ABSTRACT
Objective: Misinformation and substance use both increased substantially during the COVID-19 pandemic. This study examined potential links between misinformation beliefs and substance use among adults, along with the potential for media literacy to mitigate misinformation's influences on problematic use of widely available substances of misuse. Method(s): Structural equation modeling (SEM) was used to test a theoretical model of media literacy's effects on substance use, fully mediated by disinformation beliefs, with a nationally representative sample of U.S. adults recruited through a Qualtrics panel of adults using census-based quotas for geographic region, population density, ethnic diversity and gender (N = 1264). The sample was 51.5% male (N = 651);46.7% female (N = 591);1.1% nonbinary (N = 13);and 0.7% (N = 9) not reporting. Result(s): Media literacy for source of news positively associated with media literacy for content of news (b = 0.814, p < 0.001). Media literacy for content of news then positively associated with science media literacy (b = 0.192, p < 0.001). Science media literacy then negatively associated with disinformation beliefs (b = -0.586, p < 0.001), and COVID-19 disinformation beliefs associated with an increase in substance use (b = 0.466, p < 0.001). Disinformation beliefs also associated with alcohol and sleep medication co-use (odds = 1.956, p < 0.05). Conclusion(s): Results demonstrate media literacy's value for substance misuse prevention and effective public health messaging.Copyright © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.