Profile

Dimitri A. Christakis, MD, MPH

Dimitri A. Christakis, MD, MPH

Pediatrics-Inpatient

On staff since April 1998

Children's Title: Director, Center for Child Health, Behavior and Development

Academic Title: Professor

Research Center: Center for Child Health, Behavior and Development

"What’s very exciting to me is not my research alone but being part of a larger enterprise doing such important work. I’m surrounded by talented, energetic people attacking autism, fetal alcohol syndrome, depression, obesity. You name it, and we’re buzzing here — trying to make a difference in the lives of children in our community and around the world. And I think we are making a difference."

Making A Difference

Overview

Board Certification(s)

Pediatrics

Medical/Professional School

University of Pennsylvania School of Medicine, Philadelphia
University of Washington School of Medicine, Seattle

Residency

Pediatrics, University of Washington School of Medicine, Seattle

Research Description

The first years of children's lives are critically important for children's lifelong development. Consider that a newborn's brain triples in size in the first two years after birth. This immense growth happens in direct response to the environment that that infant experiences. Consider further that as many as half of children from lower income families start kindergarten without the basic skills they need to learn and that educational gap puts them at a disadvantage throughout school.

Dr. Christakis, is a Professor of Pediatrics, Director of the Child Health Institute at the University of Washington, and a pediatrician at Children's Hospital in Seattle. Dr. Christakis is the author of over 100 original research articles and a textbook of pediatrics. He is also the author of The Elephant in the Living Room: Make Television work for your kids. (September 2006; Rodale) Dr. Christakis is an international expert on children and media. His research focuses on the effects of media on child health and development and has been featured on Anderson Cooper 360, the Today Show, ABC, NBC, and CBS news as well as all major national newspapers.

His research to date has included:

TV viewing in the first three years of life can lead to problems with language development as well as attention and cognitive development at school age.

Playing with blocks can improve language acquisition for children ages 1.5 to 2.5 years of age.

Watching violent cartoons during preschool ages is associated with aggression at ages 7-10 whereas watching educational programming is not.

His current research includes:

Helping parents make better media choices for their preschoolers and effects on their behavior at school age.

Distributing computers with educational software to low income families to try and improve kindergarten readiness.

