{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T18:19:45Z","timestamp":1792693185440,"version":"4.5.0"},"reference-count":41,"publisher":"JMIR Publications Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n Smartphone addiction has become a reality accepted by all. Some previous studies have shown that the use of smartphones on public roads while walking is very common among the young population. The term \u201csmombie\u201d or smartphone zombie has been coined for this behavior. Such behavior causes a reduction in the attention given to other pedestrians and drivers and may result in accidents or collisions. However, there are no precise data about how many people use the phone while they are walking on the street. Smartphone usage habits are evolving rapidly, and more in-depth information is required, particularly about how users interact with their devices while walking: traditional phone conversations (phone close to the ear), voice chats (phone in front of the head), waiting for notifications (phone in hand), text chats (user touching the screen), etc. This in-depth information may be useful for carrying out specific preventive actions in both the education field (raising awareness about the risks) and in the infrastructure field (redesigning the cities to increase safety).<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to gather information about pedestrians\u2019 smartphone usage and to identify population groups wherein interventions should be focused to prevent accidents. The main hypothesis was that gender, age, and city area can significantly influence the smartphone usage of the pedestrians while walking.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n An observational study of pedestrians in the street was carried out in Elche, a medium-sized Spanish city of 230,000 inhabitants. The following data were gathered: gender, age group, location, and type of smartphone interaction. A specific smartphone app was developed to acquire data with high reliability. The statistical significance of each variable was evaluated using chi-squared tests, and Cram\u00e9r\u2019s V statistic was used to measure the effect sizes. Observer agreement was checked by the Cohen kappa analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The behavior of 3301 pedestrians was analyzed, of which 1770 (53.6%) were females. As expected, the effect of the main variables studied was statistically significant, although with a small effect size: gender (P<.001, V=0.12), age (P<.001, V=0.18), and city area (P<.001, V=0.16). The phone in hand or \u201cholding\u201d behavior was particularly dependent on gender for all age groups (P<.001, V=0.09) and to a greater extent in young people (P<.001, V=0.16). Approximately 39.7% (222\/559) of the young women observed showed \u201cholding\u201d or \u201csmombie\u201d behavior, and they comprised the highest proportion among all age and gender groups.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n An in-depth analysis of smartphone usage while walking revealed that certain population groups (especially young women) have a high risk of being involved in accidents due to smartphone usage. Interventions aimed at reducing the risk of falls and collisions should be focused in these groups.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/19350","type":"journal-article","created":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T17:04:05Z","timestamp":1593104645000},"page":"e19350","source":"Crossref","is-referenced-by-count":34,"title":["Factors Influencing the Smartphone Usage Behavior of Pedestrians: Observational Study on \u201cSpanish Smombies\u201d"],"prefix":"10.2196","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9391-9192","authenticated-orcid":false,"given":"C\u00e9sar","family":"Fern\u00e1ndez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8630-7251","authenticated-orcid":false,"given":"Mar\u00eda Asunci\u00f3n","family":"Vicente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6981-7284","authenticated-orcid":false,"given":"Irene","family":"Carrillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0706-9911","authenticated-orcid":false,"given":"Mercedes","family":"Guilabert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6497-083X","authenticated-orcid":false,"given":"Jos\u00e9 Joaqu\u00edn","family":"Mira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2020,8,14]]},"reference":[{"key":"ref1","unstructured":"SilverLSmartphone Ownership Is Growing Rapidly Around the World, but Not Always EquallyPew Research Center201902052020-01-14https:\/\/www.pewresearch.org\/global\/2019\/02\/05\/smartphone-ownership-is-growing-rapidly-around-the-world-but-not-always-equally\/"},{"key":"ref2","unstructured":"The Mobile Economy 2019SM Association (GSMA)2020-01-14https:\/\/www.gsmaintelligence.com\/research\/?file=b9a6e6202ee1d5f787cfebb95d3639c5&download"},{"key":"ref3","unstructured":"Informe ditrendia: Mobile en Espa\u00f1a y en el Mundo 2019Ditrendia2020-01-14https:\/\/ditrendia.es\/informe-mobile-espana-mundo-2019\/"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1556\/2006.6.2017.020"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1399-5"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1089\/cpb.2005.8.39"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2350-x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2016.10.028"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1163\/1568539x-00003496"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jenvp.2019.04.003"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2017.07.002"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2011.07.011"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6163-5"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.trf.2018.11.011"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.12965\/jer.1732920.460"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.promfg.2015.07.749"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.promfg.2015.07.564"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1556\/2006.6.2017.070"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1080\/15389588.2020.1770741"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1163\/1568539x-00003496"},{"key":"ref21","unstructured":"Pokemon Go Community Day (October 2019): Start Times, Shiny Trapinch, And Morewww.gamespot.com20192020-03-17https:\/\/www.gamespot.com\/articles\/pokemon-go-community-day-october-2019-start-times-\/1100-6470427\/"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/S1874-5822(96)80023-5","author":"Underwood, G","year":"1996","journal-title":"Handbook of Perception and Action. 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