Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE (Open Access)

Social media’s role in support networks among LGBTQ adolescents: a qualitative study

Matthew N. Berger https://orcid.org/0000-0002-3720-6681 A * , Melody Taba https://orcid.org/0000-0002-2954-1092 A , Jennifer L. Marino https://orcid.org/0000-0001-6742-1940 B C D , Megan S. C. Lim https://orcid.org/0000-0003-3136-6761 C E F , Spring Chenoa Cooper G , Larissa Lewis https://orcid.org/0000-0001-9552-4947 A H , Kath Albury https://orcid.org/0000-0001-9043-8126 I , Kon Shing Kenneth Chung https://orcid.org/0000-0003-0115-2420 J , Deborah Bateson https://orcid.org/0000-0003-1035-7110 K L and S. Rachel Skinner https://orcid.org/0000-0003-1970-9792 A
+ Author Affiliations
- Author Affiliations

A Speciality of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

B University of Melbourne, Parkville, Vic., Australia.

C Murdoch Children’s Research Institute, Parkville, Vic., Australia.

D Royal Women’s Hospital, Parkville, Vic., Australia.

E Burnet Institute, Melbourne, Vic., Australia.

F Monash University, Melbourne, Vic., Australia.

G Graduate School of Public Health and Health Policy, City University of New York, New York, NY, USA.

H The Kirby Institute, University of New South Wales, Sydney, NSW, Australia.

I Media and Communication, Swinburne University of Technology, Hawthorn, Vic., Australia

J School of Project Management, Faculty of Engineering, The University of Sydney, Sydney, NSW, Australia.

K Family Planning NSW, Ashfield, NSW, Australia.

L Discipline of Obstetrics, Gynaecology and Neonatology, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.


Handling Editor: Christy Newman

Sexual Health 18(5) 421-431 https://doi.org/10.1071/SH21110
Submitted: 8 June 2021  Accepted: 1 September 2021   Published: 28 October 2021

© 2021 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background: Adolescents use social media more frequently than other age groups. Social media has been described as a safe environment for lesbian, gay, bisexual, transgender and queer and/or questioning (LGBTQ) adolescents. As part of mixed-methods research investigating the association between social networks and sexual agency, we present qualitative findings on how LGBTQ adolescents connect online to form support networks.

Methods: We recruited 30 adolescents aged 14–17 years who identified as LGBTQ in terms of their gender or attraction in the longitudinal Social Networks and Agency Project. Semi-structured interviews were conducted online or face-to-face across Australia. Thematic analysis was used to explore perceptions and experiences of participants in relation to social media use and relationships.

Results: Two overarching themes were identified: LGBTQ adolescents use social media for identity, relationships and wellbeing support. Social media is not always free of discrimination for LGBTQ adolescents. Many LGBTQ participants joined Facebook groups to connect with LGBTQ peers. Facebook was considered a vital support for those with mental health concerns including suicidal ideation. Participants gave and received support from group members, which was considered useful for those feeling isolated or victimised. LGBTQ adolescents formed friendships, romantic relationships and gained information on sex, relationships, and sexual health from these groups. Participants described negative experiences including discrimination within Facebook groups, mismanaged groups and exposure to anti-LGBTQ sentiments.

Conclusion: Social media is an environment where LGBTQ adolescents can connect, educate and support each other, which may have beneficial effects for this marginalised group. There remain issues with social media including discrimination against and within LGBTQ communities.

Keywords: adolescent, internet, LGBTQ, mental health, social media, support, well-being, youth.


References

[1]  Australian Bureau of Statistics. Household use of information technology, Australia, 2016–17: Australian Bureau of Statistics 2018. Report No.: 8146.0. Available at https://www.abs.gov.au/statistics/industry/technology-and-innovation/household-use-information-technology/latest-release

[2]  Fisher CM, Waling A, Kerr L, Bellamy R, Ezer P, Mikolajczak G., Brown G, Carman M, Lucke J. National survey of Australian secondary students and sexual health 2018. 6th edn. Bundoora (VIC): Australian Research Centre in Sex, Health & Society, La Trobe University; 2019.
| Crossref |

[3]  Hanckel B, Chandra S. Social media insights from sexuality and gender diverse young people during COVID-19. Sydney: Western Sydney University; 2021.
| Crossref |

[4]  Craig SL, Eaton AD, McInroy LB, Leung VWY, Krishnan S. Can social media participation enhance LGBTQ+ youth well-being? Development of the social media benefits scale. Soc Med Soc 2021; 7 1–13.
Can social media participation enhance LGBTQ+ youth well-being? Development of the social media benefits scale.Crossref | GoogleScholarGoogle Scholar |

