INFLUENCE OF SMARTPHONE USE ON HYGIENE AND SOCIAL INTERACTION  
AMONG YOUNG DINERS  
INFLUENCIA DEL USO DE TELÉFONOS INTELIGENTES EN LA HIGIENE Y LA  
INTERACCIÓN SOCIAL ENTRE JÓVENES COMENSALES  
García Becerra Alejandra¹, Aguilar Hernández Nancy María2, Barajas Cortés Julio Cesar3,  
Guerrero Pérez Ángel Cuitlahuac4, Chocoteco Campos José Abel5*  
1Tecnológico Nacional de México / I.T. de Ciudad Guzmán, alejandra.gb@cdguzman.tecnm.mx, https://orcid.org/0000-0003-1681-  
2Tecnológico Nacional de México / I.T. de Ciudad Guzmán, nancy.ah@cdguzman.tecnm.mx, https://orcid.org/0000-0002-4572-2037  
3Tecnológico Nacional de México / I.T. de Ciudad Guzmán, barajascortesjuliocesar@gmail.com, https://orcid.org/0009-0003-4476-  
4Tecnológico Nacional de México / I.T. de Ciudad Guzmán, acuitlahuacg002@gmail.com, https://orcid.org/0009-0008-6590-7312  
5Tecnológico Nacional de México / I.T. de Ciudad Guzmán, jose.cc1@cdguzman.tecnm.mx, https://orcid.org/0000-0002-5925-9688  
Abstract - Smartphone use during meals continues to  
raise concerns regarding hygiene practices and social  
interaction among diners. This study examined the  
behavior of 104 young diners in a fast-food restaurant  
using unobtrusive observation based on security camera  
recordings. Smartphone use was highly prevalent,  
accounting for 42.68% of the total time spent in the  
restaurant. During the meal, 93% of diners used their  
phones, and 71% did not clean their hands or fingers after  
handling the device and before eating. Inferential  
analyses revealed statistically significant positive  
associations between smartphone handling frequency  
during meals and hygiene lapses, whereas total  
smartphone use time was not significantly associated  
with level of social interaction. Although 16% of diners  
showed minimal or no interaction with their companions,  
84% maintained moderate or active face-to-face  
communication. These findings suggest that hygiene  
risks during meals are more closely related to the  
frequency of phone handling than to overall use duration.  
They also indicate that, despite frequent smartphone use,  
direct social interaction remains present in most young  
diners. The results highlight the importance of promoting  
responsible smartphone use during meals, particularly in  
relation to hygiene practices.  
Durante la comida, el 93% de los comensales utilizó su  
teléfono, y el 71% no limpió sus manos o dedos después  
de manipular el dispositivo y antes de comer. Los análisis  
inferenciales  
revelaron  
asociaciones  
positivas  
estadísticamente significativas entre la frecuencia de  
manipulación del teléfono durante las comidas y las fallas  
de higiene, mientras que el tiempo total de uso del  
teléfono no se asoció de manera significativa con el nivel  
de interacción social. Aunque el 16% de los comensales  
mostró una interacción mínima  
o
nula con sus  
acompañantes, el 84% mantuvo una comunicación cara a  
cara moderada o activa. Estos hallazgos sugieren que los  
riesgos de higiene durante las comidas están más  
estrechamente relacionados con la frecuencia de  
manipulación del teléfono que con la duración total de  
uso. Asimismo, indican que, a pesar del uso frecuente del  
teléfono inteligente, la interacción social directa sigue  
estando presente en la mayoría de los jóvenes  
comensales. Los resultados destacan la importancia de  
promover un uso responsable del teléfono inteligente  
durante las comidas, particularmente en lo relativo a las  
prácticas de higiene.  
Palabras Clave: Adicción, Higiene, Interacción social,  
Joven, Teléfono móvil.  
Key words Addiction, Hygiene, Social interaction,  
INTRODUCTION  
Yough, Mobile phones.  
