TORONTO — Experts from around the world, including Canada, say the scale of digital technology use by children and youth is a public health issue that needs immediate action to prevent further harm.
A series of papers published by the Lancet on Sunday say the responsibility for keeping young people safe from problematic use of social media and other digital technology must shift from young people and their families to big tech companies and governments.
“It’s easy to think about how technology impacts our health as being about our individual choices. And one of the things that we really want to get across in this series is that that’s not the right way to think about it,” said co-author Jay Shaw, the Canada Research Chair in responsible health innovation at the University of Toronto, in an interview.
Efforts by parents, such as screen-time limits, as well as individual willpower by young people, aren’t enough to address the “digital determinants of health” that are now part of their everyday environment, the papers say.
“We need to think about the design choices and business models of big technology companies that have built these platforms that are designed for engagement and (to) keep us on (them),” Shaw said.
“That’s partly what drives the health-related consequences of the digitization of our lives.”
Digital technology itself isn’t good or bad, Shaw said, but the way social media companies make money is to keep people on their platforms for as long as possible and to collect data about their likes, what they share and what posts they come back to — information that can be used for advertising opportunities.
“A perfect example is the bottomless scroll or infinite scroll. If the page you’re looking at has no end, it makes it much more difficult to close off that sort of session or that activity,” he said.
Targeted algorithms through social media and AI chatbots are designed to promote and recommend tailored content, which keep young people interacting with the platform. For many, those properties make it addictive and lead to problematic use, Shaw said — including not being able to stop scrolling even if it doesn’t feel good anymore.
Depression, anxiety, sleep disruption and limited physical activity were documented harms to young people associated with problematic digital media use in an “umbrella review” of 2,790 studies, the Lancet papers say.
The review also found some health benefits, including a feeling of well-being, associated with “moderate” digital media use and active video gaming.
