This study examined two ways of using the TikTok application (active vs. passive use), and their association with female users' self-esteem pertaining to appearance and weight. By adopting a cross-sectional online survey design, this study recruited 7,750 adult female TikTok users from China (Douyin), and acquired self-reported data on 2 ways of using TikTok, state-level social comparison, appearance-esteem, weight-esteem, body mass index, and age. The results indicated that passive and active TikTok uses were negatively and positively associated with participants' appearance- and weight-esteem, respectively. A mediation analysis revealed that the participants' state-level social comparison while using TikTok mediated the association between two ways of TikTok use, and their effects on appearance- and weight-esteem. These results help us understand the complicated impact of TikTok use on body image, and design campaigns for promoting body acceptance.
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