目的 分析儿童早期视屏暴露对语言发育的影响,为预防儿童语言发育迟缓提供参考依据。方法 采用病例对照研究于2019年1—12月用Gesell发育诊断量表对病例组(语言发育迟缓)54名儿童、对照组(发育正常)56名儿童进行发育评估,全体儿童年龄范围1~5岁;使用自拟调查问卷“儿童早期视屏暴露情况调查表”对所有参与调查儿童的主要抚养人进行问卷调查。结果 对照组儿童手机/iPad暴露的比例和时长均高于电视,病例组儿童暴露于手机/iPad和电视的比例分别占88.9%、81.5%,明显高于对照组(71.4%、57.1%),差异均有统计学意义(χ2=5.238、4.493,P＜0.05);病例组儿童暴露于手机/iPad和电视的时长分别为38.0(15.0,60.0) min/d、35(17.0,55.0) min/d,高于对照组[25.0(10.0,45.0) min/d、20(8.0,40.0) min/d],差异有统计学意义(Z=2.936、2.468,P＜0.05)。Logistic回归分析结果显示,儿童每日观看手机/iPad的时间≥30min/d是语言发育迟缓的危险因素(OR=2.431,95%CI:3.188~12.723,P＜0.01)。结论 儿童早期暴露于手机/iPad时间过长是语言发育迟缓的危险因素,家长要严格限制儿童每日接触手机等电子视屏的时间,增加亲子交流互动,促进儿童健康。
Abstract
Objective To explore the effect of early screen exposure on language development in children,so as to provide reference for the prevention of language development retardation in children. Methods In this study,a case-control study was conducted to evaluate the development of 54 children with language retardation in the case group and 56 children with typical development in the control group by Gesell Scale from January to December 2019. All participants were from 1 to 5 years old. The main caregivers of the children were investigated by a self-designed questionnaire to know about the early screen exposure. Results The proportion and duration of exposure to mobile phone/iPad in the control group was higher than those of exposure to TV. The proportion of children exposed to mobile phone/iPad and TV in the case group accounted for 88.9% and 81.5%,significantly higher than those in the control group (71.4% and 57.1%,P<0.05). The exposure time of mobile phone/iPad and TV in the case group was 38.0(15.0,60.0)] min/d,35(17.0,55.0)min/d,significantly higher than those in the control group [25.0(10.0,45.0)min/d,20(8.0,40.0)min/d,Z=2.936,2.438,P<0.05]. Logistic regression analysis showed that children's mobile phone/iPad exposure time≥30 min/d was a risk factor for language development retardation (OR=2.431,95%CI:3.188-12.723,P＜0.01). Conclusions Early exposure to mobile phones/iPad is a risk factor for language development retardation. Therefore,children's screen time for mobile phones and other electronic devices should be strictly limited,and more parent-child interactions are encouraged in order to promote children's health.
关键词
视屏暴露 /
语言发育 /
儿童
Key words
screen exposure /
language development /
children
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参考文献
[1] Chen C,Chen S,Wen PZ,et al.Are screen devices soothing children or soothing parents.Investigating the relationships among children's exposure to different types of screen media,parental efficacy and home literacy practices[J].Comput Human Behav,2020,17(31):112-116.
[2] 吴剑波,尹晓娜,吴传安,等.婴幼儿期视屏接触时间与多动指数的关联性研究[J].中国儿童保健杂志,2021,29(1):9-12.
[3] Lin YY,Lee WT,Yang HL,et al.Screen time exposure and altered sleep in young children with epilepsy[J].J Nurs Scholarsh,2020,52(4):352-359.
[4] Krcmar M,Cingel DP.Do young children really learn best from the use of direct address in children's television?[J].Am Psychol,2017,15(31):110-112.
[5] Brzozowska I,Sikorska I.Potential effects of screen media on cognitive development among children under 3 years old:review of literature[J].Dev Period Med,2016,20(1):75-77.
[6] 张秀玲,李寄平,秦明镜,等.Gesell发展诊断量表3.5～6岁北京修订本的制定[J].中国临床心理学杂志,1994,17(3):148-150.
[7] Huang LH,Yang GY,Schmid KL,et al.Screen exposure during early life and the increased risk of astigmatism among preschool children:Findings from Longhua Child Cohort Study[J].Int J Environ Res Public Health,2020,17(7):445-448.
[8] 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.
[9] Stalano AE,Webster EK,Allen AT,et al.Screen-timepolicies and practices in early care and education centers in relation-ship to child physical activity[J].Child Obes,2018,14 (6):341-348.
[10] 刘慧燕,陈蓁蓁,陈小霞,等.儿童早期语言发育迟缓的影响因素分析[J].中国儿童保健杂志,2019,27(12):1285-1287.
[11] 徐明玉,任芳,沈理笑,等.屏幕暴露对0～3岁婴幼儿语言发育的影响[J].临床儿科杂志,2019,37(2):23-27.
[12] Ferguson CJ,Donnellan MB.Is the association between children's baby video viewing and poor language development robust? A reanalysis of Zimmerman,Christakis,and Meltzoff (2007)[J].Dev Psychol,2014,50(1):129-137.
[13] Canadian Paediatric Society,Digital Health Task Force.Digital media:promoting healthy screen use in school-aged children and adolescents[J].Paediatr Child Health,2019,24(6):402-417.
基金
南通市妇幼健康专科联盟科研项目(TFM201914)
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