Smartphones have evolved from simple communication  
tools to multifunctional hubs for entertainment, work, and  
daily life management. This transformation has led to a  
profound influence on various aspects of human  
behavior, including communication, learning, and  
relaxation. Consequently, the widespread use of  
smartphones has not only generated scientific interest but  
also raised concerns regarding their potential adverse  
effects, despite their recognized benefits. This duality has  
driven extensive research into the diverse impacts of  
problematic or excessive smartphone use across various  
Resumen -- El uso de teléfonos inteligentes durante las  
comidas sigue generando preocupación en relación con  
las prácticas de higiene y la interacción social entre los  
comensales. Este estudio examinó el comportamiento de  
104 jóvenes comensales en un restaurante de comida  
rápida mediante observación no intrusiva basada en  
grabaciones de cámaras de seguridad. El uso del teléfono  
inteligente fue altamente prevalente, representando el  
42.68% del tiempo total de permanencia en el restaurante.  
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health  
domains[1-3].  
Such  
investigations  
have  
quality of interpersonal relationships [24-26]. Such  
behavior not only hinders effective communication but  
also reduces empathy and mutual understanding, as  
several studies have demonstrated [7, 24-28]. Given that  
fast-food restaurants often serve as social settings for  
young diners, understanding how smartphone use affects  
both hygiene practices and social dynamics within these  
contexts becomes essential. Thus, this study seeks to  
assess the prevalence of smartphone use during meals in  
contemporary dining environments, particularly in fast-  
food restaurants. By examining these behaviors, the  
research aims to determine the extent to which  
smartphone use persists in these contexts and its potential  
consequences for both social interaction and hygiene  
practices among adolescents and young diners.  
Several studies have documented the presence of  
microorganisms on smartphones in food-related settings,  
particularly among kitchen staff [13-14, 29]. However,  
limited attention has been given to the presence of such  
contaminants among diners [18, 20, 30-32]. This  
oversight is particularly concerning given the increasing  
prevalence of smartphone use among young diners [33]  
and the potential health implications associated with  
bacterial transmission in dining contexts. Despite  
extensive research on smartphone use, the intersection  
between hygiene practices and social interaction during  
meals remains underexplored, particularly in fast-food  
settings where hand-to-food contact and socialization are  
common. Given that mobile devices frequently handled  
during meals may facilitate bacterial transmission, this  
study examines these interrelated behaviors to provide  
empirical insights into their public health implications in  
dining contexts.  
predominantly focused on physical and mental health  
consequences, as evidenced in studies by Cheung [1],  
Ratan [2], and Wacks and Weinstein [4].  
Building upon this body of research, recent studies have  
also examined the influence of smartphone use on eating  
behaviors, including increased food intake and mindless  
eating [5-6] as well as its impact on social interaction [7-  
8]. However, the intersection of these two aspects—  
eating behaviors and social interactionremains  
underexplored in fast-food restaurant settings, where  
food is often consumed by hand and social interaction is  
expected to be a central component of the dining  
experience. Considering the increasing prevalence of  
smartphone use among young diners during meals, it  
becomes crucial to understand how these practices might  
simultaneously affect hygiene and social interaction [9-  
10]. Therefore, the present study seeks to address the  
following research question: How does habitual  
smartphone use during meals influence both hygiene  
practices and social interaction among young diners in  
fast-food restaurants? Identifying such patterns can  
provide valuable insights into the potential public health  
implications associated with mobile device use in  
everyday dining contexts.  
Furthermore, concerns regarding hygiene practices  
associated with frequent smartphone use have garnered  
growing attention in literature. These ubiquitous devices,  
often exposed to warmth, dust, and perspiration, can serve  
as reservoirs for various bacteria and other pathogenic  
microorganisms [9-11]. Research has demonstrated that  
these microorganisms can transfer from smartphones to  
users’ hands and faces, thereby increasing the risk of  
infectious disease transmission. Notably, studies have  
identified the presence of bacteria such as Escherichia  
Smartphone use was categorized into three phases —  
before eating, during the meal, and after eating —  
allowing for a comparative analysis of usage duration  
across dining stages. Hygiene practices were assessed  
through indicators such as hand cleaning, napkin use, and  
direct hand-to-food contact after handling the phone.  
