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This systematic review aimed to synthesise evidence on the association between alcohol\u2010related UGC and young people's alcohol\u2010related attitudes and behaviours, and to describe patterns of exposure and engagement within subgroups of adolescents and young adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search was conducted in September 2023 and again in February 2026 across MEDLINE, PsycINFO, SocINDEX, EMBASE and CINAHL. Eligible peer\u2010reviewed quantitative (cross\u2010sectional and longitudinal), qualitative and mixed\u2010methods studies described alcohol\u2010related UGC (including influencer content); explored social media use; examined associations with alcohol\u2010related attitudes, behaviours or harms; and focused on adolescents or young adults. A narrative synthesis was undertaken. This review was conducted in accordance with PRISMA guidelines, and quality assessment was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010six studies met the inclusion criteria (24 cross\u2010sectional, 14 longitudinal, seven qualitative, one mixed methods), with quantitative studies including 44\u2009219 participants. Overall study quality was moderate, with limitations in sampling and non\u2010response reporting. Among the quantitative studies examining alcohol\u2010related UGC and behavioural outcomes (including alcohol use and intentions), most (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928\/29) reported positive associations. These were observed across passive exposure, active engagement and combined measures, as well as across self, peer and influencer generated content. Subgroup findings (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922) indicated that associations varied across populations and contexts: adolescents, particularly those under 16, appeared more responsive to peer\u2010generated content via social norms and online identity, while young adults in university settings were influenced by social and institutional contexts, including influencer content. Additional variation was observed among heavy social media users, non\u2010drinkers and sex subgroups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Exposure to alcohol\u2010related user\u2010generated content on social media (including peer and influencer generated content) and engagement with self\u2010generated content appear to be associated with alcohol use among young people, with largely consistent findings observed across studies. Subgroup findings suggest these associations may vary across contexts and populations, particularly among younger adolescents, young adult university students, heavy social media users, non\u2010drinkers and sex subgroups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70574","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:41:44Z","timestamp":1787730104000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring the influence of user\u2010generated content on alcohol\u2010related attitudes and behaviours among young people: A systematic review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6561-3703","authenticated-orcid":false,"given":"Alessandro","family":"Crocetti","sequence":"first","affiliation":[{"name":"Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nichole","family":"Lister","sequence":"additional","affiliation":[{"name":"Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Browne","sequence":"additional","affiliation":[{"name":"Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florentine","family":"Martino","sequence":"additional","affiliation":[{"name":"Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Backholer","sequence":"additional","affiliation":[{"name":"Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7805-0652","authenticated-orcid":false,"given":"Benjamin","family":"Riordan","sequence":"additional","affiliation":[{"name":"Centre for Alcohol Policy Research La Trobe University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Miller","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4615-5078","authenticated-orcid":false,"given":"Matthew","family":"Dunn","sequence":"additional","affiliation":[{"name":"Institute for Health Transformation, School of Health and Social Development, Faculty of Health Deakin University  Burwood Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30752-2"},{"key":"e_1_2_10_3_1","volume-title":"Global status report on alcohol and health 2018","author":"World Health Organization","year":"2018"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16036"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/pha0000561"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1300\/J029v16n02_05"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2015.06.010"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13642"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agw050"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.35946\/arcr.v36.1.09"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2015.12.005"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2021.1878311"},{"key":"e_1_2_10_13_1","unstructured":"Statista.Number of internet and social media users worldwide as of October 2024: Statista2024[cited 2024 8\/11]. 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