Lab URL

http://www.maketvwork.com

Research Focus Area

Health Promotion and Disease Prevention

Publications

  • Christakis DA
    Making research matter: promoting dissemination and sustainability.
    Academic pediatrics , 2010 Sept. : 283-4
  • American Academy of Pediatrics. Policy statement--sexuality, contraception, and the media.
    Pediatrics , 2010 Sept. : 576-82
  • Christakis DA
    Infant media viewing: first, do no harm.
    Pediatric annals , 2010 Sept. : 578-82
  • Moreno MA, Briner LR, Williams A, Brockman L, Walker L, Christakis DA
    A content analysis of displayed alcohol references on a social networking web site.
    The Journal of adolescent health : official publication of the Society for Adolescent Medicine , 2010 Aug. : 168-75
  • Christakis DA, Rivara FP
    Influence of experiences from birth to 5 years of age on emotional and psychological health.
    Archives of pediatrics & adolescent medicine , 2010 May : 491-2
  • Tandon PS, Wright J, Zhou C, Rogers CB, Christakis DA
    Nutrition menu labeling may lead to lower-calorie restaurant meal choices for children.
    Pediatrics , 2010 Feb. : 244-8
  • Thompson DA, Sibinga EM, Jennings JM, Bair-Merritt MH, Christakis DA
    Television viewing by young Hispanic children: evidence of heterogeneity.
    Archives of pediatrics & adolescent medicine , 2010 Feb. : 174-9
  • Christakis DA, Garrison MM
    Preschool-aged children's television viewing in child care settings.
    Pediatrics , 2009 Dec. : 1627-32
  • Tarini BA, Lozano P, Christakis DA
    Afraid in the hospital: parental concern for errors during a child's hospitalization.
    Journal of hospital medicine : an official publication of the Society of Hospital Medicine , 2009 Nov. : 521-7
  • From the American Academy of Pediatrics: Policy statement--Media violence.
    Pediatrics , 2009 Nov. : 1495-503
  • Moreno MA, Briner LR, Williams A, Walker L, Christakis DA
    Real use or "real cool": adolescents speak out about displayed alcohol references on social networking websites.
    The Journal of adolescent health : official publication of the Society for Adolescent Medicine , 2009 Oct. : 420-2
  • Christakis DA, Moreno MA
    Trapped in the net: will internet addiction become a 21st-century epidemic?
    Archives of pediatrics & adolescent medicine , 2009 Oct. : 959-60
  • Perkins JA, Oliaei S, Garrison MM, Manning SC, Christakis DA
    Airway procedures and hemangiomas: treatment patterns and outcome in U.S. pediatric hospitals.
    International journal of pediatric otorhinolaryngology , 2009 Sept. : 1302-7
  • Zimmerman FJ, Gilkerson J, Richards JA, Christakis DA, Xu D, Gray S, Yapanel U
    Teaching by listening: the importance of adult-child conversations to language development.
    Pediatrics , 2009 July : 342-9
  • Christakis DA, Gilkerson J, Richards JA, Zimmerman FJ, Garrison MM, Xu D, Gray S, Yapanel U
    Audible television and decreased adult words, infant vocalizations, and conversational turns: a population-based study.
    Archives of pediatrics & adolescent medicine , 2009 June : 554-8
  • Blume HK, Garrison MM, Christakis DA
    Neonatal seizures: treatment and treatment variability in 31 United States pediatric hospitals.
    Journal of child neurology , 2009 Feb. : 148-54
  • Christakis DA
    The effects of infant media usage: what do we know and what should we learn?
    Acta paediatrica (Oslo, Norway : 1992) , 2009 Jan. : 8-16
  • Moreno MA, Parks MR, Zimmerman FJ, Brito TE, Christakis DA
    Display of health risk behaviors on MySpace by adolescents: prevalence and associations.
    Archives of pediatrics & adolescent medicine , 2009 Jan. : 27-34
  • Moreno MA, Vanderstoep A, Parks MR, Zimmerman FJ, Kurth A, Christakis DA
    Reducing at-risk adolescents' display of risk behavior on a social networking web site: a randomized controlled pilot intervention trial.
    Archives of pediatrics & adolescent medicine , 2009 Jan. : 35-41
  • Galbraith AA, Semura JI, McAninch-Dake RJ, Anderson N, Christakis DA
    Language disparities and timely care for children in managed care Medicaid.
    The American journal of managed care , 2008 July : 417-26
