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Public health: Screen time is associated with small differences in youth education and health outcomes
The time that children and adolescents spend interacting with screens is associated with both benefits and risks to education and health, but these effects are small, according to a review of 102 meta-analyses published this week in Nature Human Behaviour.
Screen use has increased in recent decades. Previous research has explored associations of screen use with health, wellbeing, and education, and the results continue to be mixed. Additionally, different types of screen time — such as watching TV, browsing social media or playing video games — are associated with different outcomes.
Taren Sanders and colleagues harmonized effects from 102 meta-analyses encompassing 2,451 studies and 1,937,501 participants aged up to 18 years old. Of these they identified 43 effects from 32 meta-analyses (including 681 studies) that met their criteria for statistical certainty; they then conducted their own meta-analysis on these data. They report associations between different types of screen use and health and educational outcomes in children and adolescents. These outcomes include depression and body composition, general literacy and general learning.
The authors found evidence for both negative and positive associations with screen time. For example, they find that literacy is slightly reduced in children with greater screen use, but literacy was slightly increased when children watched TV together with their parents. For health outcomes, they found that digital advertising was associated with a small increase in unhealthy food intake, and social media use was associated with a slightly increased risk of depression.
The authors highlight that these findings are limited by the low number of meta-analyses that were of sufficient quality to be included in their analyses. They conclude that rather than focusing on the aggregated effects of screen use, further research needs to give greater consideration to the content, context, and environment of the use.