DISCUSSING HEALTH WITHOUT ADULTS – YOUTH VOICES IN PEER-LED DISCUSSIONS ON TEENAGERS’ SUBREDDITS

Abstract

Contemporary digital health research, policy and practice often engage young people in voicing their opinions with a participatory approach. Simultaneously, young people organise themselves on peer-led platforms like Reddit to talk about health without adults. Peer-led discussions on platforms like Reddit gives us access to a new perspective on how young people understand and experience health. This study investigates youth voices on health in teenagers’ subreddits on Reddit and responds to three research questions: how youth voices about health matters are represented in peer-led discussions; how the platform supports plural voices; and how the Bakhtinian dialogical account of voice can offer an alternative of non-unified, heterogeneous voices of young people to shortcomings of some participatory research, service, and policymaking. This study used unobtrusive digital ethnography and extant data collection methods to sample 50 posts related to physical, mental, and sexual health. Thematic analysis was conducted with grounded theory principles. Youth plural voices revealed different conceptualisations of health and diverse narratives about actors like parents, teachers, healthcare professionals and technologies involved in health experiences. Redditors engage in humorous and factual discussions equally and share both positive and negative health experiences. There is no unity in youth health meanings, but plurality and heterogeneity deserve more recognition and support. Analysing Reddit allows us to know what and how young people talk about health with their peers. Learning from the Reddit environment, adults may redefine their ideas of youth health to be more youth-centred and better align with young people’s needs.