  • Tieder JS, Cowan CA, Garrison MM, Christakis DA
    Variation in inpatient resource utilization and management of apparent life-threatening events.
    The Journal of pediatrics , 2008 May : 629-35, 635.e1-2
  • Cooper WO, Ray WA, Arbogast PG, Garrison M, Dudley JA, Christakis DA
    Health plan notification and feedback to providers is associated with increased filling of preventer medications for children with asthma enrolled in Medicaid.
    The Journal of pediatrics , 2008 Apr, : 481-8
  • Thompson DA, Flores G, Ebel BE, Christakis DA
    Comida en venta: after-school advertising on Spanish-language television in the United States.
    The Journal of pediatrics , 2008 Apr, : 576-81
  • Bowman SM, Zimmerman FJ, Christakis DA, Sharar SR
    The role of hospital profit status in pediatric spleen injury management.
    Medical care , 2008 Mar. : 331-8
  • Zerr DM, Englund JA, Robertson AS, Marcuse EK, Garrison MM, Christakis DA
    Hospital-based influenza vaccination of children: an opportunity to prevent subsequent hospitalization.
    Pediatrics , 2008 Feb. : 345-8
  • Moreno MA, Fost NC, Christakis DA
    Research ethics in the MySpace era.
    Pediatrics , 2008 Jan. : 157-61
  • Tarini BA, Christakis DA, Lozano P
    Toward family-centered inpatient medical care: the role of parents as participants in medical decisions.
    The Journal of pediatrics , 2007 Dec. : 690-5, 695.e1
  • Rivara FP, Christakis DA
    The march of science.
    Archives of pediatrics & adolescent medicine , 2007 Dec. : 1214-5
  • Zimmerman FJ, Christakis DA
    Associations between content types of early media exposure and subsequent attentional problems.
    Pediatrics , 2007 Nov. : 986-92
  • Christakis DA, Zimmerman FJ
    Violent television viewing during preschool is associated with antisocial behavior during school age.
    Pediatrics , 2007 Nov. : 993-9
  • Zimmerman FJ, Christakis DA, Meltzoff AN
    Associations between media viewing and language development in children under age 2 years.
    The Journal of pediatrics , 2007 Oct. : 364-8
  • Mendoza JA, Zimmerman FJ, Christakis DA
    Television viewing, computer use, obesity, and adiposity in US preschool children.
    The international journal of behavioral nutrition and physical activity , 2007 Sept. 25 : 44
  • Rivara FP, Cummings P, Ringold S, Bergman AB, Joffe A, Christakis DA
    A comparison of reviewers selected by editors and reviewers suggested by authors.
    The Journal of pediatrics , 2007 Aug. : 202-5
  • Davis RL, Wright J, Chalmers F, Levenson L, Brown JC, Lozano P, Christakis DA
    A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics.
    PLoS clinical trials , 2007 May 18 : e25
  • Zimmerman FJ, Christakis DA, Meltzoff AN
    Television and DVD/video viewing in children younger than 2 years.
    Archives of pediatrics & adolescent medicine , 2007 May : 473-9
  • Mendoza JA, Drewnowski A, Christakis DA
    Dietary energy density is associated with obesity and the metabolic syndrome in U.S. adults.
    Diabetes care , 2007 Apr, : 974-9
  • Thompson DA, Lozano P, Christakis DA
    Parent use of touchscreen computer kiosks for child health promotion in community settings.
    Pediatrics , 2007 Mar. : 427-34
  • Tarini BA, Garrison MM, Christakis DA
    Institutional variation in ordering complete blood counts for children hospitalized with bronchiolitis.
    Journal of hospital medicine : an official publication of the Society of Hospital Medicine , 2007 Mar. : 69-73
  • Christakis DA
    What to do about the new and growing digital divide?
    Archives of pediatrics & adolescent medicine , 2007 Feb. : 204-5
  • Thompson DA, Christakis DA
    The association of maternal mental distress with television viewing in children under 3 years old.
    Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association , 2007 Jan. : 32-7
  • Thakkar RR, Garrison MM, Christakis DA
    A systematic review for the effects of television viewing by infants and preschoolers.
    Pediatrics , 2006 Nov. : 2025-31
  • Christakis DA, Zimmerman FJ, Rivara FP, Ebel B
