To the Editor I read with great interest the article by Heffler et al.1 The authors reported that children with greater exposure to audiovisual media at age 12 months were more likely to have autism spectrum disorder (ASD)–like1 symptoms at 2 years. The topic of screens, autism, and parenting is of tremendous importance, reflected in the accompanying editorial by Christakis.2 However, it is important to draw attention to the study’s limitations as well as problems with its stated implications.