Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth

Abstract Background Limited research has examined associations between a range of digital media use (DMU) behaviours and screen time measures with positive mental health (PMH) outcomes among Canadian adolescents. This study examined these associations among a large sample of Canadian youth. Methods...

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Main Authors: Zahra M. Clayborne, Colin A. Capaldi, Vrati M. Mehra
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-22874-2
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author Zahra M. Clayborne
Colin A. Capaldi
Vrati M. Mehra
author_facet Zahra M. Clayborne
Colin A. Capaldi
Vrati M. Mehra
author_sort Zahra M. Clayborne
collection DOAJ
description Abstract Background Limited research has examined associations between a range of digital media use (DMU) behaviours and screen time measures with positive mental health (PMH) outcomes among Canadian adolescents. This study examined these associations among a large sample of Canadian youth. Methods We used self-reported data from youth aged 12–17 years in the 2019 Canadian Health Survey on Children and Youth (N = 10,695). DMU behaviours included frequency of using social media, video/instant messaging and online gaming. Screen time included estimated hours spent watching content, playing video games and overall sedentary electronic device usage in the past week. PMH outcomes included self-rated mental health (SRMH), life satisfaction, happiness, autonomy, competence and relatedness. We conducted gender-stratified adjusted logistic regression analyses. Results Girls reporting using social media constantly (vs. never or less than weekly) were less likely to report high SRMH, life satisfaction, happiness, autonomy and competence, while their video/instant messaging frequency was unrelated to PMH outcomes. Social media use and video/instant messaging frequency tended to be unrelated to PMH outcomes among boys (or positively associated at moderate levels in a few exceptions). Boys and girls reporting online gaming constantly (vs. never or less than weekly) were less likely to report high happiness, autonomy, competence and relatedness. Boys watching content for 14+ (vs. < 3) hours in the past week had lower odds of high SRMH, life satisfaction and happiness, while girls watching 7+ (vs. < 3) hours had lower odds of all PMH outcomes. Boys and girls reporting 21+ (vs. < 3) hours of overall sedentary electronic device use in the past week had lower odds of all PMH outcomes. Conclusions This study provides support for a link between some DMU behaviours and screen time measures with lower PMH among Canadian youth. Findings can assist in the promotion of public health strategies targeted towards promoting reduced and/or non-problematic DMU and screen time, and improved well-being, as well as the continued surveillance of DMU, screen time and PMH outcomes among Canadian youth.
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spelling doaj-art-c1ae29abadf64f0d832d7fbba58949392025-08-20T04:01:42ZengBMCBMC Public Health1471-24582025-07-0125111510.1186/s12889-025-22874-2Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and YouthZahra M. Clayborne0Colin A. Capaldi1Vrati M. Mehra2Centre for Surveillance and Applied Research, Public Health Agency of CanadaCentre for Surveillance and Applied Research, Public Health Agency of CanadaCentre for Surveillance and Applied Research, Public Health Agency of CanadaAbstract Background Limited research has examined associations between a range of digital media use (DMU) behaviours and screen time measures with positive mental health (PMH) outcomes among Canadian adolescents. This study examined these associations among a large sample of Canadian youth. Methods We used self-reported data from youth aged 12–17 years in the 2019 Canadian Health Survey on Children and Youth (N = 10,695). DMU behaviours included frequency of using social media, video/instant messaging and online gaming. Screen time included estimated hours spent watching content, playing video games and overall sedentary electronic device usage in the past week. PMH outcomes included self-rated mental health (SRMH), life satisfaction, happiness, autonomy, competence and relatedness. We conducted gender-stratified adjusted logistic regression analyses. Results Girls reporting using social media constantly (vs. never or less than weekly) were less likely to report high SRMH, life satisfaction, happiness, autonomy and competence, while their video/instant messaging frequency was unrelated to PMH outcomes. Social media use and video/instant messaging frequency tended to be unrelated to PMH outcomes among boys (or positively associated at moderate levels in a few exceptions). Boys and girls reporting online gaming constantly (vs. never or less than weekly) were less likely to report high happiness, autonomy, competence and relatedness. Boys watching content for 14+ (vs. < 3) hours in the past week had lower odds of high SRMH, life satisfaction and happiness, while girls watching 7+ (vs. < 3) hours had lower odds of all PMH outcomes. Boys and girls reporting 21+ (vs. < 3) hours of overall sedentary electronic device use in the past week had lower odds of all PMH outcomes. Conclusions This study provides support for a link between some DMU behaviours and screen time measures with lower PMH among Canadian youth. Findings can assist in the promotion of public health strategies targeted towards promoting reduced and/or non-problematic DMU and screen time, and improved well-being, as well as the continued surveillance of DMU, screen time and PMH outcomes among Canadian youth.https://doi.org/10.1186/s12889-025-22874-2Positive mental healthDigital media useSocial mediaVideo gamesScreen timeSedentary behaviour
spellingShingle Zahra M. Clayborne
Colin A. Capaldi
Vrati M. Mehra
Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth
BMC Public Health
Positive mental health
Digital media use
Social media
Video games
Screen time
Sedentary behaviour
title Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth
title_full Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth
title_fullStr Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth
title_full_unstemmed Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth
title_short Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth
title_sort associations between digital media use behaviours screen time and positive mental health in youth results from the 2019 canadian health survey on children and youth
topic Positive mental health
Digital media use
Social media
Video games
Screen time
Sedentary behaviour
url https://doi.org/10.1186/s12889-025-22874-2
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