Note: Percentages represent the percentage of that sex which is represented by any one grouping, rather than percentages of the overall population.
Psychometric instruments targeting sociodemographics, SMA and a semi-comprehensive range of behavioral, digital and substance addictions were employed. These instruments involved the Bergen Social Media Addiction Scale (BSMAS; Andreassen et al., 2012 ), the Internet Gaming Disorder 9 items Short Form (IGDS-SF9; Pontes & Griffiths, 2015 ), The Internet Disorder Scale (IDS9-SF; ( Pontes & Griffiths, 2016 ), the Online Gambling Disorder Questionnaire (IGD-Q; González-Cabrera et al., 2020 ), the 10-Item Alcohol Use Disorders Identification Test (AUDIT; Saunders et al., 1993 , the Five Item Cigarette Dependance Scale (CDS-5; Etter et al., 2003 ), the 10- item Drug Abuse Screening Test (DAST-10; Skinner, 1982 ), the Bergen-Yale Sex Addiction Scale (BYSAS; Andreassen et al., 2018), the Bergen Shopping Addiction Scale (BSAS; Andreassen et al., 2015) and the 6-item Revised Exercise Addiction Inventory (EAI-R; Szabo et al., 2019 ). Precise details of these measures, including values related to assumptions can be found in Table 2 .
Measure descriptions and internal consistency.
Instrument’s Description | Reliability in the current data (α and ω) | Normality Distribution in the current data | |
---|---|---|---|
The Bergen Social Media Addiction Scale (BSMAS) | The BSMAS measures the severity of one’s experience of Social Media Addiction (SMA) symptoms (i. e. salience, mood, modification, tolerance, withdrawal conflict and relapse; ). These are measured using six questions relating to the rate at which certain behaviours/states are experienced. Items are scored from 1 (very rarely) to 5 (very often) with higher scores indicating a greater experience of SMA Symptoms ( ). | α = 0.88. ω = 0.89. | Skewness = 0.89 Kurtosis = 0.26 |
The Internet Gaming Disorder 9 items Short Form (IGDS-SF9) | The IGDS-SF9 measures the severity of one’s disordered gaming behaviour on each of the 9 DSM-5 proposed criteria (e.g. Have you deceived any of your family members, therapists or others because the amount of your gaming activity?”( ). Items are addressed following a 5-point Likert scale ranging from 1 (Never) to 5 (very often). Responses are accrued informing a total score ranging from 9 to 45 with higher scores indicating higher disordered gaming manifestations. | α = 0.88. ω = 0.89. | Skewness = 0.94 Kurtosis = 0.69 |
The Internet Disorder Scale – Short form (IDS9-SF) | Measures the severity of one’s experience of excessive internet use as measured by nine symptom criteria/items adapted from the DSM-5 disordered gaming criteria (e. g. “Have you deceived any of your family members, therapists or other people because the amount of time you spend online?”; . The nine items are scored via a 5-point Likert scale ranging from 1 (Never) to 5 (very often) with higher scores indicating more excessive internet use. | α = 0.90. ω = 0.90. | Skewness = 0.74 Kurtosis = 0.11 |
The Online Gambling Disorder Questionnaire (OGD-Q) | Measures the degree to which one’s online gambling behaviours have become problematic ( ). It consists of 11 items asking about the rate certain states or behaviours related to problematic online gambling are experienced in the last 12 months (e.g. Have you felt that you prioritized gambling over other areas of your life that had been more important before?). Responses are addressed on a 5-point Likert scale ranging from 0 (never) to 4 (Every day) with a higher aggregate score indicating greater risk of Gambling Addiction. | α = 0.95. ω = 0.95. | Skewness = 3.45 Kurtosis = 13.90 |
The 10-Item Alcohol Use Disorders Identification Test (AUDIT) | Screens potential problem drinkers for clinicians ( ). Comprised of 10 items scored on a 5-point Likert scale, the AUDIT asks participants questions related to the quantity and frequency of alcohol imbibed, as well as certain problematic alcohol related states/behaviours and the relationship one has with alcohol (e.g. Have you or someone else been injured as a result of you drinking?). Items are scored on a 5 point Likert scale, however due to the varying nature of these questions, the labels used on these responses vary. Higher scores indicate a greater risk, with a score of 8 generally accepted as a dependency indicative point. | α = 0.89. ω = 0.91. | Skewness = 2.13 Kurtosis = 4.84 |
The Five Item Cigarette Dependence Scale (CDS-5) | Measures the five DSM-IV and ICD-11 dependence criteria in smokers ( ). It features 5 items enquiring into specific aspects of cigarette dependency such as cravings or frequency of use, answered via a 5-point Likert scale (e. g. Usually, how soon after waking up do you smoke your first cigarette?). Possible response labels vary to follow the different questions’ phrasing/format (e.g. frequencies, subjective judgements, ease of quitting; ). | α = 0.68. ω = 0.87. | Skewness = 1.52 Kurtosis = 2.52 |
The 10-item Drug Abuse Screening Test (DAST-10) | Screens out potential problematic drug users ( ). It features 10 items asking yes/no questions regarding drug use, frequency and dependency symptoms (e.g. Do you abuse more than one drug at a time?). Items are scored “0″ or “1” for answers of “no” or “yes” respectively, with higher aggregate scores indicating a higher likelihood of Drug Abuse and a proposed cut-off score between 4 and 6. | α = 0.79. ω = 0.88. | Skewness = 2.49 Kurtosis = 6.00 |
The Bergen-Yale Sex Addiction Scale (BYSAS) | Measures sex addiction on the basis of the behavioural addiction definition (Andreassen et al., 2018). It features six items enquiring about the frequency of certain actions/states (e.g. salience, mood modification), rated on a 5-point Likert scale ranging from 0 (Very rarely) to 4 (Very often). | α = 0.84. ω = 0.84. | Skewness = 0.673 Kurtosis = 0.130 |
The Bergen Shopping Addiction Scale (BSAS) | Measures shopping addiction on the basis of seven behavioural criteria (Andreassen et al., 2015). These 7 items enquire into the testee’s agreement with statements about the frequency of certain shopping related actions/states (e.g. I feel bad if I for some reason am prevented from shopping/buying things”) rated on a 5-point Likert scale ranging from 1 (Completely disagree) to 5 (Completely agree). Greater aggregate scores indicate an increased risk of shopping addiction. | α = 0.88. ω = 0.89. | Skewness = 0.889 Kurtosis = 0.260 |
The 6-item Revised Exercise Addiction Inventory (EAI-R) | Assesses exercise addiction, also on the basis of the six behavioural addiction criteria through an equivalent number of items ( ). It comprises six statements about the relationship one has with exercise (e.g. Exercise is the most important thing in my life) rated on a 5-point likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly agree) and higher aggregate scores indicating a higher risk. | α = 0.84. ω = 0.84. | Skewness = 0.485 Kurtosis = -0.451 |
Note Table 2 : Streiner’s (2003) guidelines are used when measuring internal reliability, with Cronbachs Alpha scores in the range of 0.60–0.69 labelled ‘acceptable’, ranges between 0.70 and 0.89 labelled ‘good’ and ranges between 0.90 and 1.00 labelled ‘excellent’. Acceptable values of skewness fall between − 3 and + 3, and kurtosis is appropriate from a range of − 10 to + 10 ( Brown, 2006 ). OGD-G kurtosis (13.90) and skewness (3.45) exceeded the recommended limits ( Brown, 2006 ). However, LPA does not assume data distribution linearity, normality and or homogeneity ( Rosenberg et al., 2019 ). Considering aim B, related to detecting significant reported differences on measures for gaming, sex, shopping, exercise, gambling, alcohol, drug, cigarette and internet addiction symptoms respectively, anova results were derived after bootstrapping the sample 1000 times to ensure that normality assumptions were met. Case bootstrapping calculates the means of 1000 resamples of the available data and computes the results analysing these means, which are normally distributed ( Tong, Saminathan, & Chang, 2016 ).
Approval was received from the Victoria University Human Research Ethics Committee (HRE20-169). Data was collected in August 2019 to August 2020 via an online survey link distributed via social media (i.e., Facebook; Instagram; Twitter), digital forums (i.e. reddit) and the Victoria University learning management system. Familiarity with gaming was preferred, so that associations with one’s online gaming patterns were studied. The link first took potential participants to the Plain Language Information Statement (PLIS) which informed on the study requirements and participants’ anonymity and free of penalty withdrawal rights. Digital provision of informed consent (i.e., ticking a box) was required by the participants before proceeding to the survey.
