environmental Protection Agency (EPA) recommends within a glass of water for someone on a low-sodium diet. We are susceptible in this region because most of our water supply comes from rivers, and the rivers receive that salt runoff. Some of our findings indicate this is a chronic issue and not limited to winter months. All that contaminated shallow groundwater causes the concentration to rise year-round, even in the summer. In a recent paper, we discuss the issue of salt that lands on the side of the road. When it does, it infiltrates into soil, and then it goes into shallow groundwater before entering our streams. 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The saltwater infiltrates the top layer of pavement and embeds in the roadway itself, which keeps ice from crystallizing when snow or water hits the surface. To use an analogy, let’s say you have a large rock that you placed on top of the pavement, but you also have a quarter of that rock’s volume in sand. If you put that sand onto the pavement, it will permeate into nooks and crannies. That's the same idea here: use less material and in a way that makes it stick better to the surface and reduces the need to reapply as often during and after storms. PR: What are potential positive impacts if municipalities switch from road salt to brine? SG: There are limited studies on this, but it's been shown that if done properly, brining can reduce salt runoff into streams by anywhere from 23 to 40 percent. If it's 40 percent, you have almost cut the problem in half, and that lower peak salt concentration and runoff would have a profound positive impact on aquatic organisms that are downstream. 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Are they not aware of ordinances that say you have to shovel within a certain number of hours, which would negate the need for salt anyway? For homeowners and other individuals, one proposed solution is to use a coffee mug’s worth of salt for every 10 sidewalk squares. Think of it as a “low-sodium diet” to make sure you’re not overapplying. It’s a way we can limit our use of salt and do so in a way that doesn't jeopardize safety. These individuals can also sweep up salt applied before a storm that never materialized to use before the next one. This will prevent the possibility of rain needlessly dissolving the salt. PR: Are there effective alternatives to road salt that individuals can use? SG: The only truly effective alternative, unfortunately, is simply using less road salt. While some people apply sand, it also washes into local streams, causing environmental harm. Another option that has gained attention is beet juice—what I like to call the “Dwight Schrute” solution. Beet juice actually works better than road salt because its organic acids prevent ice from crystallizing at temperatures much lower than those at which rock salt is effective. However, from an environmental standpoint, beet juice contains high levels of nutrients, which can contribute to algae growth if it enters waterways. Additionally, recent studies suggest it may also be toxic to aquatic organisms. The growing consensus is that while some road salt is necessary, we need to use less of it.

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