Social interaction was classified as minimal, moderate, or  
active, based on the frequency and duration of exchanges  
with companions. This framework provides a structured  
approach to examining how smartphone use in fast-food  
settings relates to both hygiene lapses and social  
interaction levels.  
coli,  
Salmonella,  
Staphylococcus  
aureus,  
and  
Clostridium perfringens on smartphones [10, 12-15].  
This concern is particularly relevant in dining settings,  
where the simultaneous handling of food and  
smartphones may facilitate bacterial transmission.  
The potential health risks associated with smartphone use  
during meals are further exacerbated when individuals  
engage with their devices while eating [16-19]. This  
behavior often involves an unconscious alternation  
between handling the phone and consuming food,  
frequently without adequate hand hygiene. Such practices  
establish a direct pathway for the transfer of contaminants  
from hands to food, increasing the likelihood of bacterial  
transmission [13, 20-21]. This concern is particularly  
relevant in a country like Mexico, where a wide variety  
of traditional dishes and snacks are typically consumed  
METHOD  
This study employed a cross-sectional, observational  
design using a structured and unobtrusive approach to  
collect data on smartphone use, hygiene practices, and  
social interaction in fast-food restaurant settings. Data  
collection took place at a fast-food establishment located  
in downtown Zapotiltic, Jalisco, Mexico, a city with  
approximately 30,000 inhabitants. The restaurant was  
selected because its menu consists mainly of foods  
typically consumed by hand, such as burgers, chicken  
wings, and french fries, which facilitated the observation  
of hygiene behaviors during eating. In addition, its  
popularity among adolescents and young adults, along  
by  
hand,  
thus  
intensifying  
the  
potential  
for  
contamination.  
In addition to hygiene concerns, frequent smartphone use  
has been identified as a disruptive factor in social  
interactions [7, 22-23]. The phenomenon commonly  
referred to as “phubbing” —the act of ignoring  
individuals present in favor of interacting with one's  
smartphonehas been shown to negatively impact the  
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with the availability of complimentary Wi-Fi, made it a  
suitable setting to observe frequent smartphone use.  
Participants were selected through visual estimation,  
focusing on diners aged approximately 12 to 30 years, a  
group identified as having high smartphone use during  
meals [33]. Both male and female participants were  
included. The sample was limited to groups of two or  
more to allow the observation of both hygiene practices  
and social interaction. Individuals who did not use a  
smartphone during the observation period and those who  
were alone were excluded, as the study focused on the  
relationship between device use, hygiene, and interaction.  
This age group selection is consistent with previous  
research on smartphone use in social dining contexts [3].  
To facilitate participant selection, a non-probabilistic  
calculated, consistency was reinforced through repeated  
cross-review sessions.  
Recordings were obtained using HIKVISION DS-  
2CD1143G0-I(C) cameras equipped with 2.8 mm lenses  
and 4-megapixel resolution, which provided high-  
definition video for detailed observation. The recorded  
data were securely stored on memory devices and later  
reviewed manually. Each recording was carefully  
examined to ensure accuracy in coding. The study was  
conducted over a five-month period (AugustDecember  
2025), while the data collection phase took place  
specifically during September and October, during the  
selected peak hours. A total of 38 video recordings were  
analyzed, comprising 104 adolescents and young adults.  
Gender and approximate age were estimated through  
visual observation. No personal data were collected, and  
all information was stored securely. Reliability was  
further strengthened through cross-review of the  
recordings by different observers.  
Data collection focused on two main aspects: the total  
time spent in the restaurant and the duration and  
frequency of smartphone use. Smartphone use was  
categorized into three phases: before eating (from seating  
to food arrival), during the meal (while food was being  
consumed), and after eating (from the end of the meal  
until leaving the table). For each phase, both duration (in  
minutes) and frequency (number of interactions) were  
recorded.  
convenience  
sampling  
method  
was  
employed.  
Participants were selected based on their presence in the  
dining establishment during the peak hours of 18:00 to  
22:00, a timeframe chosen to maximize the likelihood of  
observing smartphone use during meals. This timeframe  
was deliberately chosen to align with periods of  
heightened smartphone use, as documented in prior  
studies that highlight increased device interaction during  
social dining hours [3].  
