Beyond Content Exposure: Systemic Factors Driving Moderators' Mental Health Crisis in Africa
Nuredin Ali Abdelkadir, Tianling Yang, Shivani Kapania, Kauna Ibrahim Malgwi, Fasica Berhane Gebrekidan, Adio-Adet Dinika, Elaine O. Nsoesie, Milagros Miceli, Stevie Chancellor

TL;DR
This study reveals systemic and structural factors significantly harm African content moderators' mental health, highlighting the need for holistic solutions beyond corporate wellness programs.
Contribution
It identifies systemic labor conditions and structural issues as key contributors to moderators' mental health crises in Africa, supported by survey and interview data.
Findings
African moderators experience high psychological distress and low well-being.
Long-term impact observed with former moderators showing higher distress.
Corporate wellness programs are ineffective and insufficient.
Abstract
Content moderators review disturbing content to protect social media users, often at significant cost to their mental health. Recent reports document the mental health conditions of African moderators as notably problematic. Beyond the content itself, what factors contribute to the deteriorating mental health of these workers? We surveyed 134 moderators across Africa to understand their mental health and interviewed 15 moderators to contextualize their experiences. We found that African moderators suffer from high psychological distress and lower well-being compared to moderators in other areas. Former moderators showed significantly higher distress levels, demonstrating long term impact that extends beyond their moderation work. Our interviews showed that systemic and structural labor conditions contribute to moderators' severe psychological distress and diminished mental well-being.…
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