Statistical analyses were conducted via: a) R-studio for the latent profile(s) analyses (LPA) and; b) Jamovi for descriptive statistics and profiles’ comparisons. Regarding aim A, LPA identified naturally homogenous subgroups within a population ( Rosenberg et al., 2019 ). Through the TIDYLPA CRAN R package, a number of models varying in terms of their structure/parameterization and the number of ‘profiles’ were tested using the six BSMAS criteria/items as indicators ( Rosenberg et al., 2019 ; see Table 3 ).
LCA model parameterization characteristics.
Model Number | Means | Variances | Covariances | Interpretation | |
---|---|---|---|---|---|
Class-Invariant Parameterization (CIP) | Varying | Equal | Zero | Different classes/profiles have different means on BSMAS symptoms. Despite this, the differences of the minimum and maximum rates for the six BSMAS symptoms do not significantly differ across the classes/profiles. Finally, there is no covariance in relation to the six BSMAS symptoms across the profiles. | |
Class-Varying Diagonal Parameterization (CVDP) | Varying | Varying | Zero | Different classes/profiles have different means on BSMAS symptoms but similar differences between their minimum and maximum scores. Additionally, there is an existing similar pattern of covariance considering the six BSMAS symptoms across the classes. | |
Class-Invariant Unrestricted Parameterization (CIUP) | Varying | Equal | Equal | Different classes in the model have different means on the six BSMAS symptoms. The range between the minimum and maximum scores of the six BSMAS symptoms is dissimilar across the profiles. Last, there is differing covariance based on the six BSMAS symptoms across the classes. | |
Class-Varying Unrestricted Parameterization (CVUP) | Varying | Varying | Varying | Different classes in the model have different means on the six BSMAS symptom. The range between the minimum and maximum scores of the six BSMAS symptoms is dissimilar across the profiles. Last, there is differing covariance based on the six BSMAS symptoms across the classes. |
Subsequently, the constructed models were compared regarding selected fit indices (i.e., Akaike Information Criterion (AIC) and the Bayesian Information Criterion (BIC), bootstrapped Lo-Mendel Rubin test (B-LMR or LRT), entropy and the N_Min; Rosenberg et al., 2019 ) 1 . This involved 1: Dismissing any models with N -Min’s equalling 0, as each profile requires at least one participant, 2: Dismissing models with entropy scores below 0.64 ( Tein et al., 2013 ), 3: Dismissing models with nonsignificant BLMR value, and 4: assessing the remaining models on their AIC/BIC looking for an elbow point in the decline or the lowest values.
Regarding aim B of the study, ANOVA with bootstrapping (1000x) was employed to detect significant profile differences regarding one’s gaming, sex, shopping, exercise, gambling, alcohol, drug, cigarette and internet addiction symptoms respectively.
All analyses’ assumptions were met with one exception 2 . The measure of Online Gambling disorder experience violated guidelines for the acceptable departure from normality and homogeneity ( Kim, 2013 ). Given this violation, results regarding gambling addiction should be considered with some caution.
The converged models’ fit, varying by number of profiles and parametrization is displayed in Table 4 , with the CIP parameterisation presenting as the optimum (i.e. lower AIC and BIC, and 1–8 profiles converging; all CVDP, CIUP, CVUP models did not converge except the CVUP one profile). Subsequently, the CIP models were further examined via the TIDYLPA Mclust function (see Table 5 ). AIC and BIC decreased as the number of profiles increased. This flattened past 3 profiles (i.e., elbow point; Rosenberg et al., 2019 ). Furthermore, past 3 profiles, N -min reached zero, indicating profiles with zero participants in them – thus reducing interpretability. Lastly, the BLRT test reached non significance once the model had 4 profiles, again indicating the 3-profile model as best fitting. Therefore, alternative CIP -models were rejected in favour of the 3-profile one. This displayed a level of classification accuracy well above the suggested cut off point of 0.76 (entropy = 0.90; Larose et al., 2016 ), suggesting over 90 % correct classification ( Larose et al., 2016 ). Regarding the profiles’ proportions, counts revealed 33.6 % as profile 1, 52.4 % as profile 2, 14 % as profile 3.
Initial model testing.
Model | Classes | AIC | BIC |
---|---|---|---|
CIP | 1 | 18137.5 | 18196.0 |
2 | 15787.6 | 15880.2 | |
3 | 15040.5 | 15167.3 | |
4 | 15054.6 | 15215.4 | |
5 | 15068.7 | 15263.7 | |
6 | 14548.8 | 14778.0 | |
7 | 14562.8 | 14826.1 | |
8 | 14350.1 | 14647.5 | |
CVUP | 1 | 15218.2 | 15349.8 |
Fit indices of cip models with 1–8 classes.
Model | Classes | AIC | BIC | Entropy | n_min | BLRT_p |
---|---|---|---|---|---|---|
CIP | 1 | 18137.6 | 18196.1 | 1 | 1 | |
CIP | 2 | 15780.5 | 15873.1 | 0.89 | 0.35 | 0.01 |
CIP | 3 | 15025.3 | 15152.1 | 0.90 | 0.14 | 0.01 |
CIP | 4 | 15039.4 | 15200.2 | 79 | 0 | 1 |
CIP | 5 | 15053.7 | 15248.7 | 0.7 | 0 | 1 |
CIP | 6 | 14777.7 | 15006.8 | 0.77 | 0 | 0.01 |
CIP | 7 | 14557.6 | 14820.9 | 0.8 | 0 | 0.01 |
CIP | 8 | 14449.9 | 14747.2 | 0.81 | 0 | 0.01 |
Table 6 and Fig. 1 present the profiles’ raw mean scores across the 6 BSMAS items whilst Table 7 and Fig. 2 present the standardised mean scores.
Raw Mean Scores and Standard Error of the 6 BSMAS Criteria Across the Three Classes/Profiles.
Symptom Class | Salience | Tolerance | Mood Modification | Relapse | Withdrawal | Conflict |
---|---|---|---|---|---|---|
1 | 2.98 | 2.87 | 2.81 | 2.16 | 1.74 | 1.79 |
2 | 1.36 | 1.25 | 1.36 | 1.25 | 1.08 | 1.08 |
3 | 3.8 | 3.95 | 3.88 | 3.46 | 3.58 | 3.02 |
SE (Equal across classes) | 0.07 | 0.07 | 0.08 | 0.08 | 0.09 | 0.08 |
Raw symptom experience of the three classes.
Standardised mean scores of the 6 bsmas criteria Across the Three Classes/Profiles.
Symptom Class | Salience | Tolerance | Mood Modification | Relapse | Withdrawal | Conflict |
---|---|---|---|---|---|---|
1 | 0.58 | 0.56 | 0.48 | 0.26 | 0.08 | 0.21 |
2 | −0.71 | −0.74 | −0.65 | −0.53 | −0.56 | −0.53 |
3 | 1.26 | 1.42 | 1.30 | 1.38 | 1.88 | 1.48 |
Note: For standard errors, see Table 6 .
Standardized symptom experience of the three classes.
Profile 1 scores varied from 1.74 to 2.98 raw and between 0.08 and 0.58 standard deviations above the sample mean symptom experience. In terms of plateaus and steeps, profile 1 displayed a raw score plateaus across symptoms 1–3 (salience, tolerance, mood modification), a decline in symptom 4 (relapse), and another plateau across symptoms 5–6 (withdrawal and conflict). It further displayed a standardized score plateau around the level of 0.5 standard deviations across symptoms 1–3 and a decline across symptoms 4–6. Profile 2 varied consistently between raw mean scores of 1 and 1.36 across the 6 SMA symptoms, and between −0.74 and −0.53 standard deviations from the sample mean with general plateaus in standardized score across symptoms 1–3 and 4–6. Finally, profile 3 mean scores varied between 3.02 and 3.95 raw and 1.26 to 1.88 standardized. Plateaus were witnessed in the raw scores across symptoms 1–3 (salience, tolerance, mood modification), a decline at symptom 4 (relapse), a relative peak at symptom 5 (withdrawal), and a further decline across symptom 6 (conflict). However, the standardized scores for profile 3 were relatively constant across the first four symptoms, before sharply reaching a peak at symptom 5 and then declining once more. Accordingly, the three profiles were identified as severity profiles ‘Low’ (profile 2), ‘Moderate’ (profile 1) and ‘High’ (profile 3) risk. Table 8 , Table 9 provide the profile means and standard deviations, as well as their pairwise comparisons across the series of other addictive behaviors assessed.
Post Hoc Descriptives across a semi-comprehensive list of addictions.