To examine diners’ behavior, permission was obtained  
from the restaurant owner to use security camera  
recordings. In order to preserve natural behavior and  
avoid the Hawthorne effect, participants were not  
informed of the observation. The study followed ethical  
guidelines, ensuring anonymity and privacy at all times  
[34].  
To systematically record observed behaviors, a structured  
observation guide was developed. The guide included  
predefined categories for smartphone use, hygiene  
practices, and social interaction. Smartphone-related  
variables included frequency and duration of use across  
different phases of the meal. Hygiene-related variables  
included hand cleaning, napkin use, hand-to-food contact  
after handling the phone, finger wiping between phone  
handling and food contact, the use of one or both hands  
to manipulate the device, and whether the same fingers  
used to touch the phone were subsequently used to handle  
food. Social interaction was classified into three levels—  
minimal, moderate, and activebased on the frequency  
and duration of exchanges with dining companions. This  
structure ensured consistent and comparable data  
collection across all observations.  
Hygiene practices were assessed through the indicators  
described above, allowing the identification of potential  
hygiene lapses associated with smartphone use during  
meals. In addition, social interaction was categorized  
according to the frequency and duration of exchanges  
with dining companions and classified into three levels:  
minimal, moderate, and active interaction. Minimal  
interaction was defined as infrequent or brief exchanges,  
often disrupted by smartphone use. Moderate interaction  
involved  
periodic  
conversation  
with  
occasional  
smartphone use, whereas active interaction was  
characterized by sustained engagement with minimal or  
no phone use. These operational categories provided a  
structured basis for examining, both descriptively and  
inferentially, whether smartphone use was associated  
with hygiene lapses and observed levels of social  
interaction in the fast-food dining setting.  
The data were analyzed using descriptive statistics and  
inferential tests. Descriptive analyses were used to  
characterize smartphone use across the three meal phases,  
as well as the observed hygiene practices and levels of  
social interaction. Spearman correlation analyses were  
conducted to examine the association between  
smartphone use variables and both no-cleaning behavior  
and level of social interaction. In addition, a Kruskal–  
Wallis test was used to assess differences in total  
Prior to data collection, the observation guide was  
reviewed by researchers with experience in behavioral  
observation and public health to support content validity.  
A pilot test was conducted using a subset of recordings in  
order to refine the coding categories and improve clarity.  
Inter-observer  
agreement  
was  
assessed  
through  
independent coding by multiple researchers, and  
discrepancies were resolved through discussion.  
Although a formal reliability coefficient was not  
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smartphone use time across the three levels of social  
interaction.  
remained prevalent, accounting for 34% of the observed  
time (3.91 minutes). Similarly, phones were put away for  
34% of the time (4.1 minutes) and left on the table  
without interaction for 32% of the time (3.8 minutes),  
suggesting continued awareness of the device even after  
meal consumption.  
Overall smartphone engagement among youths in the  
restaurant setting was substantial. On average, young  
diners used their phones for 42.68% of their total time in  
the restaurant, corresponding to 21.74 minutes. By  
contrast, phones were kept put away for 28.46% of the  
observation period, equivalent to approximately 14.5  
minutes, and were left on the table without active use for  
28.85% of the time, representing an average of 14.7  
minutes.  
RESULTS  
The demographic profile of the study participants  
indicated a higher representation of male individuals  
(56.7%) compared to female individuals (43.3%). The  
estimated age range of the participants was between 12  
and 30 years.  
Phone usage  
The mean duration of stay for diners at the restaurant was  
51 minutes. This period comprised three distinct phases:  
an average of 20 minutes spent waiting for food, 19  
minutes devoted to eating, and 12 minutes spent resting  
after the meal. Smartphone use was pervasive throughout  
the restaurant visit. Specifically, 100% of the observed  
young diners (n = 104) used their phones while waiting  
for food, indicating a high prevalence of technology use  
during waiting times. During the meal, 98% (n = 102)  
used their smartphones, highlighting the integration of  
technology into the act of eating itself. Furthermore, 97%  
(n = 101) alternated between eating and phone use,  
suggesting a pattern of divided attention during the meal.  
