Objective To investigate the screen exposure status in 3- to 6-year-old children in Minhang district and to analyze its determinants, so as to provide a basis for scientific intervention of screen exposure in children. Methods A total of 1 035 children aged 3 to 6 years were selected from 30 classes in 10 kindergartens in Minhang district by multi-stage cluster sampling in October 2022. An online questionnaire survey was conducted by their parents. Screen exposure was difined as spending more than one hour on video products per day. Multivariate Logistic regression model was adopted to analyze the determinants of children screen exposure. Results Among 1 035 children, 730 experienced screen exposure (70.53%). The average time of daily screen exposure was (1.67±0.98)h. The daily screen exposure time of children aged 3, 4, 5 and 6 years at weekends was (1.77±1.13), (1.76±1.04), (1.98±1.10)h and(2.08±1.22)h, respectively, and the difference was statistically significant (F=3.98, P<0.01). Multivariate Logistic analysis showed that age group of 5 years old (OR=1.79, 95%CI:1.19 - 2.68), the caregivers using video products for 1 - 2hours/day (OR=2.61, 95%CI:1.90 - 3.60) and >2hours/day (OR=2.10, 95%CI:1.35 - 3.27) when accompanying children, parents supporting children using video products(OR=1.59, 95%CI:1.17 - 2.15), children using video products before bedtime(OR=1.94, 95%CI:1.32 - 2.86), and unsupervised use of video products for children(OR=1.94, 95%CI:1.36 - 2.77) were independent risk factors for children's screen exposure(P<0.05). Father's education level of bachelor(OR=0.61,95%CI:0.43 - 0.89), master and above(OR=0.49, 95%CI:0.34 - 0.73) was a protective factor for children's screen exposure(P<0.05). Conclusions Attention should be paid to the problem of screen exposure of 3 -to 6 - year-old children. Targeted efforts should be made to popularize the knowledge of the harm of early screen exposure to children among caregivers, caregivers are advocated for the rule formulation of screen behavior, scientifically regulate children's screen exposure behaviors, and increase parent-child communication, so as to reduce the adverse effects of screen exposure on children's health.
Key words
preschool children /
screen exposure /
home nurturing environment
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Kushima M, Kojima R, Shinohara R, et al. Association between screen time exposure in children at 1 year of age and autism spectrum disorder at 3 years of age: The Japan environment and children's study[J].JAMA Pediatr,2022,176(4):384-391.
[2] Zhao J, Yu Z, Sun X, et al. Association between screen time trajectory and early childhood development in children in China[J].JAMA Pediatr,2022,176(8):768-775.
[3] Byrne R, Terranova CO, Trost SG. Measurement of screen time among young children aged 0-6 years: A systematic review[J]. Obes Rev, 2021, 22(8):e13260.
[4] Oflu A, Tezol O, Yalcin S, et al. Excessive screen time is associated with emotional lability in preschool children[J]. Arch Argent Pediatr, 2021, 119(2):106-113.
[5] Dahlgren A, Sjöblom L, Eke H, et al. Screen time and physical activity in children and adolescents aged 10-15 years[J].PLoS One, 2021, 16(7):e0254255.
[6] Gonzalez Nahm S, Grossman ER, Frost N, et al. Media and young minds: Comparing state screen media use regulations for children under 24 months of age in early care and education to a national standard[J]. Matern Child Health J,2018,22(4):445-453.
[7] 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.
[8] Tremblay MS, Barnes JD, González SA, et al. Global matrix 2.0: Report card grades on the physical activity of children and youth comparing 38 countries[J]. J Phys Act Health,2016,13(11 Suppl 2):343-366.
[9] Hinkley T,Salmon J, Okely AD, et al. Preschooler's physical activity, screen time, and compliance with recommendations[J]. Med Sci Sports Exerc,2012,44(3):458-465.
[10] Paulich KN, Ross JM, Lessem JM, et al. Screen time and early adolescent mental health, academic, and social outcomes in 9- and 10- year old children: Utilizing the Adolescent Brain Cognitive DevelopmentSM (ABCD) study[J]. PLoS One, 2021,16(9):e0256591.
[11] Skaug S, Englund KT, Wichstrom L. Young children's television viewing and the quality of their interactions with parents: A prospective community study[J].Scand J Psychol,2018,59(5):503-510.
[12] 中国儿童青少年身体活动指南制作工作组. 中国儿童青少年身体活动指南[J]. 中国循证儿科杂志,2017,12(6):401-409.
Working Group for the Production of Physical Activity Guidelines for Chinese Children and Adolescents. Guidelines for physical activity of children and adolescents in China[J]. Chin J Evid Based Pediatr,2017,12(6):401-409.(in Chinese)
[13] 王磊, 左笑宇,董雷,等. 扬州市学龄前儿童视屏现况及期影响因素分析[J]. 中国学校卫生,2017,38(4):505-508.
Wang L, Zuo XY, Dong L, et al. Prevalence and risk factors of screen time among preschool children in Yangzhou[J]. Chin J Sch Health, 2017,38(4):505-508.(in Chinese)
[14] 许琪, 王建红,张丽丽,等. 三岁及以下儿童屏幕暴露现状及影响因素分析[J]. 中华儿科杂志,2021,59(10):841-846.
Xu Q, Wang JH, Zhang LL, et al. Research on the status and risk factors of screen exposure in children under three years of age[J]. Chin J Pediatr,2021,59(10):841-846. (in Chinese)
[15] Jago R, Thompson JL, Sebire SJ, et al.Cross-sectional associations between the screen-time of parents and young children:Differencesy parent and child gender and day of the week[J].Int J Behavutr Phys Act,2014,11(1):1-8.
[16] Carson V, Janssen I. Associations between factors within the home setting and screen time among children aged 0-5 years: A cross-sectional study[J]. BMC Public Health,2012,12(1):539.
[17] Atkin AJ, Sharp SJ, Corder K, et al. Prevalence and correlates of screen time in youth:An international perspective[J]. Am J Prev Med, 2014,47(6):803-807.
[18] McDaniel BT, Radesky JS. Technoference: Parent distraction with technology and associations with child behavior problems[J].Child Dev,2018,89(1):100-109.
PDF(549 KB)
