Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort study

Abstract Background High screen viewing time has detrimental effects on children’s health, development, and behavior developing. Children are being exposed to more and more media devices at an earlier age. This study was aimed to determine the amount of daily screen time and its variation and to ass...

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Main Authors: Chao Li, Gang Cheng, Simin He, Xiaowei Xie, Gang Tian, Ni Jiang, Xianying Min, Yan Shi, Rui Li, Tong Zhou, Yan Yan
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-13268-9
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author Chao Li
Gang Cheng
Simin He
Xiaowei Xie
Gang Tian
Ni Jiang
Xianying Min
Yan Shi
Rui Li
Tong Zhou
Yan Yan
author_facet Chao Li
Gang Cheng
Simin He
Xiaowei Xie
Gang Tian
Ni Jiang
Xianying Min
Yan Shi
Rui Li
Tong Zhou
Yan Yan
author_sort Chao Li
collection DOAJ
description Abstract Background High screen viewing time has detrimental effects on children’s health, development, and behavior developing. Children are being exposed to more and more media devices at an earlier age. This study was aimed to determine the amount of daily screen time and its variation and to assess potential factors of screen time by identifying the trajectory of screen time among children aged 1 to 5 years. Method This study was based on a representative sample of Changsha young children from a cohort study during 2015–2020. The demographic information and children’s screen viewing time were collected by parents or caregivers through face-to-face interviews. The Latent growth model was used to test the effects of outdoor play on screen viewing time at eight time points, meanwhile, unconditional and conditional models were examined sequentially. Result After excluding respondents with missing key variables, we included 953 children in the final analysis. Children’s outdoor play was slightly increased at 18 months and subsequently declined at 24–60 months, with a maximum duration of 2.96 h per day. Children’s average screen time was increased at 18–36 months, and decreased at 42–54 months, with a slight increase at 60 months. The duration of media exposure peaked at 1.4 h/d at age of 36 months and 60 months. Standardized coefficients of the outdoor play at age of 12 months showed negative effects on the screen time in children, but with positive influence at age of 24, 36, and 42 months (P <  0.01). Conclusion High proportions of young Chinese children in Changsha had more screen time than the AAP recommended according to our analysis. Significant predictors of screen time included pregnancy computer use, paternal educational level, and outdoor play in this study, however, further understanding of risk factors is needed to promote great public health efforts to reduce children’s screen exposure.
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spelling doaj.art-0a7c2b6b2f324e2081167fe33fea210d2022-12-22T02:29:20ZengBMCBMC Public Health1471-24582022-06-0122111410.1186/s12889-022-13268-9Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort studyChao Li0Gang Cheng1Simin He2Xiaowei Xie3Gang Tian4Ni Jiang5Xianying Min6Yan Shi7Rui Li8Tong Zhou9Yan Yan10Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South UniversityAbstract Background High screen viewing time has detrimental effects on children’s health, development, and behavior developing. Children are being exposed to more and more media devices at an earlier age. This study was aimed to determine the amount of daily screen time and its variation and to assess potential factors of screen time by identifying the trajectory of screen time among children aged 1 to 5 years. Method This study was based on a representative sample of Changsha young children from a cohort study during 2015–2020. The demographic information and children’s screen viewing time were collected by parents or caregivers through face-to-face interviews. The Latent growth model was used to test the effects of outdoor play on screen viewing time at eight time points, meanwhile, unconditional and conditional models were examined sequentially. Result After excluding respondents with missing key variables, we included 953 children in the final analysis. Children’s outdoor play was slightly increased at 18 months and subsequently declined at 24–60 months, with a maximum duration of 2.96 h per day. Children’s average screen time was increased at 18–36 months, and decreased at 42–54 months, with a slight increase at 60 months. The duration of media exposure peaked at 1.4 h/d at age of 36 months and 60 months. Standardized coefficients of the outdoor play at age of 12 months showed negative effects on the screen time in children, but with positive influence at age of 24, 36, and 42 months (P <  0.01). Conclusion High proportions of young Chinese children in Changsha had more screen time than the AAP recommended according to our analysis. Significant predictors of screen time included pregnancy computer use, paternal educational level, and outdoor play in this study, however, further understanding of risk factors is needed to promote great public health efforts to reduce children’s screen exposure.https://doi.org/10.1186/s12889-022-13268-9Screen timeChildrenMedia useCohort studyOutdoor play
spellingShingle Chao Li
Gang Cheng
Simin He
Xiaowei Xie
Gang Tian
Ni Jiang
Xianying Min
Yan Shi
Rui Li
Tong Zhou
Yan Yan
Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort study
BMC Public Health
Screen time
Children
Media use
Cohort study
Outdoor play
title Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort study
title_full Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort study
title_fullStr Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort study
title_full_unstemmed Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort study
title_short Prevalence, correlates, and trajectory of screen viewing among Chinese children in Changsha: a birth cohort study
title_sort prevalence correlates and trajectory of screen viewing among chinese children in changsha a birth cohort study
topic Screen time
Children
Media use
Cohort study
Outdoor play
url https://doi.org/10.1186/s12889-022-13268-9
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