Evidence map›Paper›PMID 42092904›Full record

ArticleBMC medical ethics2026

Digital paternalism and adolescent autonomy: ethical reflections on Australia's under-16 social media ban.

Vedat Menderes Özçiftci, Müge Demir

Abstract read
In one paragraph

Article in BMC medical ethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Vedat Menderes ÖzçiftciDepartment of History of Medicine and Medical Ethics, Hacettepe University, Ankara, Turkey. vedatmenderes@hacettepe.edu.tr.ORCID http://orcid.org/0000-0002-1977-9128
Müge DemirDepartment of History of Medicine and Medical Ethics, Hacettepe University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-3940-6847

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While social media has become an important medium for adolescents in terms of identity development, belonging, news consumption and public participation, the recommendation algorithms and attention-economy-based design features of platforms can shape adolescents' preferences and weaken their autonomous decision-making processes. This study provides a principle-based bioethical analysis of Australia's regulation (Online Safety Amendment [Social Media Minimum Age] Act 2024; effective: 10 December 2025), which aims to prevent users under the age of 16 from creating accounts on certain social media platforms and maintaining existing accounts, within the framework of digital paternalism and adolescent autonomy. Beauchamp and Childress' principle-based bioethical approach was adopted as the methodology; the regulation was discussed in terms of the principles of respect for autonomy, non-maleficence, beneficence, and justice. The analysis suggests that while the ban can be ethically justified as a protective public health intervention in the context of mental health risks and potential harms of usage, there are debates that the age-based categorical limit does not sufficiently consider the principle of evolving capacities and adolescents' rights to expression/participation. Furthermore, the absolute age ban may generate secondary and unintended harms, such as weakening social support and help-seeking channels, increasing digital inequalities, and directing users towards less secure online environments. The evaluation conducted in this article concludes that, instead of absolute age-based bans, it is recommended to adopt gradual autonomy models, guide companies towards protective and safe design approaches for children, impose a duty of care specific to children on platforms, ensure algorithmic transparency, and adopt a rights-based approach to child protection.

Indexed as

PaternalismPersonal AutonomySocial MediaAdolescentAustraliaBeneficenceDecision MakingDigital MediaHumansMedia ExposurePrinciple-Based EthicsAdolescent autonomyBioethicsDigital paternalismPolicySocial media ban

Identifiers

PMID42092904
PMCPMC13360032

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.