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Michael Rich, MD, MPH, keynote speaker at the

ScreenTeens: Risk and Opportunity for Adolescents in the Media Age. Michael Rich, MD, MPH, keynote speaker at the Media and Healthy Development in Adolescence Conference Hong Kong Baptist University, May 3-6, 2009. Why come to a clinician?. Why come to a clinician?. Clinicians

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Michael Rich, MD, MPH, keynote speaker at the

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  1. ScreenTeens:Risk and Opportunity for Adolescents in the Media Age Michael Rich, MD, MPH, keynote speaker at the Media and Healthy Development in Adolescence Conference Hong Kong Baptist University, May 3-6, 2009

  2. Why come to a clinician?

  3. Why come to a clinician? Clinicians Assess current health science Evaluate short- and long-term implications Balance risk and benefit “First, do no harm…” Translate science into practical action steps

  4. Morbidity and Mortality – Then & Now 1900: Infectious disease, cancer

  5. Why is a pediatrician talking about media? 1900: Infectious disease, birth defects, cancer crowded housing, poor sanitation, pollution

  6. Morbidity and Mortality – Then & Now 1900: Infectious disease, cancer Crowded housing, poor sanitation, pollution 2000: Unintended injury, homicide, suicide Obesity, substance use, sexual risk-taking Acquired health risk behaviors Ask youth where they learn them… Entertainment media #1 or #2

  7. Can media affect health? Exposure - Who and how much? Effects - What changes when exposed? Interventions - Can undesired changes be prevented or repaired?

  8. U.S. Media Exposure > 99% of homeshave televisions More homes have 5 or more TVs than have 1 51% have TV on “all/almost all of the time” 63% have TV on during meals

  9. Average Time Use, 8-18 year olds

  10. Average Time Use, 8-18 year olds Sleep Academic Social Media Active Working

  11. Why worry about screen time?

  12. Why worry about screen time?

  13. Because they are sedentary...? No significant differences in activity level… Eat fewer vegetables and fruits Consume more high calorie, low nutrition (acronym: JUNK) food Lose satiety cues, eat more Exposed to food advertising

  14. Why worry about screen time? “Displacement” of other activities

  15. Why worry about screen time? “Displacement” of other activities Homework

  16. Why worry about screen time? “Displacement” of other activities Homework Family

  17. Why worry about screen time? “Displacement” of other activities Homework Family Sleep

  18. Why worry about screen time? “Displacement” of other activities Homework Family Sleep Social interactions

  19. Why worry about screen time? “Displacement” of other activities Homework Family Sleep Social interactions – not necessarily…

  20. Why worry about screen time? “Displacement” of other activities Homework Family Sleep Social interactions – not necessarily… Duration of TV viewing showedno difference in # of friends or time with them

  21. Why worry about screen time? “Displacement” of other activities Homework Family Sleep Social interactions – not necessarily… Viewing of violent TV linkedto having fewer friends and spending less time with them

  22. Content Matters At 17 years, youth who watched educational TV at ages 3 and 5: Placed more value on achievement Read more books Had higher grades Were more creative Were less aggressive Those who watched entertainment TV when young had lower grades

  23. Digitalcamera PSP Computer Cell phone TV Telephone Satellite receiver

  24. Exposure to Violence National TV Violence Study, 1995-97: 61% of all programming portrayed violence Young people witness 200,000 acts of violence and 18,000 murders by age 18 Of the 33 most popular video games, 21% feature violence against women #1 CD in 2000 featured songs about rape and murder with graphic lyrics and SFX

  25. September 13, 2006 Hates “everybody” Movie: “NBK” Game: “Super Columbine Massacre” Goal: “To die in a hail of bullets”

  26. Research has shown that exposure to media violence contributes to Anxiety, fears, nightmares, even PTSD Desensitization Increased aggression

  27. Today, more children are on psychiatric medications than ever before… As we have done with asthma, can we reduce exposure to environmental triggers and decrease or eliminate medication?

  28. Smoking in Movies Natalie Portman, age 11

  29. 2.6 times more likely to start smoking in 2 years Smoking in Movies Natalie Portman, age 11

  30. 2.6 times more likely to start smoking in 2 years 2.2 times more likely to become habitual smokers Smoking in Movies Natalie Portman, age 11

  31. 390,000 new smokers every year Smoking in Movies Natalie Portman, age 11

  32. Media use associated with increased initiation of alcohol use in 9th graders Christina Ricci, age 16

  33. #1 cause of death in adolescents is alcohol-related motor vehicle collisions Christina Ricci, age 16

  34. Body Image The average adolescent confronts the average model…

  35. What is the likely outcome? …when they are most insecure about their bodies…

  36. Thinspiration

  37. Sex Children who watch sexual content in media become sexually active 2 years earlier than those who do not Youth who listen to sexually degrading lyrics in music twice as likely to initiate sexual activity and to advance more quickly

  38. Video Games 92% of children 2-17 play video games Game creates environment and conditions - player directs the narrative, rehearsing and being rewarded for “behavioral scripts” 9/10 best sellers reward player for violence 4th grade: 59% of girls, 73% of boys list violent games as their favorites > 50% prefer online “1st person shooters”

  39. Internet 2007 • 44 million users under 18 years old • 47% of 8-18 year olds went online each day, averaging 1:02, up to 10+ hours/day • 42% ended up on porn sites, 4% were asked for sexual pictures of themselves • Social networking sites exploded, growing 400% in 12 months

  40. Assault rifles

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