Finally, 93% (n = 97) continued using their phones after  
finishing their meal, indicating that device engagement  
persisted beyond food consumption.  
Figure 1 shows the percentages of time participants kept  
their phones put away, left them on the table, and actively  
used them during the pre-eating, eating, and post-eating  
periods. Before eating (Figure 1a), active smartphone use  
accounted for an average of 40% of the time, equivalent  
to 8.03 minutes. During this phase, devices were also  
frequently left on the table without active engagement  
(30% of the time, or 6.1 minutes), while being put away  
occurred for 29% of the time (5.9 minutes).  
Hygiene  
Regarding the number of diners who interacted with their  
smartphones, it was found that 93% used them while  
eating (Figure 2a). Of these, 71% (69 youths) did not  
clean their fingers between handling their phones and  
eating food (Figure 2b). This means that approximately 7  
out of 10 diners who used their phones during the meal  
did not practice basic hygiene measures, raising  
significant concerns about the potential transmission of  
contaminants and bacteria during meals.  
Spearman correlation analyses revealed statistically  
significant positive associations between smartphone  
manipulation during meals and the frequency of not  
cleaning hands or fingers afterward. The number of  
occasions in which diners manipulated the smartphone  
with one hand was positively associated with no-cleaning  
behavior (ρ = 0.461, p < 0.001), and this association was  
even stronger for manipulation with both hands (ρ =  
0.600, p < 0.001).  
Figure 1. Percentages of time diners used, left on the table, and  
put away their phones at during the three moments: (a) before  
eating, (b) during eating, and (c) after eating.  
Figure 2. (a) Proportion of diners observed interacting and not  
interacting with their smartphones during their meal; (b)  
Distribution of hygiene practices among the subset of diners  
who interacted with both their smartphones and their food  
during the meal.  
During the meal itself (Figure 1b), diners exhibited  
intermittent engagement with their mobile phones. Active  
phone use while eating was observed for approximately  
22% of the meal duration (4.11 minutes), and a further  
29% of the time (5.5 minutes) involved alternation  
between eating and phone use, reflecting divided  
attention. In this phase, mobile phones remained on the  
table without active use for 25% of the time (4.8 minutes)  
and were put away for 24% of the time (4.5 minutes). In  
the post-eating phase (Figure 1c), mobile phone use  
When both forms of manipulation were combined into a  
total smartphone-handling variable, a strong positive  
association was observed with no-cleaning behavior (ρ =  
0.769, p < 0.001). By contrast, the association between  
total smartphone use time and no-cleaning behavior was  
weaker and did not reach statistical significance (ρ =  
0.187, p = 0.058). These findings suggest that hygiene  
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lapses were more closely related to the frequency of  
phone handling during meals than to the total amount of  
time spent using the device (see Table 1).  
Wallis test found no significant differences in total  
smartphone use time across the three levels of social  
interaction (H = 0.246, p = 0.884). These findings suggest  
that, in this sample, the amount of time spent using the  
smartphone was not significantly associated with the  
observed level of social interaction (see Table 1).  
Social interaction  
The results regarding social interaction among diners, as  
depicted in Figure 3, illustrate varying levels of  
engagement. The study revealed that 3% of participants  
exhibited minimal to almost nonexistent conversational  
interaction. Sporadic conversations, often interrupted by  
smartphone use, were observed in 13% of the  
participants. However, a substantial majority of youths,  
specifically 84%, actively engaged in face-to-face  
interaction with their dining companions.  
Ways of holding the phone  
Regarding the way diners interacted with their phones,  
Figure 4 shows that 48% placed the device on the table to  
touch the screen, while 40% held it with one hand and  
manipulated it with the other. Only 7% of diners used  
both hands to operate the device, and 4% alternated  
between holding and manipulating the smartphone with  
one hand. A small percentage, equivalent to 1%, used  
other handling patterns. These handling practices were  
further examined in the inferential analyses presented in  
Table 1, which showed that more frequent phone  
handling during meals was significantly associated with  
hygiene lapses.  
