![Jodi Gilman, PhD, on cumulative prenatal adversity linked to adolescent mental health risk Document Jodi Gilman, PhD, on cumulative prenatal adversity linked to adolescent mental health risk Live? Do you want this document to be visible online? Scheduled Publishing Exclude From Home Page Do you want this document to be excluded from home page? Exclude From Infinite Scroll Do you want this document to be excluded from infinite scroll? Disable Related Content Remove related content from bottom of article. Password Protection? Do you want this gate this document? (If so, switch this on, set 'Live?' status on and specify password below.) Hide Comments [Experiment] Comments are visible by default. To hide them for this article toggle this switch to the on position. Show Social Share Buttons? Do you want this document to have the social share icons? Healthcare Professional Check Is Gated [DEV Only]Do you want to require login to view this? Password Password required to pass the gating above. Title Jodi Gilman, PhD, on cumulative prenatal adversity linked to adolescent mental health risk URL Unique identifier for this document. (Do not change after publishing) jodi-gilman-phd-on-cumulative-prenatal-adversity-linked-to-adolescent-mental-health-risk Canonical URL Canonical URL for this document. Publish Date Documents are usually sorted DESC using this field. NOTE: latency may cause article to publish a few minutes ahead of prepared time 2026-01-19 11:52 Updated On Add an updated date if the article has been updated after the initial publish date. e.g. 2026-01-19 11:50 Article Type News Display Label Author Jodi Gilman, Phd > Gilman, Jodi Author Fact Check Assign authors who fact checked the article. Morgan Ebert, Managing Editor > Ebert, Morgan Content Category Articles Content Placement News > Mental, Behavioral and Development Health > Clinical AD Targeting Group Put the value only when the document group is sold and require targeting enforcement. Type to search Document Group Mapping Now you can assign multiple document group to an article. No items Content Group Assign a content group to this document for ad targeting. Type to search Issue Association Please choose an issue to associate this document Type to search Issue Section Please choose a section/department head if it exists Type to search Filter Please choose a filter if required Type to search Page Number Keywords (SEO) Enter tag and press ENTER… Display summary on top of article? Do you want display summary on top of article? Summary Description for Google and other search engines; AI generated summary currently not supporting videos. Cumulative prenatal adversities were linked to higher adolescent mental health risk, highlighting the importance of prenatal history and early clinical monitoring. Abstract Body *********************************************************************************************************** Please include at least one image/figure in the article body for SEO and compliance purposes ***********************************************************************************************************](https://cdn.sanity.io/images/0vv8moc6/contpeds/e6097cb5e6d6c028c0d4e9efd069e69fdab6d00b-1200x628.png?w=350&fit=crop&auto=format)
Jason Nagata, MD, MSc, highlights frequent teen smartphone use during school hours
Data show that adolescents average more than 1 hour of smartphone use during school hours, raising concerns about attention, learning, and policy enforcement in schools.
Jason Nagata, MD, MSc, associate professor at the University of California, San Francisco, discusses why it is increasingly important to evaluate adolescent smartphone use using objective data, particularly as school phone policies rapidly evolve across the United States.
By 2026, most public school districts are expected to have formal phone policies in place. However, much of the existing evidence guiding these policies has relied on adolescents’ self-reported phone use, which can be inaccurate. Nagata explains that his study adds value by providing objective data on how smartphones are actually used during the school day, offering a clearer picture of real-world behavior rather than perceptions or anecdotes.
According to the study’s findings, adolescents spend, on average, more than 1 hour per day on their smartphones during school hours. The most commonly used apps include social media platforms, YouTube, and video games—forms of content that are generally unrelated to academic tasks.
Nagata emphasizes that this type of screen use likely detracts from attention to classroom learning and educational activities. He notes that highly engaging, short-form, visually stimulating content driven by artificial intelligence algorithms may condition adolescents toward shorter attention spans, making it more difficult to sustain focus on deep, meaningful learning.
Beyond academics, Nagata highlights broader developmental concerns. Smartphone use during recess or lunch can replace face-to-face interactions with peers, limiting opportunities to develop critical social skills. Additionally, time spent on phones often displaces physical activity, which is essential for both physical health and mental well-being. Collectively, these factors suggest that smartphone use during school hours may interfere with multiple domains of adolescent development, including cognitive, social, and emotional growth.
Nagata explains that while many schools have implemented phone restrictions, the study reveals uneven enforcement. Even in districts with established policies, many students are still able to access their phones for extended periods during the school day. This underscores the need for educators, administrators, and parents to recognize gaps between policy intent and real-world implementation when shaping future guidelines.
To support healthy development, Nagata points to recommendations from the American Academy of Pediatrics, including the use of a family media plan. Such plans encourage ongoing family discussions about age-appropriate rules, device access, and setting limits during key times such as school hours, meals, and bedtime.
He also stresses the role of schools in promoting digital literacy and balanced technology use. Ultimately, the study’s key contribution is providing objective evidence that smartphones remain a significant presence in adolescents’ daily lives—even during school—helping shift the policy conversation from self-reports to measurable behavior.
No relevant disclosures.
Reference
Nagata JM, Kim KE, Huang OH, et al. Smartphone use during school hours by US youth in the adolescent brain cognitive development study. JAMA. 2026. doi:10.1001/jama.2025.23235
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