目的 探讨婴儿及家庭相关因素和婴儿屏幕暴露的关系,为减少婴儿屏幕暴露提供科学依据。方法 采用方便抽样法选取2020年12月—2022年4月在济南市某两家三级甲等医院儿童保健门诊进行常规体检的婴儿,由其母亲进行问卷填写,收集婴儿屏幕暴露以及婴儿和家庭相关资料如婴儿月龄、性别、家庭养育环境等。使用独立样本t检验和χ2检验进行单因素分析,使用二元Logistic回归进行多因素分析。结果 本研究共纳入362名婴儿,其中有55.8%存在屏幕暴露。二元Logistic回归分析显示,婴儿月龄(OR=1.27,95%CI: 1.16～1.38)、母亲受教育程度(大专vs.本科及以上,OR=1.89,95%CI: 1.09～3.28;高中及以下vs.本科及以上,OR=3.09,95%CI: 1.64～5.82)和母亲焦虑(OR=2.89,95%CI: 1.11～7.52)是婴儿期屏幕暴露的危险因素(P<0.05或0.01)。结论 婴儿期屏幕暴露现象普遍,母亲受教育程度低和母亲焦虑会增加婴儿屏幕暴露的风险。建议在儿童保健工作中筛查高危婴儿,对母亲及其他主要扶养人进行健康教育,普及婴儿期屏幕暴露的危害,提供科学养育知识与技能,以降低婴儿期屏幕暴露的风险。
Abstract
Objective To explore the correlation of infant and family-related factors with infant screen exposure, so as to provide a scientific basis for reducing infant screen exposure. Methods Infants who visited the Department of Child Healthcare of two tertiary hospitals for routine physical examination in Jinan from December 2020 to April 2022 were recruited using a convenient sampling method.Mothers completed questionnaires of infant screen exposure and questionnaires of associated factors, including infant age, sex and family nurturing environment.Univariate analysis was performed using t test and χ2 test, and multivariate analysis was performed using Logistic regression analysis. Results A total of 362 infants were enrolled in this study, of whom 55.8% had screen exposure.Logistic regression analysis showed that infant age (OR=1.27, 95%CI:1.16 - 1.38), maternal education level (vocational college vs.bachelor's degree and above, OR=1.89, 95%CI:1.09 - 3.28; high school and below vs.bachelor's degree and above, OR=3.09, 95%CI:1.64 - 5.82), and maternal anxiety (OR=2.89, 95%CI: 1.11 - 7.52) were risk factors for screen exposure during infancy(P＜0.05). Conclusions Infant screen exposure is common.Low maternal education level and maternal anxiety are the risk factors of screen exposure among infants.It is recommended that screenings for at-risk infants, health education for mothers and other primary caregivers, popularization of the hazards of screen exposure in infancy and the availability of scientific parenting knowledge and skills should be implemented in child healthcare practice, so as to reduce the risk of screen exposure in infancy.
关键词
屏幕暴露 /
婴儿 /
家庭
Key words
screen exposure /
infants /
family
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基金
国家社会科学基金项目(18CSH061);国家自然科学基金项目(3210070458);山东大学齐鲁青年学者未来计划项目(2018WLJH46)
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