[5]  Lucero L. Safe spaces in online places: social media and LGBTQ youth. Multicult Educ Rev 2017; 9 117–28.
Safe spaces in online places: social media and LGBTQ youth.Crossref | GoogleScholarGoogle Scholar |

[6]  Berry N, Emsley R, Lobban F, Bucci S. Social media and its relationship with mood, self-esteem and paranoia in psychosis. Acta Psychiatr Scand 2018; 138 558–70.
Social media and its relationship with mood, self-esteem and paranoia in psychosis.Crossref | GoogleScholarGoogle Scholar | 30203454PubMed |

[7]  Liu Q, Shao Z, Fan W. The impact of users’ sense of belonging on social media habit formation: empirical evidence from social networking and microblogging websites in China. Int J Inf Manage 2018; 43 209–23.
The impact of users’ sense of belonging on social media habit formation: empirical evidence from social networking and microblogging websites in China.Crossref | GoogleScholarGoogle Scholar |

[8]  Garett R, Lord LR, Young SD. Associations between social media and cyberbullying: a review of the literature. mhealth 2016; 2 46
Associations between social media and cyberbullying: a review of the literature.Crossref | GoogleScholarGoogle Scholar | 28293616PubMed |

[9]  Vitak J, Ellison NB. ‘There’s a network out there you might as well tap’: exploring the benefits of and barriers to exchanging informational and support-based resources on Facebook. New Media Soc 2013; 15 243–59.
‘There’s a network out there you might as well tap’: exploring the benefits of and barriers to exchanging informational and support-based resources on Facebook.Crossref | GoogleScholarGoogle Scholar |

[10]  Cover R. Performing and undoing identity online: social networking, identity theories and the incompatibility of online profiles and friendship regimes. Convergence 2012; 18 177–93.
Performing and undoing identity online: social networking, identity theories and the incompatibility of online profiles and friendship regimes.Crossref | GoogleScholarGoogle Scholar |

[11]  Barker V. A generational comparison of social networking site use: the influence of age and social identity. Int J Aging Hum Dev 2012; 74 163–87.
A generational comparison of social networking site use: the influence of age and social identity.Crossref | GoogleScholarGoogle Scholar | 22808625PubMed |

[12]  Selkie E, Adkins V, Masters E, Bajpai A, Shumer D. Transgender adolescents’ uses of social media for social support. J Adolesc Health 2020; 66 275–80.
Transgender adolescents’ uses of social media for social support.Crossref | GoogleScholarGoogle Scholar | 31690534PubMed |

[13]  Harper GW, Wade RM, Onyango DP, Abuor PA, Bauermeister JA, Odero WW, et al. Resilience among gay/bisexual young men in Western Kenya: psychosocial and sexual health outcomes. AIDS 2015; 29 S261–9.
Resilience among gay/bisexual young men in Western Kenya: psychosocial and sexual health outcomes.Crossref | GoogleScholarGoogle Scholar | 26562815PubMed |

[14]  Hatzenbuehler ML. The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatr 2011; 127 896–903.
The social environment and suicide attempts in lesbian, gay, and bisexual youth.Crossref | GoogleScholarGoogle Scholar |

[15]  Russell ST, Fish JN. Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annu Rev Clin Psychol 2016; 12 465–87.
Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth.Crossref | GoogleScholarGoogle Scholar | 26772206PubMed |

[16]  McDermott E. Asking for help online: lesbian, gay, bisexual and trans youth, self-harm and articulating the ‘failed’ self. Health 2015; 19 561–77.
Asking for help online: lesbian, gay, bisexual and trans youth, self-harm and articulating the ‘failed’ self.Crossref | GoogleScholarGoogle Scholar | 25413341PubMed |

[17]  Byron P, Robards B, Hanckel B, Vivienne S, Churchill B. ‘Hey, I’m having these experiences’: Tumblr use and young people’s queer (dis)connections. Int J Commun 2019; 13 2239–59. https://ijoc.org/index.php/ijoc/article/view/9677

[18]  Hanckel B, Morris A. Finding community and contesting heteronormativity: queer young people’s engagement in an Australian online community. J Youth Stud 2014; 17 872–86.
Finding community and contesting heteronormativity: queer young people’s engagement in an Australian online community.Crossref | GoogleScholarGoogle Scholar |

[19]  Hillier L, Mitchell KJ, Ybarra ML. The internet as a safety net: findings from a series of online focus groups with LGB and non-LGB young people in the United States. J LGBT Youth 2012; 9 225–46.
The internet as a safety net: findings from a series of online focus groups with LGB and non-LGB young people in the United States.Crossref | GoogleScholarGoogle Scholar |

