Aim: This study aimed todetect the prevalence and determining factors of social media use among Female Intermediate and Secondary Schools Students in Makkah Almukaramah, KSA during 2019. Method: This cross-sectional study was conducted among 440 female intermediate and secondary students in Makkah Al Mukaramah city. Data were collected using self-distributed questionnaire. The questionnaire contains four 4 parts (sociodemographic characteristic, social media use, BSMAS, and SMAS). The data were analyzed with Version 22.0 of the Statistical Package for the Social Science. Result: Out of 440 female schools students, 236 (54.1%) were from secondary schools and 204 (45.9%) were from intermediate schools, with mean age score 15.2±1.9, 394 (89.5%) use social media. More than half 254 (52.3%) use the internet daily, and 176 (46.2%) use the social media daily. Almost two thirds 267 (60.7%) reported positive thinking about using social media .The median scores were 14.0 for BSMAS and 72 for SMAS indicating low level of addiction, where only 95 (21.6%) reported as adductors. Those in the third class for both intermediate and secondary schools, those with high GPA (excellent and very good), and those with more than 7 friends had a significant highest score of addiction (P=0.029, P=0.025, AND P=0.010). Conclusion: The majority reported using social media, where less than fourth were adductors to social media. Almost the half reported using social media daily. Where, almost two thirds reported positive thinking about using social media. Female students with significant higher score of addiction were those in the third class, those with high GPA, and those with more than 7 friends. Recommendation: Advise parents to work on their participation gap in their homes, and recommend them to talk to their children and adolescents about their online use and the specific issues that today's online kids face.
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