Association between screen time and psychological behaviors of preschool children in Lanzhou City

HUANG Lei; NAN Nan; SU Yue; WANG Pengli; WU Xiaoyan; GUO Jinxian

doi:10.11852/zgetbjzz2023-0396

PDF(788 KB)

Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (3) : 242-247. DOI: 10.11852/zgetbjzz2023-0396

Original Articles

Association between screen time and psychological behaviors of preschool children in Lanzhou City

HUANG Lei¹, NAN Nan¹, SU Yue¹, WANG Pengli¹, WU Xiaoyan², GUO Jinxian¹

Author information +

History +

Abstract

Objective To analyze the associations between different types of video screen time and psychological behaviors of preschool children, in order to provide evidence for promoting the development of children's mental health. Methods From February to March 2023, a total of 1 361 parents of children aged 3 - 6 years from 6 kindergartens of Lanzhou were surveyed by cluster sampling method.Parents were surveyed to obtain information about the video use, and the children's Strengths and Difficulties questionnaire (parent version) was used to assess children's psychological and behavioral problems. Results The rate of daily screen time exceeding standard was 36.96% (503/1 361).The screen time was mainly spent in watching TV cartoons, followed by educational APP.The detection rate of abnormal total difficulty score was 11.61% (158/1 361), and the abnormalities of peer communication (32.26%) and prosocial behavior (12.34%) were the most prominent.After adjusting for related factors by multiple Logistic regression analysis, total screen time≥2h/d (OR=1.802) was found to be a risk factor for abnormal total difficulty score; watching TV cartoons≥2h/d was a risk factor for abnormal total difficulty score (OR=2.409) and peer communication (OR=2.222); playing games≥1h/d was a risk factor for abnormal total difficulty score, emotional symptoms, conduct problems, hyperactive behavior, and abnormalities of peer communication, the differences were all statistically significant (P<0.05).However, educational APP screen time<1h/d was a protective factor for abnormal total difficulty score(OR=0.615) and prosocial behavior (OR=0.549), but educational APP screen time≥2h/d was a risk factor for conduct problems (OR=2.302), the differences were all statistically significant (P<0.05). Conclusions The screen time of preschool children in Lanzhou cannot be ignored, and there is a significant correlation between overuse and children's psychological and behavioral problems.Parents and schools should attach importance to the parent-child and peer interaction of preschool children and strengthen the intervention of preschool children's video behavior.

Key words

computer terminals / screen time / mental health / behavioral problems / preschool children

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

HUANG Lei, NAN Nan, SU Yue, WANG Pengli, WU Xiaoyan, GUO Jinxian. Association between screen time and psychological behaviors of preschool children in Lanzhou City[J]. Chinese Journal of Child Health Care. 2024, 32(3): 242-247 https://doi.org/10.11852/zgetbjzz2023-0396

