halk sag hem der Halk Sağlığı Hemşireliği Dergisi 2667-8047 Halk Sağlığı Hemşireliği Derneği 10.54061/jphn.1714799 Community Child Health Public Health Nursing Toplum Çocuk Sağlığı Halk Sağlığı Hemşireliği The Shadow of the Digital World in Early Adolescence: Effects on Eye Health and Sleep Erken Ergenlikte Dijital Dünyanın Gölgesi: Göz Sağlığı ve Uyku Üzerindeki Etkileri https://orcid.org/0000-0003-0668-3423 Ateş Esin ege üniversitesi https://orcid.org/0000-0002-3276-3323 Konal Ebru EGE ÜNİVERSİTESİ 04 27 2026 8 1 1 7 06 04 2025 04 03 2026 Copyright © 2019, Halk Sağlığı Hemşireliği Dergisi 2019 Halk Sağlığı Hemşireliği Dergisi

Objective: This research aims to examine the effects of digital device use on eye health and sleep problems in children in early adolescence. Methods: The cross-sectional study was conducted with 579 students studying in two secondary schools in Izmir. Data were collected using the “Student Health Form” developed by the researchers through face-to-face interviews. Descriptive data were shown as numbers, percentages, mean and standard deviation. The difference between categorical variables was evaluated with the Chi-Square test, and the significance level was accepted as p

Amaç: Bu araştırma, erken ergenlik dönemindeki çocuklarda ergenlerin dijital cihaz kullanımının, göz sağlığı ve uyku sorunlarına etkisini incelemeyi amaçlamaktadır.Yöntem: Tanımlayıcı tipte yürütülen araştırma, İzmir’deki iki ortaokulda öğrenim gören 579 öğrenciyle gerçekleştirilmiştir. Veriler, araştırmacılar tarafından geliştirilen “Öğrenci Sağlık Formu” kullanılarak yüz yüze görüşme yöntemiyle toplanmıştır. Tanımlayıcı veriler sayı, yüzde, ortalama ve standart sapma ile gösterilmiştir. Kategorik değişkenler arasındaki farklılık Chi-Square testi ile değerlendirilmiş olup, anlamlılık düzeyi p