Comparison/Class | Mean | Standard Deviation | N |
---|---|---|---|
Low | 16.216 | 6.353 | 501 |
Moderate | 19.186 | 6.655 | 322 |
High | 22.216 | 8.124 | 134 |
Low | 3.877 | 5.175 | 503 |
Moderate | 4.491 | 6.034 | 324 |
High | 6.610 | 8.018 | 136 |
Low | 9.264 | 4.134 | 507 |
Moderate | 9.028 | 3.725 | 325 |
High | 9.551 | 3.955 | 136 |
Low | 1.561 | 1.513 | 506 |
Moderate | 1.754 | 1.787 | 325 |
High | 2.044 | 1.881 | 136 |
Low | 5.568 | 4.640 | 505 |
Moderate | 7.115 | 4.898 | 323 |
High | 9.687 | 5.769 | 134 |
Low | 11.565 | 4.829 | 503 |
Moderate | 14.804 | 5.173 | 321 |
High | 17.993 | 7.222 | 134 |
Low | 13.812 | 6.467 | 500 |
Moderate | 14.646 | 6.009 | 322 |
High | 15.793 | 7.470 | 135 |
Low | 12.261 | 3.178 | 502 |
Moderate | 14.270 | 6.190 | 315 |
High | 16.948 | 9.836 | 135 |
Low | 17.022 | 7.216 | 501 |
Moderate | 21.165 | 6.554 | 321 |
High | 27.971 | 7.340 | 136 |
Post Hoc Comparisons of the SMA profiles revealed across the addictive behaviors measured.
Comparison/Class | Mean Difference | SE | t | p | |||
---|---|---|---|---|---|---|---|
Low vs moderate | −2.971 | 0.481 | −6.183 | < 0.001 | |||
Low vs High | −6.650 | 0.654 | −10.164 | < 0.001 | |||
Moderate vs High | −3.679 | 0.692 | −5.320 | < 0.001 | |||
Low vs moderate | −0.614 | 0.423 | −1.451 | 0.315 | |||
Low vs High | −2.734 | 0.574 | −4.761 | < 0.001 | |||
Moderate vs High | −2.120 | 0.607 | −3.492 | 0.001 | |||
Low vs moderate | 0.237 | 0.283 | 0.837 | 0.680 | |||
Low vs High | −0.287 | 0.384 | −0.748 | 0.735 | |||
Moderate vs High | −0.524 | 0.406 | −1.290 | 0.401 | |||
Low vs moderate | −0.193 | 0.118 | −1.628 | 0.234 | |||
Low vs High | −0.483 | 0.161 | −3.005 | 0.008 | |||
Moderate vs High | −0.290 | 0.170 | −1.708 | 0.203 | |||
Low vs moderate | −1.546 | 0.349 | −4.431 | < 0.001 | |||
Low vs High | −4.118 | 0.476 | −8.653 | < 0.001 | |||
Moderate vs High | −2.572 | 0.503 | −5.111 | < 0.001 | |||
Low vs moderate | −3.239 | 0.381 | −8.495 | < 0.001 | |||
Low vs High | −6.428 | 0.519 | −12.387 | < 0.001 | |||
Moderate vs High | −3.189 | 0.549 | −5.809 | < 0.001 | |||
Low vs moderate | −0.834 | 0.462 | −1.804 | 0.169 | |||
Low vs High | −1.981 | 0.628 | −3.156 | 0.005 | |||
Moderate vs High | −1.147 | 0.663 | −1.728 | 0.195 | |||
Low vs moderate | −2.009 | 0.405 | −4.966 | < 0.001 | |||
Low vs High | −4.687 | 0.546 | −8.591 | < 0.001 | |||
Moderate vs High | −2.678 | 0.579 | −4.626 | < 0.001 | |||
Low vs moderate | −4.143 | 0.502 | −8.256 | < 0.001 | |||
Low vs High | −10.949 | 0.679 | −16.131 | < 0.001 | |||
Moderate vs High | −6.805 | 0.718 | −9.476 | < 0.001 |
Table 8 , Table 9 display the Jamovi outputs for the BSMAS profiles and their means and standard deviations, as well as their pairwise comparisons across the series of other addictive behaviors assessed using ANOVA. Cohen’s (1988) benchmarks were used for eta squared values, with > 0.01 indicating small, >0.059 medium and > 0.138 large effects. ANOVA results were derived after bootstrapping the sample 1000 times to ensure that normality assumptions were met. Case bootstrapping calculates the means of 1000 resamples of the available data and computes the results analysing these means, which are normally distributed ( Tong et al., 2016 ). SMA profiles significantly differed across the range of behavioral addiction forms examined with more severe SMA profiles presenting consistently higher scores with a medium effect size regarding gaming ( F = 57.5, p <.001, η 2 = 0.108), sex ( F = 39.53, p <.001, η 2 = 0.076) and gambling ( F = 40.332, p <.001, η 2 = 0.078), and large effect sizes regarding shopping ( F = 90.06, p <.001, η 2 = 0.159) and general internet addiction symptoms ( F = 137.17, p <.001, η2 = 0.223). Only relationships of ‘medium’ size or greater were considered further in this analysis, though small effects were found with alcoholism ( F = 11.34, p <.001, η 2 = 0.023), substance abuse ( F = 4.83, p =.008, η 2 = 0.01) and exercise addiction ( F = 5.415, p =.005, η2 = 0.011). Pairwise comparisons consistently confirmed that the ‘low’ SMA profile scored significantly lower than the ‘moderate’ and the ‘high’ SMA profile’, and the ‘moderate’ SMA profile being significantly lower than the ‘high’ SMA profile across all addiction forms assessed (see Table 8 , Table 9 ).
The present study examined the occurrence of distinct SMA profiles and their associations with a range of other addictive behaviors. It did so via uniquely combining a large community sample, measures of established psychometric properties addressing both SMA and an extensive range of other proposed substance and behavioral addictions, to calculate the best fitting model in terms of parameterization and profile number. A model of the CIP parameterization with three profiles was supported by the data. The three identified SMA profiles ranged in terms of severity and were labeled as ‘low’ (52.4 %), ‘moderate’ (33.6 %) and ‘high’ (14 %) SMA risk. Membership of the ‘high’ SMA risk profile was shown to link with significantly higher reported experiences of Internet and shopping addictive behaviours, and moderately with higher levels of addictive symptoms related to gaming, sex and gambling.
Three SMA profiles, entailing ‘low’ (52.4 %), ‘moderate’ (33.6 %) and ‘high’(14 %) SMA risk were supported, with symptom 5 – withdrawal – displaying the highest inter-profile disparities. These results help clarify the number of SMA profiles in the population, as past findings were inconsistent supporting either 3, or 4 or 5 SMA profiles ( Bányai et al., 2017 , Brailovskaia et al., 2021 , Luo et al., 2021 ), as well as the nature of the differences between these profiles (i.e. quantitative: “how much/high one experiences SMA symptoms” or qualitative: “the type of SMA symptoms one experiences”). Our findings are consistent with the findings of Bányai and colleagues (2017) and Cheng and colleagues (2022) indicating a unidimensional experience of SMA (i.e., that the intensity/severity an individual reports best defines their profile membership, rather than the type of SMA symptoms) with three profiles ranging in severity from ‘low’ to ‘moderate’ to ‘high’ and those belonging at the higher risk profiles being the minority. Conversely, these results stand in opposition with two past studies identifying profiles that varied qualitatively (i.e., specific SMA symptoms experienced more by certain profiles) and suggesting the occurrence of 4 and 5 profiles respectively ( Brailovskaia et al., 2021 , Luo et al., 2021 ). Such differences might be explained by variations in the targeted populations of these studies. Characteristics such as gender, nationality and age all have significant effects on how and why social media is employed ( Andreassen et al., 2016 ; Hsu et al., 2015 ; Park et al., 2015 ). Given that the two studies in question utilized European, adolescent samples, the difference in the culture and age of our samples may have produced our varying results, ( Brailovskaia et al., 2021 , Luo et al., 2021 ). Comparability issues may also explain these results, given the profiling analyses implemented in the studies of Brailovskaia and colleagues, (2021), as well as Luo and colleagues (2021) did not extensively consider different profiles parameterizations, as the present study and Cheng et al. (2022) did. Furthermore, the results of this study closely replicated those of the Cheng et al., (2022) study, with both studies identifying a near identical pattern of symptom experience across three advancing levels of severity. This replication of results may indicate their accuracy, strengthening the validity of SMA experience models involving 3 differentiated profiles of staggered severity. Both our findings and Cheng et al.’s findings indicate profiles characterized by higher levels of cognitive symptoms (salience, withdrawal and mood modification) for each class when compared to their experience of behavioral symptoms (Relapse, withdrawal, conflict; Cheng et al., 2022 ). Further research may focus on any potentially mediating/moderating factors that may be interfering, and potentially further replicate such results, proving their reliability. Furthermore, given that past studies (with different results) utilized European, adolescent samples, cultural and age comparability limitations need to be considered and accounted for in future research ( Bányai et al., 2017 , Brailovskaia et al., 2021 ; Cheng et al., 2022 ).
