ArticleBMC public health2023
Electronic device and social network use and sleep outcomes among adolescents: the EHDLA study.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Digital Devices Use and Sleep in Adolescents: An Umbrella Review.International journal of environmental research and public health · 2025Pooled it
- Electronic Media Use and Sleep Quality: Updated Systematic Review and Meta-Analysis.Journal of medical Internet research · 2024Pooled it
- Article
- The Impact of Smartphone Use on Brain Function in Adolescence: A Scoping Review.Pediatric reports · 2026Review
- Association Between Underweight Status and Social Jet Lag Among Japanese University Students: A Cross-Sectional Study with Sex-Specific Analysis.Yonago acta medica · 2026Article
- Relationships of mobile phone duration and unlock counts with sleep: double machine learning and traditional statistical methods.Frontiers in public health · 2026Article
- Reciprocal relationship among perceived sleep quality, smartphone overdependence, and depression in Korean adolescents: a cross-lagged analysis using national big data.Scientific reports · 2025Article
- Associations Between Both Smartphone Addiction and Objectively Measured Smartphone Use and Sleep Quality and Duration Among University Students: Cross-Sectional Study.JMIR mental health · 2025Article
- Association of children's electronic media use with physical activity, cognitive function, and stress.Preventive medicine · 2025Observational
- From "online brains" to "online lives": understanding the individualized impacts of Internet use across psychological, cognitive and social dimensions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024Article
- The Impact of Social Media Use on Sleep and Mental Health in Youth: a Scoping Review.Current psychiatry reports · 2024Article
- The Adolescent Insomnia Questionnaire: the Turkish validity and reliability study.Revista da Associacao Medica Brasileira (1992) · 2024Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConsidering the evident risk in the literature between the use of screen devices and sleep, there are still few studies on the relationship between each electronic screen device, media programs and sleep duration and sleep-related problems among adolescents and which variables interfere in these relationships. Therefore, this study has the following objectives: (1) to determine which are the most common electronic display devices related to sleep time and outcomes and (2) to determine which are the most common social network applications, such as Instagram and WhatsApp, associated with sleep outcomes.
methodsThis was a cross-sectional study with 1101 Spanish adolescents between 12 and 17 years old. Age, sex, sleep, psychosocial health, adherence to the Mediterranean diet (MD), sport practice, and time spent on screen devices were assessed by an ad hoc questionnaire. Linear regression analyses were applied, adjusting for several covariables. Poisson regression was applied between the sexes. A p value < 0.05 was considered statistically significant.
resultsCell phone use was more associated with sleep time (13%). In boys, time spent on cell phones (prevalence ratio [PR] = 1.09; p < 0.001) and videogames (PR = 1.08; p = 0.005) had a higher prevalence ratio. When psychosocial health was included in the models, we found the greatest association (Model 2: PR = 1.15; p = 0.007). For girls, time spent on the cell phone was significantly associated with sleep-related problems (PR = 1.12; p < 0.001), and adherence to the MD became the second most important in the model (PR = 1.35; p < 0.001), followed by psychosocial health and cell phone use (PR = 1.24; p = 0.007). Time spent on WhatsApp was associated with sleep-related problems only among girls (PR = 1.31; p = 0.001) and was the most important variable in the model along with MD (PR = 1.26; p = 0.005) and psychosocial health (PR = 1.41; p < 0.001).
conclusionsOur results suggest a relationship between cell phones, video games, and social networks with sleep-related problems and time.
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