Evidence map›Paper›PMID 41324306›Full record

ArticlePediatrics2026

Smartphone Ownership, Age of Smartphone Acquisition, and Health Outcomes in Early Adolescence.

Ran Barzilay, Samuel D Pimentel, Kate T Tran, Elina Visoki, David Pagliaccio, Randy P Auerbach

Abstract read
In one paragraph

Article in Pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

6 authors.

Ran BarzilayDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Samuel D PimentelDepartment of Statistics, University of California Berkeley, Berkeley, California.
Kate T TranDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Elina VisokiDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
David PagliaccioDepartment of Psychiatry, Columbia University, Vagelos College of Physicians and Surgeons, New York, New York.
Randy P AuerbachDepartment of Psychiatry, Columbia University, Vagelos College of Physicians and Surgeons, New York, New York.

Funding

The Role of the Exposome and Allostatic Load in Risk and Resilience to Youth Suicide AttemptsR01MH134886 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI Ran Barzilay · 2024 to 2026
$2.2M
NIMH NIH HHS R01 MH134886
6 · The paper itself

Abstract

objectivesGiven concerns regarding health implications of adolescent smartphone use, we tested associations of smartphone ownership and age of smartphone acquisition with depression, obesity, and insufficient sleep in early adolescence. We hypothesized that smartphone ownership, especially at a younger age, would be associated with worse health outcomes.

methodsThe sample included 10 588 participants from the Adolescent Brain Cognitive Development Study. Mixed-effects logistic regression models tested associations of smartphone ownership and age of first smartphone acquisition, reported by caregivers, with depression, obesity, and insufficient sleep at age 12 years. Among participants who did not own smartphones at age 12 years, we tested associations of recent acquisition of smartphones with outcomes in the subsequent year. Models were adjusted for demographic and socioeconomic variables, ownership of other devices, pubertal development, and parental monitoring.

resultsAt age 12 years, compared with not owning a smartphone (n = 3849), smartphone ownership (n = 6739) was associated with higher risk for depression (odds ratio [OR] 1.31, 95% CI: 1.05-1.63), obesity (OR 1.40, 95% CI: 1.20-1.63), and insufficient sleep (OR 1.62, 95% CI: 1.46-1.79). Younger age of smartphone acquisition was associated with obesity and insufficient sleep (for each earlier year of acquisition, OR 1.09, 95% CI: 1.02-1.16, and OR 1.08, 95% CI: 1.02-1.12, respectively). At age 13 years, among 3486 youth who did not own a smartphone at age 12 years, those who had acquired a smartphone in the past year (n = 1546) had greater odds of reporting clinical-level psychopathology (OR 1.57, 95% CI: 1.12-2.20) and insufficient sleep (OR 1.50, 95% CI: 1.26-1.77) compared with those who had not (n = 1940) after controlling for baseline mental health and sleep. Results were consistent across several sensitivity analyses.

conclusionsSmartphone ownership was associated with depression, obesity, and insufficient sleep in early adolescence. Findings provide critical and timely insights that should inform caregivers regarding adolescent smartphone use and, ideally, the development of public policy that protects youth.

Indexed as

DepressionOwnershipPediatric ObesitySmartphoneAdolescentAge FactorsChildFemaleHumansMale

Identifiers

PMID41324306
PMCPMC13289678

What Socratic holds

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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 Socratic graph.