Regarding withdrawal being the symptom of highest discrepancy between profiles, findings suggest that it may be more SMA predictive, and thus merit specific assessment or diagnostic attention, aligning with past literature ( Bányai et al., 2017 , Luo et al., 2021 , Brailovskaia et al., 2021 , Smith and Short, 2022 ). Indeed, the experience of irritability and frustration when abstaining from usage has been shown to possess higher differentiation power regarding diagnosing and measuring other technological addictions such as gaming, indicating the possibility of a broader centrality to withdrawal across the constellation of digital addictions ( Gomez et al., 2019 ; Schivinski et al., 2018 ).
Finally, the higher SMA risk profile percentage in the current study compared with previous research [e.g., 14 % in contrast to the 4.5 % ( Bányai et al., 2017 ), 4.2 % ( Luo et al., 2021 ) and 7.2 % ( Brailovskaia et al., 2021 )] also invites significant plausible interpretations. The data collection for the present Australian study occurred between August 2019 to August 2020, while Bányai and their colleagues (2017) collected their data in Hungary in March 2015, and Brailovskaia and their colleagues (2021) in Lithuania and Germany between October 2019 and December 2019. The first cases of the COVID-19 pandemic outside China were reported in January 2020, and the pandemic isolation measures prompted more intense social media usage, to compensate for their lack of in person interactions started unfolding later in 2020 ( Ryan, 2021 , Saud et al., 2020 ). Thus, it is likely that the higher SMA symptom scores reported in the present study are inflated by the social isolation conditions imposed during the time the data was collected. Furthermore, the present study involves an adult English-speaking population rather than European adolescents, as the studies of Bányai and their colleagues (2017) and Brailovskaia and their colleagues (2021). Thus, age and/or cultural differences may explain the higher proportion of the high SMA risk profile found. For instance, it is possible that there may be greater SMA vulnerability among older demographics and/or across countries. The explanation of differences across counties is reinforced by the findings of Cheng and colleagues (2022) who assessed and compared UK and US adult populations, the first is less likely, as younger age has been shown to relate to higher SMA behaviors ( Lyvers et al., 2019 ). Overall, the present results closely align with that of Cheng and colleagues (2022), who also collected their data during a similar period (between May 18, 2020 and May 24, 2020) from English speaking countries (as the present study did). They, in line with our findings, also supported the occurrence of three SMA behavior profiles, with the low risk profile exceeding 50 % of the general population and those at higher risk ranging above 9 %.
Considering the second study aim, ascending risk profile membership was strongly related to increased experiences of internet and shopping addiction, while it moderately connected with gaming, gambling and sex addictions. Finally, it weakly associated with alcohol, exercise and drug addictions. These findings constitute the first semi-comprehensive cross-addiction risk ranking of SMA high-risk profiled individuals, allowing the following implications.
Firstly, no distinction was found between the so called “technological” and other behavioral addictions, potentially contradicting prior theory on the topic ( Gomez et al., 2022 ). Typically, the abuse of internet gaming/pornography/social media, has been classified as behavioral addiction ( Enrique, 2010 , Savci and Aysan, 2017 ). However, their shared active substance – the internet – has prompted some scholars to suggest that these should be classified as a distinct subtype of behavioral addictions named “technological/ Internet Use addictions/disorders” ( Savci & Aysan, 2017 ). Nevertheless, the stronger association revealed between the “high” SMA risk profile and shopping addictions (not always necessitating the internet), compared to other technology related addictions, challenges this conceptual distinction ( Savci & Aysan, 2017 ). This finding may point to an expanding intersection between shopping and SMA, as an increasing number of social media platforms host easily accessible product and services advertising channels (e.g., Facebook property and car selling/marketing groups, Instagram shopping; Rose & Dhandayudham, 2014 ). In turn, the desire to shop may prompt a desire to find these services online, share shopping endeavors with others or find deals one can only access through social media creating a reciprocal effect ( Rose & Dhandayudham, 2014 ). This possibility aligns with previous studies assuming reciprocal addictive co-occurrences ( Tullett-Prado et al., 2021 ). This relationship might also be exacerbated by shared causal factors underpinning addictions in general, such as one’s drive for immediate gratification and/or impulsive tendencies ( Andreassen et al., 2016 ; Niedermoser et al., 2021 ). Although such interpretations remain to be tested, the strong SMA and shopping addiction link evidenced suggests that clinicians should closely examine the shopping behaviors of those suffering from SMA behaviours, and if comorbidity is detected – address both addictions concurrently ( Grant et al., 2010 , Miller et al., 2019 ). Conclusively, despite some studies suggesting the distinction between technological, and especially internet related (e.g., SMA, internet gaming), addictions and other behavioral addictions ( Gomez et al., 2022 , Zarate et al., 2022 ), the current study’s high risk SMA profile associations appear not to differentiate based on the technological/internet nature that other addictions may involve.
Secondly, results suggest a novel hierarchical list of the types of addictions related to the higher SMA risk profile. While previous research has established links between various addictive behaviors and SMA (i.e., gaming and SMA; Wang et al., 2015 ), these have never before - to the best of the authors’ knowledge – been examined simultaneously allowing their comparison/ranking. Therefore, our findings may allow for more accurate predictions about the addictive comorbidities of SMA, aiding in SMA’s assessment and treatment. For example, Internet, shopping, gambling, gaming and sex addictions were all shown to more significantly associate with the high risk SMA profile than exercise and substance related addictive behaviors ( King et al., 2014 ; Gainsbury et al., 2016a ; Gainsbury et al., 2016b ; Rose and Dhandayudham, 2014 , Kamaruddin et al., 2018 , Leung, 2014 ). Thus, clinicians working with those with SMA may wish to screen for gaming and sex addictions. Regardless of the underlying causes, this hierarchy provides the likelihood of one addiction precipitating and perpetuating another in a cyclical manner, guiding assessment, prevention, and intervention priorities of concurrent addictions.
Lastly, these results indicate a lower relevance of the high risk SMA profile with exercise/substance addictive behaviors. Considering excessive exercise, our study reinforces literature indicating decreased physical activity among SMA and problematic internet users in general ( Anderson et al., 2017 , Duradoni et al., 2020 ). Naturally, those suffering from SMA behaviours spend large amounts of time sedentary in front of a screen, precluding excessive physical activities. Similarly, the lack of a significant relationship between tobacco abuse and SMA has also been identified priori, perhaps due to the cultural divide between social media and smoking in terms of their acceptance by wider society and of the difference in their users ( Spilkova et al., 2017 ). Contrary to expectations, there were weak/negligible associations between the high SMA risk profile with substance and alcohol abuse behaviours. This finding contradicts current knowledge supporting their frequent comorbidity ( Grant et al., 2010 , Spilkova et al., 2017 ; Winpenny et al., 2014 ). This finding may potentially be explained by individual differences between these users, as while one can assume many traits are shared between those vulnerable to substances and SMA, these may be expressed differently. For example, despite narcissism being a common addiction risk factor, its predictive power is mediated by reward sensitivity in SMA, where in alcoholism and substances, no such relationship exists ( Lyvers et al., 2019 ). Perhaps the constant dopamine rewards and the addictive reward schedule of social media targets this vulnerability in a way that alcoholism does not. Overall, one could assume that the associations between SMA and less “traditionally” (i.e., substance related; Gomez et al., 2022 ) viewed addictions deserves more attention. Thus, future research is recommended.
The current findings need to be considered in the light of various limitations. Firstly, limitations related to the cross-sectional, age specific and self-report surveyed data are present. These methodological restrictions do not allow for conclusions regarding the longitudinal and/or causal associations between different addictions, nor for generalization of the findings to different age groups, such as adolescents. Furthermore, the self-report questionnaires employed may accommodate subjectivity biases (e.g., subjective and/or false memory recollections; Hoerger & Currell, 2012 ; Sun & Zhang, 2020 The latter risk is reinforced by the non-inclusion of social desirability subscales in the current study, posing obstacles in ensuring participant responses are accurate.
Additionally, there is a conceptual overlap between SMA and Internet Addiction (IA), which operates as an umbrella construct inclusive of all online addictions (i.e., irrespective of the aspect of the Internet being abused; Anderson et al., 2017 , Savci and Aysan, 2017 ). Thus, caution is warranted considering the interpretation of the SMA profiles and IA association, as SMA may constitute a specific subtype included under the IA umbrella ( Savci & Aysan, 2017 ). However, one should also consider that: (a) SMA, as a particular IA subtype is not identical to IA ( Pontes, & Griffiths, 2014 ); and (b) recent findings show that IA and addictive behaviours related to specific internet applications, such as SMA, could correlate with different types of electroencephalogram [EEG] activity, suggesting their neurophysiological distinction (e.g. gaming disorder patients experience raised delta and theta activity and reduced beta activity, while Internet addiction patients experience raised gamma and reduced beta and delta activity; Burleigh et al., 2020 ). Overall, these advocate in favour of a careful consideration of the SMA profiles and IA associations.
