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Lines are also becoming blurred between media use for communication versus for entertainment.

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Examples include applications (apps), multiplayer video games, You Tube videos, or video blogs (vlogs).

For children and young adults today, this evolving integration of passively viewed and interactive media is seamless and natural; the distinctions and boundaries between traditional/broadcast and interactive/social media have become blurred or imperceptible.

Over the past decade, the use of digital media, including interactive and social media, has grown, and research evidence suggests that these newer media offer both benefits and risks to the health of children and teenagers.

Evidence-based benefits identified from the use of digital and social media include early learning, exposure to new ideas and knowledge, increased opportunities for social contact and support, and new opportunities to access health promotion messages and information.

As communication moves from face-to-face and voice-only phone conversations to more screen-to-screen interactions via apps, such as Face Time or Skype, daily communication is becoming intertwined with screen time.

Texting, using a smartphone keyboard to send a written message or a visual symbol (emoji) to another smartphone, also has become a prominent means of communication for teenagers.Today’s children and adolescents are immersed in both traditional and new forms of digital media.Research on traditional media, such as television, has identified health concerns and negative outcomes that correlate with the duration and content of viewing.Common Sense Media’s Zero to Eight survey has found disparities in the use of educational media on mobile devices, with 54% of children from higher-income families often or sometimes using educational content on mobile devices but only 28% of children from lower-income families doing so.Studies show that social media use patterns and rates among older children and adolescents have continued to grow over the past decade, aided in part by the recent rise in mobile phone use among children and teenagers.Among the myriad accessible social networking sites, Facebook remains the most popular, with 71% of 13- to 17-year-olds surveyed by the Pew Research Center in 20 reporting using this site/app.

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