    Improving pediatric prevention via the internet: a randomized, controlled trial.
    Pediatrics , 2006 Sept. : 1157-66
  • Tarini BA, Christakis DA, Welch HG
    State newborn screening in the tandem mass spectrometry era: more tests, more false-positive results.
    Pediatrics , 2006 Aug. : 448-56
  • Christakis DA, Zimmerman FJ
    Viewing television before age 3 is not the same as viewing television at age 5.
    Pediatrics , 2006 July : 435; author reply 435-6
  • Christakis DA, Rivara FP
    Publication ethics: editors' perspectives.
    The Journal of pediatrics , 2006 July : S39-42
  • Christakis DA, Zimmerman FJ
    Early television viewing is associated with protesting turning off the television at age 6.
    MedGenMed : Medscape general medicine , 2006 June 1 : 63
  • Mendoza JA, Drewnowski A, Cheadle A, Christakis DA
    Dietary energy density is associated with selected predictors of obesity in U.S. Children.
    The Journal of nutrition , 2006 May : 1318-22
  • Sox CM, Koepsell TD, Doctor JN, Christakis DA
    Pediatricians' clinical decision making: results of 2 randomized controlled trials of test performance characteristics.
    Archives of pediatrics & adolescent medicine , 2006 May : 487-92
  • Tarini BA, Carroll AE, Sox CM, Christakis DA
    Systematic review of the relationship between early introduction of solid foods to infants and the development of allergic disease.
    Archives of pediatrics & adolescent medicine , 2006 May : 502-7
  • Christakis DA
    The hidden and potent effects of television advertising.
    JAMA : the journal of the American Medical Association , 2006 Apr, 12 : 1698-9
  • Christakis DA, Zimmerman FJ
    Media as a public health issue.
    Archives of pediatrics & adolescent medicine , 2006 Apr, : 445-6
  • Hollingworth W, Ebel BE, McCarty CA, Garrison MM, Christakis DA, Rivara FP
    Prevention of deaths from harmful drinking in the United States: the potential effects of tax increases and advertising bans on young drinkers.
    Journal of studies on alcohol , 2006 Mar. : 300-8
  • Cohen AL, Christakis DA
    Primary language of parent is associated with disparities in pediatric preventive care.
    The Journal of pediatrics , 2006 Feb. : 254-8
  • Garrison MM, Jeffries H, Christakis DA
    Risk of death for children with down syndrome and sepsis.
    The Journal of pediatrics , 2005 Dec. : 748-52
  • Garrison MM, Jeffries H, Christakis DA
    Risk of death for children with down syndrome and sepsis.
    The Journal of pediatrics , 2005 Dec. : 748-52
  • Bowman SM, Zimmerman FJ, Christakis DA, Sharar SR, Martin DP
    Hospital characteristics associated with the management of pediatric splenic injuries.
    JAMA : the journal of the American Medical Association , 2005 Nov. 23 : 2611-7
  • Bowman SM, Zimmerman FJ, Christakis DA, Sharar SR, Martin DP
    Hospital characteristics associated with the management of pediatric splenic injuries.
    JAMA : the journal of the American Medical Association , 2005 Nov. 23 : 2611-7
  • Galbraith AA, Grossman DC, Koepsell TD, Heagerty PJ, Christakis DA
    Medicaid acceptance and availability of timely follow-up for newborns with Medicaid.
    Pediatrics , 2005 Nov. : 1148-54
  • Galbraith AA, Grossman DC, Koepsell TD, Heagerty PJ, Christakis DA
    Medicaid acceptance and availability of timely follow-up for newborns with Medicaid.
    Pediatrics , 2005 Nov. : 1148-54
  • Thompson DA, Christakis DA
    The association between television viewing and irregular sleep schedules among children less than 3 years of age.
    Pediatrics , 2005 Oct. : 851-6
  • Christakis DA, Wright JA, Taylor JA, Zimmerman FJ
    Association between parental satisfaction and antibiotic prescription for children with cough and cold symptoms.
    The Pediatric infectious disease journal , 2005 Sept. : 774-7
  • Sox CM, Christakis DA
    Pediatricians' screening urinalysis practices.
    The Journal of pediatrics , 2005 Sept. : 362-5
  • McCarty CA, Zimmerman FJ, Digiuseppe DL, Christakis DA
    Parental emotional support and subsequent internalizing and externalizing problems among children.
    Journal of developmental and behavioral pediatrics : JDBP , 2005 Aug. : 267-75