Finally, the role of demographic differences, related to one’s gender and age, which have been shown to mediate the relationship between social media engagement and symptoms of other psychiatric disorders ( Andreassen et al., 2016 ) have not been attended here.
Thus, regarding the present findings and their limitations, future studies should focus on a number of key avenues; (1) achieving a more granular understanding of SMA’s associations with comorbid addictions via case study or longitudinal research (e.g., cross lag designs), (2) further clarifying the nature of the experience of SMA symptoms, (3) investigating the link between shopping addiction and SMA, as well as potential interventions that target both of these addictions simultaneously and, (4) attending to gender and age differences related to the different SMA risk profiles, as well as how these may associate with other addictions.
The present study bears significant implications for the way that SMA behaviours are assessed among adults in the community and subsequently addressed in adult clinical populations. By profiling the ways in which SMA symptoms are experienced, three groups of adult social media users, differing regarding the reported intensity of their SMA symptoms were revealed. These included the ‘low’ (52.4 %), ‘moderate’ (33.6 %) and ‘high’ (14 %) SMA risk profiles. The high SMA risk profile membership was strongly related to increased rates of reported internet and shopping related addictive behaviours, moderately associated with gaming, gambling and sex related addictive behaviours and weakly associated with alcohol, exercise and drug related addictive behaviours, to the point that such associations were negligible at most. These results enable a better understanding of those experiencing higher SMA behaviours, and the introduction of a risk hierarchy of SMA-addiction comorbidities that needs to be taken into consideration when assessing and/or treating those suffering from SMA symptoms. Specifically, SMA and its potential addictive behaviour comorbidities may be addressed with psychoeducation and risk management techniques in the context of SMA relapse prevention and intervention plans, with a greater emphasis on shopping and general internet addictive behaviours. Regarding epidemiological implications, the inclusion of 14 % of the sample in the high SMA risk profile implies that while social media use can be a risky experience, it should not be over-pathologized. More importantly, and provided that the present findings are reinforced by other studies, SMA awareness campaigns might need to be introduced, while regulating policies should concurrently address the risk for multiple addictions among those suffering from SMA behaviours.
Note 1: Firstly, results were compared across all converged models. In brief, the AIC and BIC are measures of the prediction error which penalize goodness of fit by the number of parameters to prevent overfit, models with lower scores are deemed better fitting ( Tein et al., 2013 ). Of the 16 possible models, the parameterization with the most consistently low AIC’s and BIC’s across models with 1–8 profiles were chosen, eliminating 8 of the possible models. Subsequently, the remaining models were more closely examined through TIDYLPA using the compare solutions command, with the. BLMR operating as a direct comparison between 2 models (i.e. the model tested and a similar model with one profile less) on their relative fit using likelihood ratios. A BLMR based output p value will be obtained for each comparison pair with lower p-values corresponding to the greater fit among the models tested (i.e. if BLMR p >.05, the model with the higher number of profiles needs to be rejected; Tein et al., 2013). Entropy is an estimate of the probability that any one individual is correctly allocated in their profile/profile. Entropy ranges from 0 to 1 with higher scores corresponding with a better model ( Tein et al., 2013 ; Larose et al., 2016 ). Finally, the N_min represents the minimum proportion of sample participants in any one presentation profile and aids in determining the interpretability/parsimony of a model. If N_min is 0, then there is a profile or profilees in the model empty of members. Thus, the interpretability and parsimony of the model is reduced ( CRAN, 2021 ). These differing fit indices were weighed up against eachother in order to identify the best fitting model (Akogul & Erisoglu, 2017). This best fitting model was subsequently applied to the datasheet, and then the individual profilees examined through the use of descriptive statistics in order to identify their characteristics.
Note 2: With regards to the assumptions of the LPA Model, as a non-parametric test, no assumptions were made regarding the distribution of data. With regards to the subsequent ANOVA analyses, 2 assumptions were made as to the nature of the distribution. Homogeneity of variances and Normality. Thus, the distribution of the data was assessed via Jamovi. Skewness and Kurtosis for all measures employed in the ANOVA analyses. Skewness ranged from 0.673 to 2.49 for all variables bar the OGD-Q which had a skewness of 3.45. Kurtosis ranged from 0.11 to 6 for variables bar the OGD-Q which had a kurtosis of 13.9. Thus, all measures excepting the OGD-Q sat within the respective acceptable ranges of + 3 to −3 and + 10 to −10 recommended by Brown and Moore (2012).
Dr Vasileios Stavropoulos received funding by:
The Victoria University, Early Career Researcher Fund ECR 2020, number 68761601.
The Australian Research Council, Discovery Early Career Researcher Award, 2021, number DE210101107.
Ethical Standards – Animal Rights
All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. Thus, the present study was approved by the Human Ethics Research Committee of Victoria University (Australia).
Informed consent
Informed consent was obtained from all individual participants included in the study.
Confirmation statement
Authors confirm that this paper has not been either previously published or submitted simultaneously for publication elsewhere.
Publication
Authors confirm that this paper is not under consideration for publication elsewhere. However, the authors do disclose that the paper has been considered elsewhere, advanced to the pre-print stage and then withdrawn.
Authors assign copyright or license the publication rights in the present article.
Availability of data and materials
Data is deposited as a supplementary file with the current document.
Deon Tullett-Prado: Conceptualization, Methodology, Software, Validation, Formal analysis, Investigation, Data curation. Vasileios Stavropoulos: Supervision, Resources, Funding acquisition, Project administration. Rapson Gomez: Supervision, Resources. Jo Doley: Supervision, Resources.
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Deon Tullett-Prado: Deon Tullett-Prado is a PhD candidate and emerging researcher in the area of behavioral addictions and in particular Internet Gaming Disorder. His expertise involves advanced statistical analysis skills and innovative techniques regarding population profiling.
Dr Vasileios Stavropoulos: Dr Vasileios Stavropoulos is a member of the Australian Psychological Society (APS) and a registered psychologist endorsed in Clinical Psychology with the Australian Health Practitioner Regulation Authority (AHPRA). Vasileios' research interests include the areas of Behavioral Addictions and Developmental Psychopathology. In that context, Vasileios is a member of the European Association of Developmental Psychology (EADP) and the EADP Early Researchers Union. Considering his academic collaborations, Vasileios maintains his research ties with the Athena Studies for Resilient Adaptation Research Team of the University of Athens, the International Gaming Centre of Nottingham Trent University, Palo Alto University and the Korean Advanced Institute of Science and Technology. Vasileios has received the ARC DECRA award 2021.
Dr Rapson Gomez: Rapson Gomez is professor in clinical psychology who once directed clinical training at the School of Psychology, University of Tasmania (Hobart, Australia). Now he focuses on research using innovative statistical techniques with a particular focus on ADHD, biological methods of personality, psychometrics and Cyberpsychology.
Dr Jo Doley: A lecturer at Victoria University, Dr Doley has a keen interest in the social aspects of body image and eating disorders. With expertise in a variety of quantitative methodologies, including experimental studies, delphi studies, and systematic reviews, Dr Doley has been conducting research into the ways that personal characteristics like sexual orientation and gender may impact on body image. Furthermore, in conjunction with the cyberpsychology group at VU they have been building a new expertise on digital media and it’s potential addictive effects.
Appendix A Supplementary data to this article can be found online at https://doi.org/10.1016/j.abrep.2023.100479 .
The following are the Supplementary data to this article:
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PEN America and Meedan Recommend Product Design Fixes to Reduce Online Abuse while Safeguarding Free Expression
FOR IMMEDIATE RELEASE
(NEW YORK)—Millions of social media users face harmful harassment, intimidation, and threats to their free expression online but encounter a “deeply flawed” reporting system that fails at every level to safeguard them and hold abusers to account, according to a new report by global nonprofits PEN America and Meedan.
In exposing these failures by Facebook, Twitter, TikTok, Instagram, YouTube and other social platforms, the report outlines a series of product design fixes that would help make reporting abuse online more transparent, efficient, equitable, and effective.
The report, Shouting into the Void: Why Reporting Abuse to Social Media Platforms is So Hard and How to Fix It , highlights the dangerous repercussions of such abuse for social media users, especially for women, people of color, and LGBTQ+ people, as well as journalists, writers and creators, all of whom face more severe levels of abuse online than the general population. Given how effective it is in stifling free expression, online abuse is often deployed to suppress dissent and undermine press freedom.
