ABSTRACT
Background: The rapid growth of social media has profoundly transformed communication, community building, and information sharing worldwide. In Afghanistan, the proliferation of social media platforms has significantly impacted the social, cultural, and political landscape, particularly among the youth. Objective: This multi-disciplinary study aims to explore the diverse effects of social media on Afghan youth, focusing on usage patterns, mental health implications, entertainment-driven time allocation, financial expenditures, exposure to explicit content, and academic performance. Methods: A cross-sectional online survey was conducted between September and December 2023, gathering responses from 1556 participants (67% males, 33% females) through various social media platforms. Data were analyzed using SPSS version 26.0, employing statistical tests such as ANOVA and Chi-Square to examine relationships between social media usage and its impacts. Results: The study reveals significant links between social media usage and demographic, behavioral, and mental health factors. Key findings include Facebook as the most used platform (83.6%), with the majority of participants spending 1-3 hours daily on social media. Age differences in time spent were significant (F=15.64, p<0.001). Entertainment was the primary use (45.5%), with gender differences in engagement levels. High anxiety (78.5%) and moderate depression (38.3%) were reported. Significant associations between social media use and mental health were found (eg, χ2=591.87, p<0.001 for nervousness). Excessive use negatively impacted study habits, with 25.7% feeling it hindered their academic performance. Conclusion: This study highlights the multifaceted impacts of social media on Afghan youth, including both positive aspects like enhanced communication and empowerment and negative aspects such as mental health issues and academic challenges. The significant relationships between social media usage and various life aspects underscore the need for targeted interventions to promote healthy digital habits and mitigate adverse effects. Further research is recommended to explore long-term impacts and effective strategies for managing social media use among Afghan youth.
ABSTRACT
Background: The rapid growth of international human migration has positioned the UK in the top five countries in the world with 9.4 million immigrants in 2022. These immigrants originate from low- and middle-income countries and remain particularly at risk of developing TB. In the UK, the number of TB cases has been increasing, and the influx of immigrants could be a contributing factor. Objective: This review aims to map the burden of pulmonary TB among immigrants in the UK and investigate associated factors. It also reviews the TB management approaches among immigrants in the UK. Design: The study utilized PRISMA guidelines to search electronic databases (PubMed and EMBASE) for articles published from 2000 to 2022 on TB prevalence and factors in immigrants and explored government websites for TB management strategies. Results: Nineteen out of 530 initially identified articles were included. The included studies reported a prevalence rate of TB among immigrants ranging from 0.04 to 52.1%, showing a decrease in the burden over time. Additionally, a higher number of TB cases were observed among immigrants from the Asian region, particularly immigrants from South Asia, followed by those from sub-Saharan Africa. Stigma, misconception about the disease, language barrier, lack of confidentiality, and unfriendly healthcare system for immigrants were the main drivers of the TB burden among immigrants. The TB management approaches in the UK include pre-entry screening for active TB, LTBI testing for a specific population group, and antibacterial therapy for 3-6 months for TB patients. Conclusion: The UK's control and prevention efforts in reducing tuberculosis prevalence among immigrants show optimism, but challenges persist. Key improvements include healthcare delivery, TB improvement programs, and policies addressing stigma and patient confidentiality.