[20]  Byron P, Rasmussen S, Wright Toussaint D, Lobo R, Robinson KH, Paradise B. ‘You learn from each other’: LGBTIQ young people’s mental health help-seeking and the RAD Australia online directory. Young and Well Cooperative Research Centre; 2017.
| Crossref |

[21]  Gray ML. Out in the country: youth, media, and queer visibility in rural America. New York: NYU Press; 2009. Available at http://www.jstor.org/stable/j.ctt9qfvxm

[22]  Albury K, McCosker A, Pym T, Byron P. Dating apps as public health ‘problems’: cautionary tales and vernacular pedagogies in news media. Health Soc Rev 2020; 29 232–48.
Dating apps as public health ‘problems’: cautionary tales and vernacular pedagogies in news media.Crossref | GoogleScholarGoogle Scholar |

[23]  Aggleton P, Cover R, Leahy D, Marshall D, Rasmussen ML, editors. Youth, sexuality and sexual citizenship. London: Routledge; 2018.
| Crossref |

[24]  Hanckel B, Vivienne S, Byron P, Robards B, Churchill B. ‘That’s not necessarily for them’: LGBTIQ+ young people, social media platform affordances and identity curation. Med Cult Soc 2019; 41 1261–78.
‘That’s not necessarily for them’: LGBTIQ+ young people, social media platform affordances and identity curation.Crossref | GoogleScholarGoogle Scholar |

[25]  Lim MSC, Cooper S, Lewis L, Albury K, Chung KSK, Bateson D, et al. Prospective mixed methods study of online and offline social networks and the development of sexual agency in adolescence: the Social Networks and Agency Project (SNAP) protocol. BMJ Open 2019; 9 e024329
Prospective mixed methods study of online and offline social networks and the development of sexual agency in adolescence: the Social Networks and Agency Project (SNAP) protocol.Crossref | GoogleScholarGoogle Scholar | 31110083PubMed |

[26]  Taba M, Lewis L, Cooper SC, Albury K, Chung KSK, Lim M, et al. What adolescents think of relationship portrayals on social media: a qualitative study. Sex Health 2020; 17 467–74.
What adolescents think of relationship portrayals on social media: a qualitative study.Crossref | GoogleScholarGoogle Scholar | 33176904PubMed |

[27]  Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3 77–101.
Using thematic analysis in psychology.Crossref | GoogleScholarGoogle Scholar |

[28]  QSR International. NVivo. 2020 [cited 2020 Aug 28]. Available at https://www.qsrinternational.com/nvivo-qualitative-data-analysis-software/home

[29]  Ellison NB, Steinfield C, Lampe C. The benefits of Facebook ‘friends:’ Social capital and college students’ use of online social network sites. J Comput Mediat Commun 2007; 12 1143–68.
The benefits of Facebook ‘friends:’ Social capital and college students’ use of online social network sites.Crossref | GoogleScholarGoogle Scholar |

[30]  Tiidenberg K, Hendry NA, Abidin C. Tumblr: digital media and society series. Polity Press; 2021.

[31]  Nabi RL, Prestin A, So J. Facebook friends with (health) benefits? Exploring social network site use and perceptions of social support, stress, and well-being. Cyberpsychol Behav Soc Netw 2013; 16 721–7.
Facebook friends with (health) benefits? Exploring social network site use and perceptions of social support, stress, and well-being.Crossref | GoogleScholarGoogle Scholar | 23790356PubMed |

[32]  Chong ESK, Zhang Y, Mak WWS, Pang IHY. Social media as social capital of LGB individuals in Hong Kong: its relations with group membership, stigma, and mental well-being. Am J Community Psychol 2015; 55 228–38.
Social media as social capital of LGB individuals in Hong Kong: its relations with group membership, stigma, and mental well-being.Crossref | GoogleScholarGoogle Scholar |

[33]  Ceglarek PJD, Ward LM. A tool for help or harm? How associations between social networking use, social support, and mental health differ for sexual minority and heterosexual youth. Comput Human Behav 2016; 65 201–9.
A tool for help or harm? How associations between social networking use, social support, and mental health differ for sexual minority and heterosexual youth.Crossref | GoogleScholarGoogle Scholar |

[34]  Gomillion SC, Giuliano TA. The influence of media role models on gay, lesbian, and bisexual identity. J Homosex 2011; 58 330–54.
The influence of media role models on gay, lesbian, and bisexual identity.Crossref | GoogleScholarGoogle Scholar | 21360390PubMed |