  • Fishman PA, Ebel BE, Garrison MM, Christakis DA, Wiehe SE, Rivara FP
    Cigarette tax increase and media campaign cost of reducing smoking-related deaths.
    American journal of preventive medicine , 2005 July : 19-26
  • Zimmerman FJ, Christakis DA
    Children's television viewing and cognitive outcomes: a longitudinal analysis of national data.
    Archives of pediatrics & adolescent medicine , 2005 July : 619-25
  • Cohen AL, Rivara FP, Davis R, Christakis DA
    Compliance with guidelines for the medical care of first urinary tract infections in infants: a population-based study.
    Pediatrics , 2005 June : 1474-8
  • Zerr DM, Blume HK, Berg AT, Del Beccaro MA, Gospe SM Jr, Allpress AL, Christakis DA
    Nonfebrile illness seizures: a unique seizure category?
    Epilepsia , 2005 June : 952-5
  • Zerr DM, Garrison MM, Allpress AL, Heath J, Christakis DA
    Infection control policies and hospital-associated infections among surgical patients: variability and associations in a multicenter pediatric setting.
    Pediatrics , 2005 Apr, : e387-92
  • Christakis DA, Cowan CA, Garrison MM, Molteni R, Marcuse E, Zerr DM
    Variation in inpatient diagnostic testing and management of bronchiolitis.
    Pediatrics , 2005 Apr, : 878-84
  • Zimmerman FJ, Glew GM, Christakis DA, Katon W
    Early cognitive stimulation, emotional support, and television watching as predictors of subsequent bullying among grade-school children.
    Archives of pediatrics & adolescent medicine , 2005 Apr, : 384-8
  • Wiehe SE, Garrison MM, Christakis DA, Ebel BE, Rivara FP
    A systematic review of school-based smoking prevention trials with long-term follow-up.
    The Journal of adolescent health : official publication of the Society for Adolescent Medicine , 2005 Mar. : 162-9
  • Carroll AE, Zimmerman FJ, Rivara FP, Ebel BE, Christakis DA
    Perceptions about computers and the internet in a pediatric clinic population.
    Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association , 2005 Mar. : 122-6
  • Carroll AE, Rivara FP, Ebel B, Zimmerman FJ, Christakis DA
    Household computer and Internet access: The digital divide in a pediatric clinic population.
    AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium , 2005 : 111-5
  • Christakis DA, Ebel BE, Rivara FP, Zimmerman FJ
    Television, video, and computer game usage in children under 11 years of age.
    The Journal of pediatrics , 2004 Nov. : 652-6
  • Galbraith AA, Semura J, McAninch-Dake B, Anderson N, Christakis DA
    Emergency department use and perceived delay in accessing illness care among children with Medicaid.
    Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association , 2004 Nov. : 509-13
  • McCarty CA, Ebel BE, Garrison MM, DiGiuseppe DL, Christakis DA, Rivara FP
    Continuity of binge and harmful drinking from late adolescence to early adulthood.
    Pediatrics , 2004 Sept. : 714-9
  • Taylor JA, Brownstein D, Christakis DA, Blackburn S, Strandjord TP, Klein EJ, Shafii J
    Use of incident reports by physicians and nurses to document medical errors in pediatric patients.
    Pediatrics , 2004 Sept. : 729-35
  • Rivara FP, Christakis DA, Cummings P
    Duplicate publication.
    Archives of pediatrics & adolescent medicine , 2004 Sept. : 926
  • Rivara FP, Ebel BE, Garrison MM, Christakis DA, Wiehe SE, Levy DT
    Prevention of smoking-related deaths in the United States.
    American journal of preventive medicine , 2004 Aug. : 118-25
  • Garrison MM, Richardson LP, Christakis DA, Connell F
    Mental illness hospitalizations of youth in Washington State.
    Archives of pediatrics & adolescent medicine , 2004 Aug. : 781-5
  • Christakis DA, Wright JA
    Can continuity of care be improved? Results from a randomized pilot study.
    Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association , 2004 July : 336-9
  • Rivara FP, Garrison MM, Ebel B, McCarty CA, Christakis DA
    Mortality attributable to harmful drinking in the United States, 2000.
    Journal of studies on alcohol , 2004 July : 530-6
  • Zimmerman FJ, Christakis DA, Vander Stoep A