Viktorya Vilk, director for digital safety and free expression at PEN America and the report co-author, said: “The mechanisms for reporting abuse are deeply flawed and further traumatize and disempower those facing abuse. Protecting users should not be dependent on the decision of a single executive or platform. We think our recommendations can guide a collective response to reimagine reporting mechanisms—that is, if social media platforms are willing to take up the challenge to empower users and reduce the chilling effects of online abuse.”
Kat Lo, Meedan’s content moderation lead and co-author, said: “Hateful slurs, physical threats, sexual harassment, cyber mobs, and doxxing (maliciously exposing private information, such as home addresses) can lead to serious consequences, with individuals reporting anxiety, depression, and even self-harm and suicidal thoughts. Abuse can put people at physical risk, leading to offline violence, and drive people out of professions, depriving them of their livelihood. Reporting mechanisms are one of the few options that targets of abuse have to seek accountability and get redress—when blocking and muting simply aren’t enough.”
The two organizations drew on years of work training and supporting tens of thousands of writers, journalists, artists, and creators who have faced online harassment. Researchers for PEN America, which champions free expression, and Meedan, which builds programs and technology to strengthen information environments, centered their research and recommendations on the experiences of those disproportionately attacked online for their identities and professions: writers, journalists, content creators, and human rights activists, and especially women, LGBTQ+ individuals, people of color, and individuals who belong to religious or ethnic minorities.
Interviews were conducted with nearly two dozen creative and media professionals, most based in the United States, from 2021 to this April.
Author and Youtube creator Elisa Hansen described the difficult process of reporting the flood of abusive comments she sees in response to videos she releases on the platform: “Sometimes there are tens of thousands of comments to sift through. If I lose my place, or the page reloads, I have to start at the top again (where dozens of new comments have already been added), trying to spot an ugly needle in a blinding wall-of-text haystack: a comment telling us we deserve to be raped and should just kill ourselves. Once I report that, the page has again refreshed, and I’m ready to tear my hair out because I cannot find where I left off and have to comb through everything again.”
She said: “It’s easy for people to say “just ignore the hate and harassment,” but I can’t. If I want to keep the channel safe for the audience, the only way is to find every single horrible thing and report it. It’s bad enough how much that vicious negativity can depress or even frighten me, but that the moderation process makes me have to go through everything repeatedly and spend so much extra and wasted time makes it that much worse.”
While the report acknowledges recent modest improvements to reporting mechanisms, it also states that this course correction by social platforms has been fragile, insufficient, and inconsistent. The report notes, for example, that Twitter had gradually been introducing more advanced reporting features, but that progress ground to a halt once Elon Musk bought the platform and–among other actions–drastically reduced the Trust and Safety staff overseeing content moderation and user reporting. “This pattern is playing out across the industry,” the report states.
The report found social media platforms are failing to protect and support their users in part because the mechanisms to report abuse are often “profoundly confusing, time-consuming, frustrating, and disappointing.”
The findings in the report are further supported by polls. A Pew Research Center poll found 80 percent of respondents said social media companies were doing only a “fair to poor job” in addressing online harassment. And a 2021 study by the Anti-Defamation League and YouGov found that 78 percent of Americans want companies to make it easier to report hateful content and behavior.
The fact that people who are harassed online experience trauma and other forms of psychological harm can make the troublesome reporting process all the more frustrating.
“The experience of using reporting systems produces further feelings of helplessness. Rather than giving people a sense of agency, it compounds the problem,” said Claudia Lo, a design researcher at Wikimedia.
The research uncovered evidence that users often do not understand how reporting actually works, including where they are in the process, what to expect after they submit a report, and who will see their report. Users often do not know if a decision has been reached regarding their report or why. They are consistently confused about how platforms define specific harmful tactics and therefore struggle to figure out if a piece of content violates the rules. Few reporting systems currently take into account coordinated or repeated harassment, leaving users with no choice but to report dozens or even hundreds of abusive comments and messages piecemeal.
Mikki Kendall, an author and diversity consultant who writes about race, feminism, and police violence, points out that some platforms that say they prohibit “hate speech” provide “no examples and no clarity on what counts as hate speech.” Natalie Wynn, creator of the YouTube channel Contrapoints, explained: “If there is a comment calling a trans woman a man, is that hate speech or is it harassment? I don’t know. I kind of don’t know what to click and so I don’t do it, and just block.”
The report was supported through the generosity of grants from the Democracy Fund and Craig Newmark Philanthropies.
About PEN America
PEN America stands at the intersection of literature and human rights to protect open expression in the United States and worldwide. We champion the freedom to write, recognizing the power of the word to transform the world. Our mission is to unite writers and their allies to celebrate creative expression and defend the liberties that make it possible. To learn more visit PEN.org
About Meedan
Meedan is a global technology not-for-profit that builds software and programmatic initiatives to strengthen journalism, digital literacy, and accessibility of information online and off. We develop open-source tools for creating and sharing context on digital media through annotation, verification, archival, and translation.
Contact: Suzanne Trimel, [email protected] , 201-247-5057
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Former President Donald Trump raises his fist July 18, 2024, during his speech the Republican National Convention in Milwaukee. (AP)
MILWAUKEE — Former President Donald Trump closed the Republican National Convention by accepting the presidential nomination and offering a speech that began somber and turned combative.
First, he recounted surviving an assassination attempt five days earlier in Butler, Pennsylvania.
"You’ll never hear it from me again a second time, because it’s too painful to tell," Trump told a hushed audience. "I stand before you in this arena only by the grace of Almighty God." When Trump said, "I'm not supposed to be here tonight," the audience chanted, "Yes you are! Yes you are!" Onstage, Trump kissed the firefighter’s uniform of Corey Comperatore, whom Trump’s would-be assassin killed.
After about 20 minutes, Trump’s speech shifted. He countered Democrats’ claims that he endangers democracy, praised the federal judge who dismissed the classified documents case against him and called the legal charges "partisan witch hunts."
Though he criticized the policies of his opponent, Democratic President Joe Biden, Trump said he’d avoid naming him.
Trump occasionally offered conciliatory notes, but more often repeated questionable assertions we’ve repeatedly fact-checked . Here are some.
Immigrants are "coming from prisons, they’re coming from jails, they're coming from mental institutions and insane asylums."
When Trump said earlier this year that Biden is letting in "millions" of immigrants from jails and mental institutions we rated it Pants on Fire . Immigration officials arrested about 103,700 noncitizens with criminal convictions (whether in the U.S. or abroad) from fiscal years 2021 to 2024, federal data shows. That accounts for people stopped at and between ports of entry.
Not everyone was let in. The term "noncitizens" includes people who may have legal immigration status in the U.S., but are not U.S. citizens.
The data reflects the people that the federal government knows about but it’s inexhaustive. Immigration experts said despite those data limitations, there is no evidence to support Trump’s statement. Many people in Latin American countries face barriers to mental health treatment, so if patients are coming to the U.S., they are probably coming from their homes, not psychiatric hospitals.
"Caracas, Venezuela, really dangerous place, but not anymore. Because in Venezuela, crime is down 72%"
Although Venezuelan government data is unreliable, some data from independent organizations shows that violent deaths have recently decreased, but not by 72%. From 2022 to 2023, violent deaths dropped by 25%, according to the independent Venezuelan Observatory of Violence.
Criminologists attribute this decline to Venezuela’s poor economy and the government’s extrajudicial killings. They said there is no evidence that Venezuela’s government is emptying its prisons and sending criminals to the United States.
El Salvador murders are down 70% "because they're sending their murderers to the United States of America."
There has been a significant drop in crime in El Salvador, but it is not because the country is sending prisoners to the U.S.
According to data from El Salvador’s National Police, in 2023, the country reported a 70% drop in homicides compared with 2022, as Trump noted.
But it’s been well reported — by the country’s government , international organizations and news organizations — that El Salvador’s President Nayib Bukele has aggressively cracked down on crime. There is no evidence that Bukele’s effort involves sending prisoners to the U.S.
El Salvador has been under a state of emergency , because of gang violence and high crime rates, since March 2022. On July 10 , the Legislative Assembly voted to extend its use.
The order suspends "a range of constitutional rights, including the rights to freedom of association and assembly, to privacy in communications, and to be informed of the reason for arrest, as well as the requirement that anyone be taken before a judge within 72 hours," according a Human Rights Watch report .
The state of emergency has led multiple international human rights groups and governments, including the U.S. , to condemn human rights abuses in El Salvador such as arbitrary killings, forced disappearances and torture.
Trump claims Bukele is "sending all of his criminals, his drug dealers, his people that are in jails. He's sending them all to the United States." But El Salvador’s prison population has drastically increased in recent years, according to InSight Crime , a think tank focused on crime and security in the Americas.