[35]  Hughto JMW, Pletta D, Gordon L, Cahill S, Mimiaga MJ, Reisner SL. Negative transgender-related media messages are associated with adverse mental health outcomes in a multistate study of transgender adults. LGBT Health 2021; 8 32–41.
Negative transgender-related media messages are associated with adverse mental health outcomes in a multistate study of transgender adults.Crossref | GoogleScholarGoogle Scholar | 33170060PubMed |

[36]  Escobar-Viera CG, Whitfield DL, Wessel CB, Shensa A, Sidani JE, Brown AL, et al. For better or for worse? A systematic review of the evidence on social media use and depression among lesbian, gay, and bisexual minorities. JMIR Ment Health 2018; 5 e10496
For better or for worse? A systematic review of the evidence on social media use and depression among lesbian, gay, and bisexual minorities.Crossref | GoogleScholarGoogle Scholar | 30037786PubMed |

[37]  Garcia J, Vargas N, Clark JL, Magaña Álvarez M, Nelons DA, Parker RG. Social isolation and connectedness as determinants of well-being: global evidence mapping focused on LGBTQ youth. Glob Public Health 2020; 15 497–519.
Social isolation and connectedness as determinants of well-being: global evidence mapping focused on LGBTQ youth.Crossref | GoogleScholarGoogle Scholar | 31658001PubMed |

[38]  Horvath KJ, Iantaffi A, Swinburne-Romine R, Bockting W. A comparison of mental health, substance use, and sexual risk behaviors between rural and non-rural transgender persons. J Homosex 2014; 61 1117–30.
A comparison of mental health, substance use, and sexual risk behaviors between rural and non-rural transgender persons.Crossref | GoogleScholarGoogle Scholar | 24380580PubMed |

[39]  Farmer GW, Blosnich JR, Jabson JM, Matthews DD. Gay acres: sexual orientation differences in health indicators among rural and nonrural individuals. J Rural Health 2016; 32 321–31.
Gay acres: sexual orientation differences in health indicators among rural and nonrural individuals.Crossref | GoogleScholarGoogle Scholar | 26625172PubMed |

[40]  Babbage DR, van Kessel K, Terraschke A, Drown J, Elder H. Attitudes of rural communities towards the use of technology for health purposes in New Zealand: a focus group study. BMJ Open 2020; 10 e037892
Attitudes of rural communities towards the use of technology for health purposes in New Zealand: a focus group study.Crossref | GoogleScholarGoogle Scholar | 32487583PubMed |

[41]  Fish JN, McInroy LB, Paceley MS, Williams ND, Henderson S, Levine DS, et al. ‘I’m kinda stuck at home with unsupportive parents right now’: LGBTQ youths’ experiences with COVID-19 and the importance of online support. J Adolesc Health 2020; 67 450–2.
‘I’m kinda stuck at home with unsupportive parents right now’: LGBTQ youths’ experiences with COVID-19 and the importance of online support.Crossref | GoogleScholarGoogle Scholar | 32591304PubMed |

[42]  Byron P, Robinson K, Davies C, D’Souza S. LGBTQ+ young people, COVID-19, & service provision in Australia: A Twenty10 case study. Sydney: Twenty10; 2021. Available at https://www.twenty10.org.au/covid-19-case-study/

[43]  Lim MSC. Coping with coronavirus: second interim report. Melbourne; 2021. Available at https://www.vichealth.vic.gov.au/media-and-resources/publications/young-people-coping-with-coronavirus

[44]  Whitehead M. Why people leave Facebook – and what it tells us about the future of social media. 2020; Available at https://theconversation.com/why-people-leave-facebook-and-what-it-tells-us-about-the-future-of-social-media-128952

[45]  Higa D, Hoppe MJ, Lindhorst T, Mincer S, Beadnell B, Morrison DM, et al. Negative and positive factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth. Youth Soc 2014; 46 663–87.
Negative and positive factors associated with the well-being of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth.Crossref | GoogleScholarGoogle Scholar | 25722502PubMed |

[46]  Berger ER, Reupert A, Allen K. School-based prevention and early intervention for student mental health and wellbeing: an evidence check rapid review brokered by the Sax Institute for the NSW Department of Education. 2020; Available at https://www.saxinstitute.org.au/publications/evidence-check-library/school-based-prevention-and-early-intervention-for-student-mental-health-and-wellbeing/

[47]  Steinfield C, Pentland B, Ackerman M, Contractor N. Communities and technologies. In: Cramer M, Zutty D, Foucault B, Huffaker D, Derby D, Cassell J, editors. Everything in moderation: the effects of adult moderators in online youth communities. London: Springer London; 2007. p. 1–20.
| Crossref |