References

[1] Tamana SK, Ezeugwu V, Chikuma J, et al.Screen-time is associated with inattention problems in preschoolers: Results from the CHILD birth cohort study[J].PLoS One, 2019, 14(4):e0213995.
[2] 彭磊,徐耿,宫相君,等.学龄前儿童视屏时间与心理行为的关联性[J].中国学校卫生, 2020,41(1):62-65, 69.
Peng L, Xu G, Gong XJ, et al.Association between screen time and psychology behaviors of preschool children[J].Chin J Sch Health, 2020,41(1):62-65, 69.(in Chinese)
[3] 汪小燕,殷刚柱,郭锋,等.新冠疫情前后学龄前儿童视屏时间变化及与行为问题关联[J].中国公共卫生, 2021,37(5):769-773.
Wang X, Yin GZ, Guo F, et al.Variation in screen time before and after COVID-19 epidemic and its correlation with behavior problems among preschool children[J].Chin J Public Health, 2021,37(5):769-773.(in Chinese)
[4] Wu JB, Yin XN,Qiu SY, et al.Association between screen time and hyperactive behaviors in children under 3 years in China[J].Front Psychiatry, 2022,13:977879.
[5] Hu Z, Bi S, Wang W,et al.Association of screen exposure with psychosocial problems in primary school students[J].Front Pediatr, 2023, 10:961137.
[6] 陶舒曼,伍晓艳,陶芳标.视屏活动对儿童青少年情绪症状的影响及大脑神经功能变化研究[J].中国学校卫生, 2020,41(11):1757-1760.
Tao SM, Wu XY, Tao FB.Effects of video activities on emotional symptoms and changes in brain neural function in children and adolescents[J].Chin J Sch Health, 2020,41(11):1757-1760.(in Chinese)
[7] 韩贝贝,黄惠萍,姚星,等.鄂州市学龄前儿童视屏时间与情绪行为问题的关系[J].中国学校卫生, 2019,40(11):1669-1671.
Han BB, Huang HP, Yao X, et al.Association of screen time with emotional and behavioral problems in preschool children[J].Chin J Sch Health, 2019,40(11):1669-1671.(in Chinese)
[8] 王毅贤,韩小盛.南京市学龄前儿童周末视屏时间与家庭环境因素的关联[J].中国学校卫生, 2020,41(10):1488-1490.
Wang YX, Han XS.Parental influences on weekend screen time among preschool children in Nanjing[J].Chin J Sch Health, 2020,41(10):1488-1490.(in Chinese)
[9] Montes G.Children with autism spectrum disorder and screen time:Results from a large, nationally representative US study[J].Acad Pediatr, 2016,16(2):122-128.
[10] Chandra M,Jalaludin B, Woolfenden S, et al.Screen time of infants in Sydney, Australia: A birth cohort study[J].BMJ Open, 2016, 6(10):e012342.
[11] 刘恒,石韬,李小东.新疆乌鲁木齐市3～6岁学龄前儿童视屏时间状况及影响因素研究[J].现代预防医学, 2018,45(6):1012-1015, 1025.
Liu H, Shi T, Li XD.Research of 3-6 years old preschool children's screen time status and influencing factors in Urumqi city Xinjiang[J].Modern Preventive Medicine, 2018,45(6):1012-1015, 1025.(in Chinese)
[12] Ma CH, Jiang L, Chu LT,et al.Mental health problems of preschool children during the COVID-19 home quarantine: A cross-sectional study in Shanghai, China[J].Front Psychol, 2022, 13:1032244.
[13] 余敏,王睿,何海燕,等.芜湖市学龄前儿童情绪和行为问题调查分析[J].实用预防医学, 2021,28(3):309-312.
Yu M, Wang R, He HY, et al.Emotional and behavioral problems of preschool children in Wuhu City[J].Pract Prev Med, 2021,28(3):309-312.(in Chinese)
[14] 吴瑞,陈佳,颜引妹,等.镇江市学龄前儿童情绪行为问题现况调查及其影响因素分析[J].现代预防医学,2020,47(4):616-619, 661.
Wu R, Chen J, Yan YS, et al.Investigation and influencing factors on emotional behavior problems of preschool children in Zhenjiang[J].Modern Preventive Medicine, 2020,47(4):616-619, 661.(in Chinese)
[15] Eirich R, McArthur BA, Anhorn C, et al.Association of screen time with internalizing and externalizing behavior problems in children 12 years or younger: A systematic review and Meta-analysis[J].JAMA Psychiatry, 2022,79(5):393-405.
[16] O'Connor G,Piñero Casas M, Basagaña X, et al.Television viewing duration during childhood and long-association with adolescent neuropsychological outcomes[J].Prev Med Rep, 2016,4:447-452.
[17] Kühhirt M, Klein M.Parental education, television exposure, and children's early cognitive, language and behavioral development[J].Soc Sci Res, 2020,86:102391.
[18] Farchakh Y, Haddad C, Sacre H, et al.Video gaming addiction and its association with memory, attention and learning skills in Lebanese children[J].Child Adolesc Psychiatry Ment Health, 2020, 14(1):46.
[19] Prescott AT, Sargent JD, Hull JG.Meta-analysis of the relationship between violent video game play and physical aggression over time[J].Proc Natl Acad Sci USA, 2018,115(40):9882-9888.
[20] Haddock A, Ward N, Yu R,et al.Positive effects of digital technology use by adolescents: A scoping review of the literature[J].Int J Environ Res Public Health, 2022,19(21):14009.
[21] Madigan S, McArthur BA,Anhorn C, et al.Associations between screen use and child language skills: A systematic review and Meta-analysis[J].JAMA Pediatr, 2020,174(7):665-675.
[22] Intusoma U, Mo-Suwan L, Ruangdaraganon N, et al.Effect of television viewing on social-emotional competence of young Thai children[J].Infant Behav Dev, 2013, 36(4):679-685.
[23] Lane R,Radesky J.Digital media and autism spectrum disorders: Review of evidence, theoretical concerns, and opportunities for intervention[J].J Dev Behav Pediatr, 2019, 40(5):364-368.