 Dijital cihazlar Ergenlik Göz Sağlığı Uyku Kalitesi Digital devices Adolescence Eye Health Sleep Quality. Yok ( x ) Bu araştırma, kamu, ticari veya kar amacı gütmeyen sektörlerdeki herhangi bir fon kuruluşundan bir hibe almamıştır. Barry, C. T., Sidoti, C. L., Briggs, S. M., Reiter, S. R., & Lindsey, R. A. (2017). Adolescent social media use and mental health from adolescent and parent perspectives. Journal of Adolescence, 61, 1–11. https://doi.org/10.1016/j.adolescence.2017.08.005 Bruni, O., Sette, S., Fontanesi, L., Baiocco, R., Laghi, F., & Baumgartner, E. (2015). Technology use and sleep quality in preadolescence and adolescence. Journal of Clinical Sleep Medicine, 11(12), 1433–1441.http://dx.doi.org/10.5664/jcsm.5282 Carter, B., Rees, P., Hale, L., Bhattacharjee, D., & Paradkar, M. S. (2016). Association between portable screen-based media device access or use and sleep outcomes: A systematic review and meta-analysis. JAMA Pediatrics, 170(12), 1202–1208. https://doi.org/10.1001/jamapediatrics.2016.2341 Chang, A. M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A. (2015). Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proceedings of the National Academy of Sciences, 112(4), 1232–1237. https://doi.org/10.1073/pnas.1418490112 Conklin, A. I., Yao, C. A., & Richardson, C. G. (2019). Chronic insufficient sleep and depressive symptoms: A prospective study of adolescents. Sleep Health, 5(6), 596–602. https://doi.org/10.1016/j.sleh.2019.08.007 Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews, 14(3), 179–189. https://doi.org/10.1016/j.smrv.2009.10.004 Do, K.Y.; Lee, K.S. Relationship between Problematic Internet Use, Sleep Problems, and Oral Health in Korean Adolescents: A National Survey. Int. J. Environ. Res. Public Health 2018, 15, 1870 Galván, A. (2020). The teenage brain: Sensitivity to rewards. Current Directions in Psychological Science, 29(1), 19–24. https://doi.org/10.1177/0963721419888770 Gradisar, M., Wolfson, A. R., Harvey, A. G., Hale, L., Rosenberg, R., & Czeisler, C. A. (2020). The impact of technology use on sleep quality and sleep disorders in adolescents. Sleep Health, 6(2), 145–155. https://doi.org/10.1016/j.sleh.2019.12.003 Hale, L., & Guan, S. (2015). Screen time and sleep among school-aged children and adolescents: A systematic literature review. Sleep Medicine Reviews, 21, 50–58. https://doi.org/10.1016/j.smrv.2014.07.007 Haylı, Ç. M. ve Demir Kösem, D. (2023). Ergenlerde Uyku ve Uyku Alışkanlıklarının Değerlendirilmesi. Türk Uyku Tıbbı Dergisi, 10(1), 9-16. https://doi.org/10.4274/jtsm.galenos.2022.70783 Hysing, M., Pallesen, S., Stormark, K. M., Jakobsen, R., Lundervold, A. J., & Sivertsen, B. (2015). Sleep and use of electronic devices in adolescence: Results from a large population-based study. BMJ Open, 5(1), e006748. https://doi.org/10.1136/bmjopen-2014-006748 Lee, J., Park, S. H., & Han, H. S. (2019). Effect of smartphone use on eye health among school-aged children: A cross-sectional study. BMC Ophthalmology, 19(1), 1-8. https://doi.org/10.1186/s12886-019-1177-2 Lewien, C., Genuneit, J., Meigen, C., Kiess, W., & Poulain, T. (2021). Sleep-related difficulties in healthy children and adolescents. BMC pediatrics, 21(1), 82. Liu, X., Zhu, M., Zhang, R., Zhang, J., Zhang, C., Liu, P., ... & Chen, W. (2021). Screen time and health issues in children and adolescents: A systematic review and meta-analysis. BMJ Open, 11(9), e049172. https://doi.org/10.1136/bmjopen-2021-049172 Minges, K. E., & Redeker, N. S. (2016). Delayed school start times and adolescent sleep: A systematic review. Sleep Health, 2(4), 282–289. https://doi.org/10.1016/j.sleh.2016.06.002 Mohamed, S. F., Thomas, E., & Nayak, A. (2019). Effect of mobile phone usage on ocular health among students. International Journal of Community Medicine and Public Health, 6(11), 4704–4708. https://doi.org/10.18203/2394-6040.ijcmph20194577 Mohan A, Sen P, Shah C, Jain E, Jain S. Prevalence and risk factor assessment of digital eye strain among children using online e-learning during the COVID-19 pandemic: Digital eye strain among kids (DESK study-1). Indian J Ophthalmol. 2021;69(1):140–4. doi: 10.4103/ijo.IJO_2535_20 ; PubMed Central PMCID: PMC7926141 Nagata, J. M., Cortez, C. A., Cattle, C. J., Ganson, K. T., Iyer, P., Bibbins-Domingo, K., & Baker, F. C. (2022). Screen time use and sleep quality among adolescents during the COVID-19 pandemic. JAMA Pediatrics, 176(6), 630–637. https://doi.org/10.1001/jamapediatrics.2022.0021 Orzech, K. M., Grandner, M. A., Roane, B. M., & Carskadon, M. A. (2016). Digital media use in the 2 hours before bedtime is associated with sleep variables in university students. Computers in Human Behavior, 55, 43–50. https://doi.org/10.1016/j.chb.2015.08.049 Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., ... & Wise, M. S. (2016). Consensus statement of the American Academy of Sleep Medicine on the recommended amount of sleep for healthy children: Methodology and discussion. Journal of Clinical Sleep Medicine, 12(11), 1549–1561. https://doi.org/10.5664/jcsm.6288 Paulus, F. W., Joas, J., Gerstner, I., Kühn, A., Wenning, M., Gehrke, T., ... & Möhler, E. (2022). Problematic internet use among adolescents 18 months after the onset of the COVID-19 pandemic. Children, 9(11), 1724. Richardson, C., Magson, N., Fardouly, J., Oar, E., Johnco, C., & Rapee, R. (2021). A longitudinal investigation of sleep and technology use in early adolescence: Does parental control of technology use protect adolescent sleep? Sleep Medicine, 84, 368-379. https://doi.org/10.1016/j.sleep.2021.06.003 Schmidt, S. C., Anedda, B., Burchartz, A., Eichsteller, A., Kolb, S., Nigg, C., Niessner, C., Oriwol, D., Worth, A., & Woll, A. (2020). Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: A natural experiment. Scientific Reports, 10(1), 1-12. https://doi.org/10.1038/s41598-020-78438-4 Scott, H., Biello, S. M., & Woods, H. C. (2020). Social media use and adolescent sleep patterns: Cross-sectional findings from the UK Millennium Cohort Study. BMJ Open, 9(9), e031161. https://doi.org/10.1136/bmjopen-2019-031161 Simsek, E., & Tekgül, O. (2019). Ergenlerde sosyal medya kullanımının uyku kalitesine etkisi. Kocaeli Medical Journal, 8(3), 277–282. https://doi.org/10.5505/ktd.2019.28039 Şambel Aykutlu, M., Aykutlu, H. C., Özveren, M., & Garip, R. (2024). Digital media use and its effects on digital eye strain and sleep quality in adolescents: A new emerging epidemic?. PloS one, 19(12), e0314390. https://doi.org/10.1371/journal.pone.0314390 Tremblay, M. S., LeBlanc, A. G., Janssen, I., Kho, M. E., Hicks, A., Murumets, K., ... & Duggan, M. (2016). Canadian sedentary behaviour guidelines for children and youth. Applied Physiology, Nutrition, and Metabolism, 36(1), 59–64. https://doi.org/10.1139/H11-061 Tuncay, B., & Göger, B. (2022). Ergenlerde Dijital Oyun Bağımlılığı ve Uyku Kalitesi Arasındaki İlişkinin İncelenmesi. Journal of Turkish Sleep Medicine, 9, 79-84. Tuncay, M., & Göger, B. (2022). Ergenlerde internet bağımlılığı ile sosyal kaygı düzeyi arasındaki ilişkinin incelenmesi. Sosyal Bilimler Araştırma Dergisi, 11(1), 23–36. Twenge, J. M., Krizan, Z., & Hisler, G. (2017). Decreases in self-reported sleep duration among U.S. adolescents 2009–2015 and association with new media screen time. Sleep Medicine, 39, 47–53. https://doi.org/10.1016/j.sleep.2017.08.013 Twenge, J. M., Martin, G. N., & Spitzberg, B. H. (2018). Trends in U.S. adolescents' media use, 1976–2016: The rise of digital media, the decline of TV, and the (near) demise of print. Psychology of Popular Media Culture, 8(4), 329–345. https://doi.org/10.1037/ppm0000203 Woods, H. C., & Scott, H. (2016). #Sleepyteens: Social media use in adolescence is associated with poor sleep quality, anxiety, depression and low self-esteem. Journal of Adolescence, 51, 41–49. https://doi.org/10.1016/j.adolescence.2016.05.008