Constancy (the New Media “C”) and Future Generations
Open accessAbstract
In the past, researchers would consider media’s impact on youth in terms of three “Cs”: consumption, content, and context. This article introduces a new construct—constancy—which supplants the previous terms. Constancy refers to the ubiquitous and continuous state of connected screens in the lives of children and adolescents. Constancy characterizes media content and use, which can be proactive, incidental, or contextual, exerting positive or negative effects on different users. Constancy can influence child development, as persistent access to smartphones and reception of messages will affect future generations’ cognition and education, social interactions, emotions, and health. It will be important to address the developmental needs of the child or adolescent and not the smartphone in his or her pocket. Constancy requires pragmatic and innovative methodologies to understand the new circumstances around children, adolescents, and media. The landscape has changed and so must our approach to research and investigation of media effects.
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Social media use is correlated with conduct and emotional problems, attention deficit, peer problems, school impairments, and psychological distress.
“Social media use is also correlated with conduct and emotional problems, attention deficit, peer problems, school impairments, and psychological distress [23,45,61,62].”
From The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. (2022) · cites this paper as [45]
The Emotional Development section says media use is associated with problematic emotional symptoms and describes an association between greater social media use and social isolation. It does not establish the claimed correlations with attention deficit, peer problems, or school impairments; its conduct-disorder statistic describes prevalence, not an association with social media. No page numbers are available in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredExcessive use of smartphones and other digital devices can cause physical problems, such as a more sedentary lifestyle, which is positively associated with childhood obesity.
“Excessive use of smartphones and other digital devices can also cause physical problems, such as a more sedentary lifestyle [45], which is positively associated with childhood obesity.”
From The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. (2022) · cites this paper as [45]
The Health section says much media use is sedentary and reports associations between screen time and lower physical activity. It explicitly questions whether the relationship is causal, so it does not establish the citing sentence’s claim that device use causes a more sedentary lifestyle. The Abstract also links reduced screen time with less sedentary behavior and less weight gain in children. (LLM, conf=0.87)
Experimental — accuracy not yet measuredEvidence supports a correlation between social media and physical activity.
“Evidence supports a correlation between social media and physical activity [45,49,57,73,79].”
From The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. (2022) · cites this paper as [45]
The Health section reports inverse relationships between screen time or sedentary media use and physical activity among young people. It does not establish a correlation specifically between social media use and physical activity; the claim narrows broader screen-media evidence to social media. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSome social media contents promote pro-anorexia messages.
“Some social media contents promote pro-anorexia messages [44,45,46].”
From The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. (2022) · cites this paper as [45]
The Health section discusses unhealthy media messages and risky behaviors, while the passage on social-media content describes promotion of fast foods and sugar-sweetened beverages. Neither passage addresses pro-anorexia messages, and searches for “pro-anorexia messages” and “eating disorders anorexia social media body image” found no passage that does. (LLM, conf=0.76)
Experimental — accuracy not yet measuredOn social media platforms such as Facebook, Snapchat, and Instagram, body image has become an important topic.
“On social media platforms such as Facebook, Snapchat, and Instagram, body image has become an important topic [17,25,45,46,50,73].”
From The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. (2022) · cites this paper as [45]
The only body-image match in our copy is a References entry for a study of Facebook photo activity and body-image disturbance. Searches for body image and related terms found no passage in the paper's discussion saying that body image has become an important topic on Facebook, Snapchat, or Instagram; the reference title alone does not establish that claim. (LLM, conf=0.73)
Experimental — accuracy not yet measured
Unfavorable social comparisons of physical appearance may exacerbate body image apprehension.
“As a result, these unfavorable social comparisons of physical appearance may exacerbate body image apprehension [17,45].”
From The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. (2022) · cites this paper as [45]
The Social Development passage discusses unrealistic views of others’ lives, and the References list includes a study titled “Facebook photo activity associated with body image disturbance in adolescent girls.” Neither passage says that unfavorable comparisons of physical appearance may worsen body-image apprehension. Searches for social comparison, appearance comparisons, and body image found no passage establishing that link in our copy. (LLM, conf=0.72)
Experimental — accuracy not yet measuredSpending time on social media puts adolescents under a higher risk of comparing themselves to models that are more attractive.
“Spending time on social media puts adolescents under a higher risk of comparing themselves to models that are more attractive.”
From The Use of Social Media in Children and Adolescents: Scoping Review on the Potential Risks. (2022) · cites this paper as [45]
The Social Development section reports that some adolescents felt social media led to unrealistic views of others’ lives, but it does not address comparisons with more attractive models. A reference to body-image disturbance in adolescent girls likewise does not establish the claimed risk. Searches for appearance comparison, attractive models, and body image found no passage in our copy stating the claim. (LLM, conf=0.73)
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Cunha, C. H. D. O., Greco, A. L. R., Rezende, L. A., Bizinotto, T., Kakeshita, I. S., Almeida, S. S., & Formiga, C. K. M. R. (2026) · Children s Health Care · doi:10.1080/02739615.2026.2647793
Beyond Screen Time: A Scoping Review of Screen Exposure and Early Childhood Development
Alghadier, M., Elnaggar, R. K., Ghandurah, A., & Alhisony, N. (2026) · Healthcare · doi:10.3390/healthcare14193206
- Authors
- Borzekowski, D. L. G.
- Affiliations
- University of Maryland, College Park (US)
- Corresponding author
- Borzekowski, Dina L. G.
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2019-11-19
- Volume
- 46
- Issue
- 2_suppl
- Pages
- 20-29
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- OpenAlex
- W2990103733
- Cited by
- 13
- References
- 82
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 1
- FWCI
- 5.40
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Health Education & Behavior (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Education › Child Development and Digital Technology
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Physical Sciences › Computer Science › Computer Science Applications › Digital Media and Philosophy
- Keywords
- screen time, smartphones, children and adolescents, media influence, child development, media use, media content, social interaction, cognitive development, adolescent health, future generations
- MeSH terms
- Screen Time, Adolescent, Child, Humans, Interpersonal Relations, Social Change, Health Behavior, Social Media
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