Figure 3. Distribution of different levels of engagement during  
the time they remained at the table.  
To explore the relationship between total smartphone use  
time and level of social interaction, a Spearman  
correlation analysis was conducted. The results showed  
no statistically significant association between the two  
variables (ρ = -0.046, p = 0.641). Likewise, a Kruskal–  
Figure 4. Predominant smartphone handling practices  
observed in the study.  
Table 1. Inferential tests examining the association of smartphone use with hygiene lapses and social interaction.  
Coefficient  
/ Statistic  
Analysis  
Variables compared  
Statistical test  
p-value  
Interpretation  
Total smartphone use time vs.  
level of social interaction  
Total smartphone use time across the  
three levels of social interaction  
One-hand smartphone manipulation  
vs. no-cleaning behavior  
Two-hand smartphone manipulation  
vs. no-cleaning behavior  
Total smartphone handling  
No statistically significant  
association  
No statistically significant  
differences  
Statistically significant  
positive association  
Statistically significant  
positive association  
Strong statistically significant  
positive association  
Weak, non-significant  
association  
1
2
3
4
5
6
Spearman correlation ρ = -0.046  
0.641  
KruskalWallis test  
H = 0.246  
0.884  
Spearman correlation ρ = 0.461  
Spearman correlation ρ = 0.600  
Spearman correlation ρ = 0.769  
Spearman correlation ρ = 0.187  
< 0.001  
< 0.001  
< 0.001  
0.058  
frequency vs. no-cleaning behavior  
Total smartphone use time vs. no-  
cleaning behavior  
Note. Social interaction was classified into three levels: 1 = minimal or no interaction, 2 = moderate interaction, and 3 = active interaction. No-cleaning behavior refers to  
the frequency with which diners handled the smartphone and subsequently failed to clean their hands or fingers before eating.  
DISCUSSION  
used their mobile device at least once while seated at the  
table, a proportion that clearly exceeds what has been  
reported in similar studies conducted in other  
geographical contexts, as summarized in Table 2.  
This study provides empirical evidence of the widespread  
integration of smartphone use during meals in fast-food  
restaurants among young people. All observed diners  
Table 2. Observed smartphone use among diners: international studies by population and usage rate.  
Adolescents People who  
People  
observed  
Study  
Country  
or Youths  
observed?  
used the  
phone  
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1
2
3
4
5
6
7
8
9
Radesky et al. (2014) [18]  
Deloitte (2016) in [37]  
USA  
55  
No  
40 (73%)  
309 (81%)  
70 (72%)  
89 (47%)  
77 (48%)  
270 (54%)  
26 (37%)  
51 (88%)  
454 (28%)  
USA  
381  
97  
Yes  
Yes  
Yes  
Yes  
Yes  
No  
Kellershohn et al. (2018) [32]  
Canada  
Jayawickrama et al. (2020) [31] Sri Lanka 189  
Kiefner et al. (2020) [20]  
Weber et al. (2020) [19]  
Elias et al. (2021) [22]  
Gale et al. (2023) [27]  
de Paz et al. (2024) [30]  
Italy  
159  
Germany 503  
Israel  
USA  
Spain  
70  
58 families Yes  
1616 Yes  
Compared to previous research, our findings reveal a  
markedly higher rate of smartphone use. For instance,  
Kellershohn et al. [32] reported a 72% usage rate among  
young diners in Canada, while Weber et al. [19] found a  
rate of 54% in Germany. Although both studies also  
focused on adolescents and young adults, their reported  
rates were considerably lower than those observed here.  
Gale et al. [27] documented an 88% usage rate in a study  
involving families in the United States, which represents  
the closest figure to our findings. However, in that study  
the family, rather than the individual diner, was used as  
the unit of observation, which may limit direct  
comparability.  
