目的 分析婴幼儿视屏暴露与18月龄儿童发育行为的关联,为减少婴幼儿视屏暴露提供依据。 方法 2016年12月-2017年12月采用自制问卷对进行4-2-1体检的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。采用年龄与发育进程问卷第3版(ASQ-3)评价婴幼儿的沟通、身体发育等能力。 结果 每天总的视屏时间平均为40.8 min,其中超过1 h者172人(占26.1%)。多因素二分类Logistic回归发现每天总视屏时间超过1 h的婴幼儿沟通能区发育低常和低下的发生风险分别为OR＝1.55(95%CI:1.05～2.28)和OR＝3.57(95%CI:1.49～8.53),差异有统计学意义(P＜0.05)。 结论 长时间的视屏暴露对儿童语言发育有消极影响,应该提高公众对婴幼儿视屏暴露危害的认识,减少儿童语言发育迟缓的发生。
Abstract
Objective To explore the relationship between screen exposure and developmental behavior of 18 months old children,so as to provide evidence for reducing video exposure in infants. Methods From December 2016 to December 2017, a self-designed questionnaire was used to collect the screen exposure time of 18-month-old infants who underwent 4-2-1 physical examination, and the social demographic characteristics, screen exposure of parents and other information were also collected. ASQ-3 was used to test the communication, physical development and other abilities of infants. Results The average daily screen time was 40. 8 minutes, of which 172 (26. 1%) were more than one hour. Multivariate binary Logistic regression found that infants with screen time more than 1 hour per day had lower risk of severe and mild developmental delay in communication domain aged 18 months old[OR=1. 55(95%CI:1. 05-2. 28), OR=3. 57(95%CI:1. 49-8. 53), respectively], with statistically significant differences (P＜0. 05). Conclusions Longer screen exposure has a negative effect on children's communication development. Public awareness of the impacts of screen exposure in infants should be raised to reduce the occurrence of language retardation in children.
关键词
电视 /
认知发育 /
视屏时间 /
婴幼儿
Key words
television /
cognitive development /
screen time /
infants
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参考文献
[1] 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.
[2] Howe AS, Heath AM, Julie L, et al.Parenting style and family type, but not child temperament, are associated with television viewing time in children at two years of age[J].PLoS ONE,2017,12(12):e0188558.
[3]Ott E, Vanderloo LM, Tucker P.Physical activity and screen-viewing policies in Canadian childcare centers[J].BMC Public Health,2019,19(1):145.
[4] Linebarger DL.Infants\" and toddlers\" television viewing and language outcomes[J].Am Behav Sci,2005,48(5):624-645.
[5]Christakis DA,Zimmerman FJ.Violent television viewing during preschool is associated with antisocial behavior during school age[J].Pediatrics,2007,120(5):993-999.
[6] Anderson DR,Subrahmanyam K,Cognitive Impacts of Digital Media Workgroup.Digital screen media and cognitive development[J].Pediatrics,2017,140(Suppl 2):57-61.
[7]Byeon H,Hong S.Relationship between television viewing and language delay in toddlers:evidence from a Korea national cross-sectional survey[J].PLoS One,2015,10(3):e0120663.
[8]Zimmerman FJ,Christakis DA,Meltzoff AN.Associations between media viewing and language development in children under age 2 years[J].J Pediatr,2007,151(4):364-368.
[9] 姚国英,卞晓燕,Jane S,等.年龄与发育进程问卷中文版的婴幼儿发育筛查界值标准研究[J].中华儿科杂志,2010,48(11):842-828.
[10]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.
[11]Kabali HK,Irigoyen MM,Nunez-Davis R.Exposure and use of mobile media devices by young children[J].Pediatrics,2015,136(6):1044-1050.
[12]Common Sense Media.Zero to eight:Children's media use in America[M].Available from:URL:http://www.commonsensemedia.org/sites/default/files/research/zero-to-eight-2013.pdf
[13]Australian Government.Australia's physical activity and sedentary behaviour.Guidelines[EB/OL].http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-phys-act-guidelines#npa05.
[14]Chonchaiya W, Pruksananonda C.Television viewing associates with delayed language development[J].Acta Paediatr,2008,97:977-982.
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)
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