目的 调查马鞍山市市区婴幼电视、DVD/VCD、手机等电子产品的视屏暴露状况,分析婴幼儿不当视屏暴露的影响因素。方法 2016年12月-2017年12月采用自行设计的开放式久坐行为问卷对进行4-2-1体检的12月龄和18月龄婴幼儿收集视屏暴露时间,同时收集其社会人口统计学特征、带养者视屏暴露等信息。结果 12月龄和18月龄儿童总视屏暴露率分别为63.2%和89.4%,每天总视屏暴露时间分别为(15.0±25.3)min和(41.2±49.5)min。多因素二分类Logistic回归分析显示家长认为儿童看电视对婴儿认知发育有利、家庭电视经常播放、家长经常陪伴儿童看电视以及从不控制儿童看电视,是18月龄儿童发生不当视屏暴露的危险因素(OR值分别为3.15、6.30、7.64和6.57,P<0.05)。结论 马鞍山市市区婴儿视屏暴露较普遍,家长的观念和行为以及家庭环境是儿童视屏暴露的影响因素。应该教育家长以身作则,减少家庭屏幕时间以减少婴幼儿视屏暴露,促进儿童健康成长。
Abstract
Objective To assess the prevalence of childhood television viewing in the urban area of Ma′anshan city and analyze the affecting factors. Methods Children were recruited from December 2016 to December 2017 in Ma’anshan Maternal and Child Health Care Hospital, an open sedentary behavior questionnaire was used to collect the television viewing time of children aged 12 months and 18 months who underwent 4-2-1 physical examination, and social demographic characteristics, video exposure with parents and other information were also collected. Results The total television viewing revalence of children aged 12 months and 18 months was 63.2% and 89.4%, respectively, and child mean daily screen time was (15.0±25.3) minutes and (41.2±49.5) minutes, respectively.According to the Results of multivariate binary Logistic regression analysis, parents believed that children watching TV was beneficial to infants′ cognitive development, family TV was often played, parents accompany children to watch TV, and children were often controlled to watch TV, which were risk factors for improper video exposure of children aged 18 months, and the OR values were 3.15,6.30,7.64 and 6.57(P<0.05) respectively. Conclusions Television viewing of infants and toddlers is common in Ma ′anshan city.The beliefs and behavior of parents and the household media environment are the risk factors of children′s television viewing.Parents should be taught to lead by example and reduce family screen time to reduce the television viewing of children to promote healthy growth.
关键词
视屏暴露 /
电视 /
婴儿 /
幼儿 /
马鞍山市
Key words
screen exposure /
television viewing /
infants /
toddlers /
Ma′anshan city
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Anderson DR, Subrahmanyam K, Cognitive Impacts of Digital Media Workgroup.Digital screen media and cognitive development[J].Pediatrics,2017,140 (Suppl 2):57-61.
[2] Skaug S, Englund KT, Wichstrøm 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.
[3] Bourchtein E, Langberg JM, Cusick CN, et al.Featured article:technology use and sleep in adolescents with and without attention-deficit/hyperactivity disorder[J].J Pediatr Psychol,2019,44(5):517-526.
[4] Coyne SM, Ehrenreich SE, Holmgren HG, et al."We′re not gonna be friends anymore":associations between viewing relational aggression on television and relational aggression in text messaging during adolescence[J].Aggress Behav,2019,45(3):319-326.
[5] Hu J, Ding N, Yang L,et al.Association between television viewing and early childhood overweight and obesity:a pair-matched case-control study in China[J].BMC Pediatr,2019,19(1):184.
[6] Council on Sports Medicine and Fitness Council on School Health.Active healthy living:prevention of childhood obesity through increased physical activity [J].Pediatrics,2006,117(5):1834- 1842.
[7] Tremblay MS, LeBlanc AG, Carson V, et al.Canadian sedentary behaviour guidelines for the early years (aged 0-4 years)[J].Appl Physiol Nutr Metab,2012,37:370-380.
[8] 朱敏,张安慧,曹臻,等.学龄前儿童视屏暴露状况及其影响因素调查[J].中国妇幼保健,2017,32(4):833-836.
[9] Chen B, van Dam RM, Tan CS, et al.Screen viewing behavior and sleep duration among children aged 2 and below[J].BMC Public Health,2019,19(1):59.
[10] Hinkley T, Brown H, Carson V,et al.Cross sectional associations of screen time and outdoor play with social skills in preschool children[J].PLoS One,2018,13(4):e0193700.
[11] Helm AF, Spencer RMC.Television use and its effects on sleep in early childhood[J].Sleep Health,2019,5(3):241-247.
[12] Shqair AQ,Pauli LA,Costa VPP, et al.Screen time, dietary patterns and intake of potentially cariogenic food in children:A systematic review[J].J Dent,2019, 86:17-26.
[13] Parkes A,Sweeting H,Wight D,et al.Do television and electronic games predict children′s psychosocial adjustment?Longitudinal research using the UK Millennium Cohort Study[J].Arch Dis Child,2013,98(5):341-348.
[14] Nathanson AI,Alade F,Sharp ML,et al.The relation between television exposure and theory of mind among preschoolers[J].Dev Psychol,2014,50(5):1497-1506.
[15] Asplund KM, Kair LR, Arain YH, et al.Early childhood screen time and parental attitudes toward child television viewing in a low-income latino population attending the special supplemental nutrition program for women, infants, and children[J].Child Obes,2015,11(5):590-599.
[16] Jago R, Sebire SJ, Edwards MJ,et al.Parental TV viewing, parental self-efficacy, media equipment and TV viewing among preschool children[J].Eur J Pediatr,2013,172(11):1543-1545.
[17] Latomme J, Van Stappen V, Cardon G,et al.The association between children′s and parents′ Co-TV viewing and their total screen time in six european countries:cross-sectional data from the feel4diabetes-study[J].Int J Environ Res Public Health,2018,15(11):E2599.
基金
中国疾病预防控制中心妇幼保健中心合生元母婴营养与健康研究项目(2018FYH009);2016年度马鞍山市科技计划项目(YL-2016-12);2015年马鞍山市科技局项目(yl-2015-06)
PDF(533 KB)