These differences may be explained by contextual  
factors. Unlike other settings described in the literature,  
the restaurant selected for this study offered free Wi-Fi  
access, a condition previously identified as encouraging  
smartphone use in social environments [3, 19]. In  
addition, our sample consisted exclusively of individuals  
aged 12 to 30 years, a demographic widely recognized for  
its high technological dependence and its tendency to  
integrate mobile phone use into everyday routines,  
including mealtimes [35]. The convergence of a digitally  
connected youth population and the immediate  
availability of internet access may jointly explain the  
elevated smartphone use observed in this study.  
meal, and after eating. This approach made it possible to  
observe more precisely how diners interacted with their  
devices and how those interactions related to hygiene and  
social behavior. Only Weber et al. [19] and de Paz-Cantos  
et al. [30] applied a partially comparable framework. In  
contrast, other studies, including those by Radesky et al.  
[18], Kiefner-Burmeister et al. [20], Jayawickrama et al.  
[31], and Gale et al. [27], focused on overall smartphone  
use without distinguishing specific phases of the meal. In  
this sense, the methodological approach of the present  
study advances the analysis of everyday behavior in  
dining contexts, especially in fast-food settings.  
Regarding hygiene, the study found that 71% of the  
young diners did not clean their hands after handling their  
phone and before consuming food. This is a relevant  
finding, given that smartphones are recognized as  
potential vectors of microbial transmission [9, 10, 14].  
Our results are consistent with previous warnings about  
the risks involved in the handphonefoodmouth  
sequence [12, 15], and they strengthen the argument that  
current hygiene education should take into account the  
routine incorporation of mobile devices into eating  
practices.  
Inferential analysis further reinforced this pattern. More  
frequent smartphone manipulation during meals was  
significantly associated with hygiene lapses. Specifically,  
On the other hand, studies such as those by Jayawickrama  
et al. [31] in Sri Lanka and Kiefner-Burmeister et al. [20]  
in Italy reported lower levels of smartphone use, ranging  
from 47% to 48%. Such variation may reflect cultural  
differences, unequal access to technology, or different  
parenting strategies regarding smartphone use in family  
and social contexts. Likewise, studies focused on  
children, such as those by Elias et al. [22] and de Paz-  
Cantos et al. [30], documented even lower rates, 37% and  
28%, respectively. This reinforces the importance of  
considering age as a central factor when analyzing  
smartphone-related behavior during meals.  
A major contribution of this study lies in the structured  
and unobtrusive documentation of three dimensions  
simultaneously: smartphone use, hygiene practices, and  
social interaction. Unlike previous studies that addressed  
only one or two of these dimensionssuch as those  
summarized in Table 1, none of which considered  
hygieneor studies based on self-reported data [16, 19,  
36], our research analyzed smartphone use across three  
distinct phases of the meal: before eating, during the  
one-handed  
phone  
manipulation  
was  
positively  
associated with no-cleaning behavior, and this  
relationship became even stronger when the device was  
manipulated with both hands. When both forms of  
manipulation were combined into a single indicator of  
smartphone-handling frequency, the association with no-  
cleaning behavior was strong and statistically significant.  
By contrast, total smartphone use time was only weakly  
associated with no-cleaning behavior and did not reach  
statistical significance. Taken together, these results  
suggest that hygiene risk is linked more closely to  
repeated phone handling during meals than to duration of  
use alone. This distinction is important, as it indicates that  
contamination risk may depend less on how long the  
device is used and more on how often it is physically  
handled while food is being consumed.  
Unlike laboratory-based or experimental studies on  
contamination [11, 12, 15], the present research  
documents actual behaviors in a natural setting. This  
gives the findings particular diagnostic value, as they  
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reflect how hygiene lapses occur under ordinary  
conditions rather than under controlled observation.  
In terms of social interaction, the descriptive results  
showed that smartphone use did not entirely eliminate  
face-to-face communication among diners. Only 16% of  
participants displayed minimal or no interaction, while  
most maintained moderate or active communication with  
their companions. This suggests that, despite the constant  
presence of smartphones, in-person engagement remains  
an important part of the shared dining experience among  
young people.  
However, inferential analysis did not reveal a statistically  
significant association between total smartphone use time  
and level of social interaction. Neither the Spearman  
correlation nor the KruskalWallis test detected  
meaningful differences between the amount of time spent  
using the smartphone and the observed interaction  
categories. This suggests that, in this sample, the total  
duration of smartphone use was not significantly  
associated with the level of social interaction. Even so,  
this finding should be interpreted cautiously because the  
distribution of cases across interaction categories was  
clearly uneven, particularly the very small number of  
diners classified as having minimal or no interaction.  
