Adolescents spend 7 to 11 hours per day with different media, far from the maximum 1 to 2 hours typically recommended. Failing to identify associated risk behaviors will miss opportunities to improve health outcomes.

• One quarter of teenagers are “cell-mostly” Internet users, stating that they mostly go online from their cell phones
• One-quarter of adolescents experience electronic bullying
• One-third text while driving.
• Those bullied online are more likely to report pervasive fear (in multiple environments) than those traditionally bullied.
• Pornography is available by typing a few key words into a search engine.

Try to add “media” or “Internet” literacy in discussion with parents and patients. This can include topics such as co-viewing to foster communication and accurate interpretation of content, as well as setting limits (eg, parental controls, time using media, or access to media in one’s bedroom).