    Tinker, tailor, soldier, patient: work attributes and depression disparities among young adults.
    Social science & medicine (1982) , 2004 May : 1889-901
  • Richardson LP, DiGiuseppe D, Christakis DA, McCauley E, Katon W
    Quality of care for medicaid-covered youth treated with antidepressant therapy.
    Archives of general psychiatry , 2004 May : 475-80
  • Christakis DA, Zimmerman FJ, DiGiuseppe DL, McCarty CA
    Early television exposure and subsequent attentional problems in children.
    Pediatrics , 2004 Apr, : 708-13
  • Carroll AE, Tarczy-Hornoch P, O'Reilly E, Christakis DA
    The effect of point-of-care personal digital assistant use on resident documentation discrepancies.
    Pediatrics , 2004 Mar. : 450-4
  • Carroll AE, Christakis DA
    Pediatricians' use of and attitudes about personal digital assistants.
    Pediatrics , 2004 Feb. : 238-42
  • Christakis DA, Garrison MM, Ebel BE, Wiehe SE, Rivara FP
    Pediatric smoking prevention interventions delivered by care providers: a systematic review.
    American journal of preventive medicine , 2003 Nov. : 358-62
  • Garrison MM, Christakis DA, Ebel BE, Wiehe SE, Rivara FP
    Smoking cessation interventions for adolescents: a systematic review.
    American journal of preventive medicine , 2003 Nov. : 363-7
  • Richardson LP, DiGiuseppe D, Garrison M, Christakis DA
    Depression in Medicaid-covered youth: differences by race and ethnicity.
    Archives of pediatrics & adolescent medicine , 2003 Oct. : 984-9
  • Christakis DA
    Continuity of care: process or outcome?
    Annals of family medicine , 2003 Sept. : 131-3
  • Sox CM, Cooper WO, Koepsell TD, DiGiuseppe DL, Christakis DA
    Provision of pneumococcal prophylaxis for publicly insured children with sickle cell disease.
    JAMA : the journal of the American Medical Association , 2003 Aug. 27 : 1057-61
  • Carroll AE, Tarczy-Hornoch P, O'Reilly E, Christakis DA
    Resident documentation discrepancies in a neonatal intensive care unit.
    Pediatrics , 2003 May : 976-80
  • Li ST, DiGiuseppe DL, Christakis DA
    Antiemetic use for acute gastroenteritis in children.
    Archives of pediatrics & adolescent medicine , 2003 May : 475-9
  • DiGiuseppe DL, Christakis DA
    Continuity of care for children in foster care.
    Pediatrics , 2003 Mar. : e208-13
  • Christakis DA, Wright JA, Zimmerman FJ, Bassett AL, Connell FA
    Continuity of care is associated with well-coordinated care.
    Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association , 2003 Mar. : 82-6
  • Saha S, Saint S, Christakis DA
    Impact factor: a valid measure of journal quality?
    Journal of the Medical Library Association : JMLA , 2003 Jan. : 42-6
  • Neff JM, Valentine J, Park A, Hicks-Thomson J, Christakis DA, Muldoon J, Churchill S
    Trends in pediatric hospitalizations of children in washington state by insurance and chronic condition status, 1991-1998.
    Archives of pediatrics & adolescent medicine , 2002 July : 703-9
  • Feudtner C, Christakis DA, Zimmerman FJ, Muldoon JH, Neff JM, Koepsell TD
    Characteristics of deaths occurring in children's hospitals: implications for supportive care services.
    Pediatrics , 2002 May : 887-93
  • Feudtner C, Silveira MJ, Christakis DA
    Where do children with complex chronic conditions die? Patterns in Washington State, 1980-1998.
    Pediatrics , 2002 Apr, : 656-60
  • Van Niel CW, Feudtner C, Garrison MM, Christakis DA
    Lactobacillus therapy for acute infectious diarrhea in children: a meta-analysis.
    Pediatrics , 2002 Apr, : 678-84
  • Christakis DA, Wright JA, Zimmerman FJ, Bassett AL, Connell FA
    Continuity of care is associated with high-quality careby parental report.
    Pediatrics , 2002 Apr, : e54
  • Gallaher MM, Christakis DA, Connell FA
    Health care use by children diagnosed as having developmental delay.
    Archives of pediatrics & adolescent medicine , 2002 Mar. : 246-51
  • Carroll AE, Garrison MM, Christakis DA
    A systematic review of nonpharmacological and nonsurgical therapies for gastroesophageal reflux in infants.
    Archives of pediatrics & adolescent medicine , 2002 Feb. : 109-13