These results nuance conclusions from previous studies  
such as Deloitte [37], which reported an 87% reduction in  
social interaction attributed to smartphone use. At the  
same time, our findings partially align with those of  
Allred and Atkin [7], Jayawickrama et al. [31], and Elias  
et al. [22], who also reported only marginal effects on  
face-to-face communication. This discrepancy across  
studies may be explained by differences in observation  
context, age of participants, or the type of social bond  
among diners. In our study, many interactions appeared  
to occur among friends or peers rather than within formal  
family settings, which may help explain why social  
exchanges persisted despite frequent device use.  
By contrast, other studiessuch as those by Alwi et al.  
[24], de Paz-Cantos et al. [30], and Obrist et al. [17]—  
have documented more pronounced negative effects,  
particularly among children or in school-related  
environments. This suggests that the effects of  
smartphone use on interaction are context-sensitive and  
may depend heavily on the social setting in which device  
use takes place.  
Among the main strengths of this study is the use of a  
non-invasive observational technique, which allowed the  
documentation of natural behavior without altering  
participants’ conduct. The clear delimitation of meal  
phases, the triangulation of hygiene and interaction  
indicators, and the focus on young diners in a realistic  
setting all strengthen the analytical contribution of the  
study.  
are restricted to a specific type of restaurant in which food  
is typically eaten by hand rather than with cutlery, a  
condition that may have amplified the hygiene-related  
results. Finally, the social interaction categories were  
unevenly distributed, which may have reduced the ability  
of inferential tests to detect significant differences.  
Regarding transferability, the findings are particularly  
relevant for urban contexts in Latin America where fast-  
food dining, free internet access in commercial settings,  
and high smartphone penetration among youth are  
common. However, caution is needed when extrapolating  
these findings to rural areas or to countries with different  
technological, cultural, or dining patterns.  
In terms of future research, qualitative studies could help  
clarify the meanings young people attribute to  
smartphone use during meals and the reasons why they  
maintain or interrupt face-to-face interaction while using  
their devices. It would also be useful to compare these  
behaviors across different restaurant types and social  
contexts in order to identify situational differences.  
Longitudinal approaches could further illuminate how  
these habits evolve over time.  
From a practical perspective, the findings support the  
need for interventions aimed at improving digital hygiene  
during meals. Awareness campaigns in restaurants,  
educational initiatives targeting young consumers, and  
subtle environmental strategies may help promote  
healthier practices without relying on restrictive rules. In  
particular,  
the  
inferential  
results  
suggest  
that  
interventions should focus not only on reducing total  
screen time at the table but also on discouraging repeated  
handling of smartphones while eating.  
Finally, no major ethical dilemmas were identified during  
the implementation of the study. Nevertheless, the ethical  
challenge of observing behavior without direct informed  
consent from participants must be acknowledged. To  
minimize this concern, privacy was protected, no  
personal identifiers were collected, and authorization was  
obtained from the establishment’s owner in accordance  
with ethical guidelines for unobtrusive observational  
studies [34].  
Acknowledgments  
The authors gratefully acknowledge the management and  
staff of the fast-food restaurant for their kind cooperation  
and for providing access to their premises, which  
facilitated the data collection process for this research.  
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Conceptualization - José Abel Chocoteco Campos  
«equal»  
Nancy María Aguilar Hernández  
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José Abel Chocoteco Campos  
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«equal», Nancy María Aguilar  
Hernández «equal»  
Alejandra García Becerra «equal»  
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- José Abel Chocoteco Campos  
«equal»  
José Abel Chocoteco Campos  
«lead», Alejandra García Becerra  
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Alejandra García Becerra «lead»,  
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«lead», Alejandra García Becerra  
«equal»  
Writing (review  
and editing)  
Esta obra está bajo  
una licencia internacional  
Creative Commons Atribución 4.0  
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CONTRIBUTION ROLES TABLE  
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