Associated factors of screen exposure in infants

SHAN Ruijie; HAN Jing; QU Keli; YUE Lei; CUI Naixue

doi:10.11852/zgetbjzz2022-0829

PDF(514 KB)

Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (4) : 374-378. DOI: 10.11852/zgetbjzz2022-0829

Original Articles

Associated factors of screen exposure in infants

SHAN Ruijie¹, HAN Jing^1,2, QU Keli³, YUE Lei¹, CUI Naixue¹

Author information +

History +

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.

Key words

screen exposure / infants / family

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

SHAN Ruijie, HAN Jing, QU Keli, YUE Lei, CUI Naixue. Associated factors of screen exposure in infants[J]. Chinese Journal of Child Health Care. 2023, 31(4): 374-378 https://doi.org/10.11852/zgetbjzz2022-0829

References

[1] Tombeau Cost K, Korczak D, Charach A, et al.Association of parental and contextual stressors with child screen exposure and child screen exposure combined with feeding[J].JAMA Netw Open, 2020, 3(2): e1920557.
[2] Reid Chassiakos YL, Radesky J, Christakis D, et al.Children and adolescents and digital media[J].Pediatrics, 2016, 138(5): e20162593.
[3] Wiltshire CA, Troller-Renfree SV, Giebler MA, et al.Associations among average parental educational attainment, maternal stress, and infant screen exposure at 6 months of age[J].Infant Behav Dev, 2021, 65: 101644.
[4] 周珊珊,严双琴,曹慧,等.马鞍山市婴幼儿视屏暴露现况及影响因素分析[J].中国儿童保健杂志,2020, 28(1):61-64.
Zhou SS, Yan SQ, Cao H, et al.Prevalence and the risk factors of television viewing by infants and toddlers in Ma'anshan City[J].Chin J Child Health Care, 2020, 28(1): 61-64.
[5] Barr R.Memory constraints on infant learning from picture books, television, and touchscreens[J].Child Dev Perspect, 2013, 7(4): 205-210.
[6] Ribner AD, McHarg GG, NewFAMS Study Team.Why won't she sleep? Screen exposure and sleep patterns in young infants[J].Infant Behav Dev, 2019(57):101334.
[7] McHarg G, Ribner AD, Devine RT, et al.Infant screen exposure links to toddlers' inhibition, but not other EF constructs: A propensity score study[J].Infancy, 2020, 25(2): 205-222.
[8] Christakis DA.The effects of infant media usage: What do we know and what should we learn ?[J].Acta Paediatr, 2009, 98(1): 8-16.
[9] Okely AD, Ghersi D, Hesketh KD, et al.A collaborative approach to adopting/adapting guidelines -the Australian 24-hour movement guidelines for the early years (birth to 5 years):An integration of physical activity, sedentary behavior, and sleep[J].BMC Public Health, 2017(17): 869.
[10] World Health Organization.Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age[EB/OL].(2019-04-02)[2022-04-20].https://www.who.int/publications/i/item/9789241550536.
[11] Kaur N, Gupta M, Malhi P, et al.Screen time in under-five children[J].Indian Pediatr, 2019, 56(9): 773-788.
[12] Duch H, Fisher EM, Ensari I, et al.Screen time use in children under 3 years old:A systematic review of correlates[J].Int J Behav Nutr Phys Act, 2013(10): 102.
[13] 何守森,汪翼,孙宗花,等.0～1岁儿童家庭养育环境量表的编制及其信度效度研究[J].中国儿童保健杂志,2008,16(5):503-506.
He SS, Wang Y, Sun ZH, et al.Development reliability and validity of 0 - 1 year Child Home Nurture Environment Scales[J].Chin J Child Health Care, 2008, 16(5): 503-506.
[14] Zigmond AS, Snaith RP.The Hospital Anxiety and Depression Scale[J].Acta Psychiatr Scand, 1983, 67(6): 361-370.
[15] 万俊刚.医院焦虑和抑郁量表在综合性医院住院病人中应用的信度和效度分析[J].世界最新医学信息文摘,2018,18(54):55-56.
Wan JG.Reliability and validity analysis of hospital anxiety and depression scale for inpatients of comprehensive hospital[J].World Latest Med Inf, 2018, 18(54): 55-56.
[16] Maselko J, Hagaman AK, Bates LM, et al.Father involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan[J].Soc Sci Med, 2019, 237: 112421.
[17] 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.
[18] Krogh MT, Egmose I, Stuart AC, et al.A longitudinal examination of daily amounts of screen time and technoference in infants aged 2-11 months and associations with maternal sociodemographic factors[J].Infant Behav Dev, 2021, 63: 101543.
[19] Rideout V.The common sense census: Media use by kids age zero to eight[EB/OL].(2017-11-05)[2022-04-20].https://www.commonsensemedia.org/sites/default/files/research/report/csm_zerotoeight_fullreport_release_2.pdf.
[20] Thompson DA, Christakis DA.The association of maternal mental distress with television viewing in children under 3 years old[J].Ambul Pediatr, 2007, 7(1): 32-37.
[21] 董叔梅,林青敏,朱丽霞,等.婴儿睡眠发展模式及其相关因素的队列研究[J].中国心理卫生杂志,2016,30(10):721-727.
Dong SM, Lin QM, Zhu LX, et al.Sleep patterns and sleep-related factors in normal infants: A prospective cohort study[J].Chin Ment Health J, 2016, 30(10): 721-727.
[22] 崔焱,仰曙芬.儿科护理学[M].6版.北京:人民卫生出版社,2017:29-31.
Cui Y, Yang SF.Pediatric nursing[M].6th edition.Beijing: People's Medical Publishing House, 2017: 29-31.
[23] Dol J, Richardson B, Grant A, et al.Influence of parity and infant age on maternal self-efficacy, social support, postpartum anxiety, and postpartum depression in the first six months in the Maritime Provinces, Canada[J].Birth, 2021, 48(3):438-447.
[24] Lumeng JC, Rahnama S, Appugliese D, et al.Television exposure and overweight risk in preschoolers[J].Arch Pediatr Adolesc Med, 2006, 160(4): 417-422.
[25] McLearn KT, Minkovitz CS, Strobino DM, et al.The timing of maternal depressive symptoms and mothers' parenting practices with young children: implications for pediatric practice[J].Pediatrics, 2006,118(1): e174-e182.
[26] Dore RA, Dynia JM.Prevalence and predictors of background television among infants and toddlers from low-income families homes[J].Infant Behav Dev, 2021, 64: 101618.
[27] Kim M, Kang SK, Yee B, et al.Paternal involvement and early infant neurodevelopment: the mediation role of maternal parenting stress[J].BMC Pediatr, 2016, 16(1): 212.
[28] Zhao M, Fu W, Ai J.The mediating role of social support in the relationship between parenting stress and resilience among Chinese parents of children with disability[J].J Autism Dev Disord, 2021, 51(10):3412-3422.