In 2020, El Salvador’s prison population stood at around 37,000. In 2023, it was more than 105,000 — around 1.7% of the country’s population, InSight Crime said .
"Behind me and to the right was a large screen that was displaying a chart of border crossings under my leadership, the numbers were absolutely amazing."
As he recounted the story of his attempted assassination, Trump mentioned a chart of illegal border crossings from fiscal year 2012 to 2024. We fact-checked the false and misleading annotations on the chart.
For example, a red arrow on the chart claims to show when "Trump leaves office. Lowest illegal immigration in recorded history." But the arrow points to a decline in immigration encounters at the beginning of the coronavirus pandemic, when migration overall plummeted as nations imposed lockdowns. Trump left office nine months later, when illegal immigration encounters were on the rise.
@politifact Here are 3 false claims Donald Trump made during his speech at the #RNC . #GOP #Trump ♬ News ... News style BGM(1148093) - MASK G
Later in the RNC speech, Trump said, "Under my presidency, we had the most secure border."
That’s Mostly False . Illegal immigration during Trump’s administration was higher than it was during both of former President Barack Obama’s terms.
Illegal immigration between ports of entry at the U.S. southern border dropped in 2017, Trump’s first year in office, compared with previous years. But illegal immigration began to rise after that. It dropped again when the COVID-19 pandemic started and immigration decreased drastically worldwide.
In the months before Trump left office, as some pandemic travel restrictions eased, illegal immigration was rising again. A spike in migrants , especially unaccompanied minors , started in spring 2020 during the Trump administration and generally continued to climb each month.
It’s difficult to compare pre-COVID-19 data with data since, because of changes in data reporting. But, accounting for challenges in data comparisons, a PolitiFact review found an increase of 300% in illegal immigration from Trump’s first full month in office, February 2017, to his last full month, December 2020.
The jobs that are created under Biden, "107% of those jobs are taken by illegal aliens."
Mostly False .
This Republican talking point paints the Biden years as being better for foreign-born workers than native-born Americans. But it is wrong.
Since Biden took office in early 2021, the number of foreign-born Americans who are employed has risen by about 5.6 million. But over the same period, the number of native-born Americans employed has increased by almost 7.4 million.
The unemployment rate for native-born workers under Biden is comparable to what it was during the final two prepandemic years of Trump’s presidency.
Trump: "There's an interesting statistic, the ears are the bloodiest part. If something happens with the ears, they bleed more than any other part of the body."
Mostly True.
Trump said that in reference to the injury he sustained to the top of his right ear during the assassination attempt at his July 13 rally.
Although the ears do bleed heavily, PolitiFact could not identify statistical evidence that they are the "bloodiest part" of the body.
The ear gets most of its blood from a branch of the external carotid artery. An injury to an artery is prone to heavier bleeding, according to a study published in the European Journal of Trauma and Emergency Surgery .
But other parts of the upper body might bleed more from an external injury, doctors said.
"The scalp is perhaps the most ‘bloody’ part of the body if injured or cut," Céline Gounder, a physician, senior fellow at KFF and editor-at-large for public health at KFF Health News, told PolitiFact in an email. "But, in general, the head/neck is the ‘bloodiest’ part of the body. The ear is part of that."
"An injury similar to what Trump sustained to the ear would bleed less if inflicted on a part of the body below the neck," Gounder added. (KFF is the health policy research, polling, and news organization that includes KFF Health News.)
During my presidency, we had "the best economy in the history of our country, in the history of the world. … We had no inflation, soaring incomes."
One of the strongest ways to assess the economy is the unemployment rate, which fell during Trump’s presidency to levels untouched in five decades. But his successor, Joe Biden, matched or exceeded those levels.
Another measure, the annual increases in gross domestic product, were broadly similar under Trump to what they were during the final six years under his predecessor, Barack Obama. And GDP growth under Trump was well below that of previous presidents.
Wage growth increased under Trump, but to say they soared is an exaggeration. Adjusted for inflation, wages began rising during the Obama years and kept increasing under Trump. But these were modest compared with the 2% a year increase seen in the 1960s.
Another metric — the growth rate in personal consumption per person, adjusted for inflation — wasn’t higher under Trump than previous presidents. For many families, this statistic serves an economic activity bottom line, determining how much they can spend on food, clothing, housing, health care and travel.
In Trump’s three years in office through January 2020, real consumption per person grew by 2% a year. Of the 30 nonoverlapping three-year periods from 1929 to the end of his presidency, Trump’s periods ranked in the bottom third.
As for inflation being zero, that’s also wrong. It was low, ranging from 1.8% to 2.4% increases year over year in 2017, 2018 and 2019. This is roughly the range the Federal Reserve likes to see. During the coronavirus pandemic-dominated year of 2020, inflation fell to 1.2%, because demand plummeted as entertainment and travel collapsed.
"Our current administration, groceries are up 57%, gasoline is up 60% and 70%, mortgage rates have quadrupled."
Mostly False.
There is an element of truth, because prices have risen for all of these. But Trump exaggerated the percentages.
The price of groceries has risen by 21.5% in the more than three and a half years since Biden was inaugurated in January 2021.
Gasoline prices are up 55% over the same period.
Mortgage rates haven’t quadrupled. But they have more than doubled, because of Federal Reserve rate increases to curb inflation. The average 30-year fixed- mortgage rate mortgage was 2.73% in January 2021, but 6.89% in July 2024.
"Our crime rate is going up."
He’s wrong on violent crimes, but has a point for some property crimes.
Federal data shows the overall number of violent crimes, including homicide, has declined during Joe Biden’s presidency. Property crimes have risen, mostly because of motor vehicle thefts.
The FBI data shows the overall violent crime rate — which includes homicide, rape, robbery and aggravated assault per 100,000 population — fell by 1.6% from 2021 to 2022, the most recent year with full-year FBI data.
Private sector analyses show continued crime declines. For instance, the Council on Criminal Justice , a nonpartisan think tank, samples reports from law enforcement agencies in several dozen cities to gauge crime data more quickly than the FBI. The council’s data shows the declining violent crime trends continued into 2023.
Property crime has increased under Biden, although three of the four main categories the FBI tracks — larceny, burglary and arson — were at or below their prepandemic level by 2022. The main exception has been motor vehicle theft, which rose 4% from 2020 to 2021 and 10.4% from 2021 to 2022.
The Biden administration is "the only administration that said we're going to raise your taxes by four times what you're paying now."
Biden is proposing a tax increase of roughly 7% over the next decade, not 300%, as Trump claims.
About 83% of the proposed Biden tax increase would be borne by the top 1% of taxpayers, a level that starts at just under $1 million a year in income.
Taxpayers earning up to $60,400 would see their yearly taxes decline on average, and taxpayers earning $60,400 to $107,300 would see an annual increase of $20 on average.
The IRS hired "88,000 agents" to go after Americans.
Mostly False.
The figure, which has been cited as 87,000 in past statements , is related to hires the IRS approved in 2022 that included information technology and taxpayer services, not just enforcement staff. Many of those hires would go toward holding staff numbers steady in the face of a history of budget cuts at the IRS and a wave of projected retirements.
The U.S. Treasury Department previously said that people and small businesses that make less than $400,000 per year would see no change, although audits of corporations and high-net-worth people would rise. House Republicans passed a bill in 2023 to rescind the funding for the hires. Passage by the Democratic Senate majority is unlikely. President Joe Biden has vowed to veto the bill if it reaches his desk.
"Democrats are going to destroy Social Security and Medicare, because all of these people, by the millions, they’re coming in. They’re going to be on Social Security and Medicare and other things, and you’re not able to afford it. They are destroying your Social Security and your Medicare."
Most immigrants in the U.S. illegally are ineligible for Social Security. Some people who entered the U.S. illegally and were granted humanitarian parole — a temporary permission to stay in the country — for more than one year, may be eligible for Social Security for up to seven years, the Congressional Research Service said.
Immigrants in the U.S. illegally also are generally ineligible to enroll in federally funded health care coverage such as Medicare and Medicaid. (Some states provide Medicaid coverage under state-funded programs regardless of immigration status. Immigrants are eligible for emergency Medicaid regardless of status.)
It’s also wrong to say that immigration will destroy Social Security. The program’s fiscal challenges stem from a shortage of workers compared with beneficiaries. Immigrants who are legally qualified can receive Social Security retirement benefits only after they’ve worked and paid Social Security taxes for 10 years . So, for at least 10 years, these immigrants will be paying into the system before they draw any benefits.
Immigration is far from a fiscal fix-all for Social Security’s challenges. But having more immigrants in the United States would increase the worker-to-beneficiary ratio, potentially for decades, thus extending the program’s solvency, economic experts say.
Trump: "They spent $9 billion on eight chargers."
The Bipartisan Infrastructure Law , which Biden signed in November 2021, allocated $7.5 billion to electric vehicle charging. Trump exaggerated the program and charger costs.
The Federal Highway Administration told PolitiFact that as of this April, the infrastructure funding has created seven open charging stations with 29 spots for electric vehicles to charge. They were installed across five states — Hawaii, Maine, New York, Ohio and Pennsylvania — the administration said in a statement.
Transportation Secretary Pete Buttigieg said in a May CBS interview that the Biden administration’s goal is to install 500,000 EV chargers by 2030.
"And the very first handful of chargers are now already being physically built. But again, that's the absolute very, very beginning stages of the construction to come," Buttigieg said.
The cost for equipment and installation of high-speed EV chargers can range from $58,000 to $150,000 per charger, depending on wattage and other factors.
The federally funded EV charging program started slowly. The Energy Department said initial state plans were approved in September 2022. Since April, federally funded charging stations have opened in Rhode Island , Utah and Vermont .
"I will end the electric vehicle mandate on Day 1." False .
There is no electric vehicle mandate to begin with.
The Biden administration has set a goal — not a mandate — to have electric vehicles comprise half of all new vehicle sales by 2030.
Later in his speech, Trump said: "I am all for electric. … But if somebody wants to buy a gas-powered car… or a hybrid, they are going to be able to do it. And we’re going to make that change on Day 1. " The Biden administration has introduced new regulations on gasoline-powered cars but those policies do not ban gasoline-powered cars. They can continue to be sold, even after 2030.
"Under the Trump administration, just three and a half years ago, we were energy independent."
There are various definitions of "energy independence," but during Trump’s presidency, the U.S. became a net energy exporter and began producing more energy than it consumed. Both milestones hadn’t been achieved in decades.
However, that achievement built on more than a decade of improvements in shale oil and gas production, along with renewable energies. The U.S. also did not achieve net exporter status for crude oil, which produces the type of energy that voters hold politicians most accountable for: gasoline.
Even during a period of greater energy independence, the U.S. energy supply is still sensitive to global developments, experts told PolitiFact in 2023 . Because many U.S. refineries cannot process the type of crude oil produced in the U.S., they need to import a different type of oil from overseas to serve the domestic market.
"They used COVID to cheat."
Pants on Fire!
During the pandemic, multiple states altered rules to ease mail-in voting for people concerned about contracting COVID-19 at indoor polling places. Changes included mailing ballots to all registered voters, removing excuse requirements to vote by mail and increasing the number of ballot drop boxes. State officials used legal methods to enact these changes, and the new rules applied to all voters, regardless of party affiliation.
The 2020 election was certified by every state and confirmed by more than 60 court cases nationwide.
During his presidency, we had "the biggest regulation cuts ever."
We tracked Trump’s progress on his campaign promise to "enact a temporary ban on new regulations" and rated that a Compromise .
Near the end of Trump’s presidency, an expert told us that overall the amount of federal regulations was roughly unchanged since Trump took office.
Russia’s war in Ukraine and Hamas’ attack on Israel "would have never happened if I were president."
This is unsubstantiated and ignores the complexities of global conflict. There’s no way to assess whether Russian President Vladimir Putin wouldn’t have invaded Ukraine in February 2022 if Trump were still president, or whether Hamas wouldn’t have attacked Israel in October 2023. Experts told PolitiFact that there’s a limit to how much influence U.S. presidents have over whether a foreign conflict erupts into war. "American presidents have scant control over foreign decisions about war and peace unless they show their willingness to commit American power," said Richard Betts, a Columbia University professor emeritus of war and peace studies and of international and public affairs.
During the Trump administration, there were no new major overseas wars or invasions. But during his presidency, there were still conflicts within Israel and between Russia and Ukraine . For example, Russia was intervening militarily in the Ukraine’s Donbas region throughout Trump’s administration. Trump also supported weakening NATO, reducing expectations among allies that the U.S. would intervene militarily if they were attacked. Although there’s no way to know how the war in Israel would have played out, experts said the prospect of the Abraham Accords — the peace effort between Israel and Arab nations led by the Trump administration — likely helped drive Hamas’ attack. "There’s no doubt in my mind that the prospect of the Abraham Accords being embraced by countries such as Saudi Arabia was one of the main causes of the Oct. 7 attack," Ambassador Martin Kimani, the executive director of NYU’s Center on International Cooperation said.
When the U.S. withdrew from Afghanistan, we "left behind $85 billion worth of military equipment."
This is an exaggeration. When the Taliban toppled Afghanistan’s civilian government in 2021, it inherited military hardware the U.S. gave it. But the hardware’s value did not amount to $85 billion.
A 2022 independent inspector general report informed Congress that about $7 billion of U.S.-funded equipment remained in Afghanistan and in the Taliban’s hands. According to the report , "The U.S. military removed or destroyed nearly all major equipment used by U.S. troops in Afghanistan throughout the drawdown period in 2021." We rated a similar claim False in 2021.
When he was president, "Iran was broke."
Half True .
Iran’s foreign currency reserves fell from $128 billion in 2015 to $15 billion in 2019, a dramatic drop in absolute dollars. The decline is widely believed to be a consequence of the tightened U.S. sanctions under Trump, and although Iran’s foreign currency reserves have grown since then, it's nowhere near pre-2019 levels.
The Federal Reserve Bank of St. Louis pegged Iran’s foreign currency reserves in 2024 around $36 billion.
PolitiFact Chief Correspondent Louis Jacobson, Senior Correspondent Amy Sherman, Staff Writers Kwasi Gyamfi Asiedu, Maria Briceño, Madison Czopek, Marta Campabadal Graus, Ranjan Jindal, Mia Penner, Samantha Putterman, Sara Swann, Loreben Tuquero, Maria Ramirez Uribe, Researcher Caryn Baird, KFF Health News Senior Editor Stephanie Stapleton and KFF Health News Senior Correspondent Stephanie Armour contributed to this story.
Our convention fact-checks rely on both new and previously reported work. We link to past work whenever possible. In some cases, a fact-check rating may be different tonight than in past versions. In those cases, either details of what the candidate said, or how the candidate said it, differed enough that we evaluated it anew.
RELATED: In Context: Trump recounts assassination attempt. Here’s what he said at the RNC
RELATED: A guide to Trump’s 2nd term promises: immigration, economy, foreign policy and more
RELATED: 2024 RNC fact-check: What Trump VP pick J.D. Vance got right, wrong in Milwaukee speech
See sources linked in story.
More by politifact staff.
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Mr. Vance spilled scores of details about his life in his coming-of-age memoir. We’ve collected the highlights.
By Shawn McCreesh
Follow the latest news from the Republican National Convention .
J.D. Vance, Donald J. Trump’s choice for vice president, has not lived an unexamined life. Here are 27 things to know about him, drawn from his best-selling 2016 memoir, “Hillbilly Elegy,” and the many other things he has said or written since.
1. His name was not always James David Vance. At birth, it was James Donald Bowman. It changed to James David Hamel after his mother remarried, and then it changed one more time.
2. He longed for a role model. His father left when he was 6. “It was the saddest I had ever felt,” he wrote in his memoir. “Of all the things I hated about my childhood,” he wrote, “nothing compared to the revolving door of father figures.”
3. He had a fraught relationship with his mother, who was married five times. One of the most harrowing scenes in the book occurs when he’s a young child, in a car with his mother, who often lapsed into cycles of abuse. She sped up to “what seemed like a hundred miles per hour and told me that she was going to crash the car and kill us both,” he writes. After she slowed down, so she could reach in the back of the car to beat him, he leaped out of the car and escaped to the house of a neighbor, who called the police.
4. He was raised by blue-dog Democrats. He spent much of his childhood with his grandfather and grandmother — papaw and mamaw, in his hillbilly patois. He described his mamaw’s “affinity for Bill Clinton” and wrote about how his papaw swayed from the Democrats only once, to vote for Ronald Reagan. “The people who raised me,” he said in one interview, “were classic blue-dog Democrats, union Democrats, right? They loved their country, they were socially conservative.”
5. As a teenager, he loved Black Sabbath, Eric Clapton and Led Zeppelin. But then his biological father, who was deeply religious, re-entered his life. “When we first reconnected, he made it clear that he didn’t care for my taste in classic rock, especially Led Zeppelin,” he wrote. “He just advised that I listened to Christian rock instead.”
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The report recommends that social media platforms: 1) enforce their own rules; 2) use data from extremist sites to create detection models; 3) look for specific linguistic markers; 4) deemphasize profanity in toxicity detection; and 5) train moderators and algorithms to recognize that white supremacists' conversations are dangerous and hateful.
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