Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional study
AimCurrently young children have more opportunity to access all kinds of media, while their sleep duration has been steadily decreasing. However, little is known about the relationships between screen viewing and sleep quality, and the reasons of screen viewing for children under three years old in...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.987523/full |
| _version_ | 1828105622379298816 |
|---|---|
| author | Yumin Lin Xueqin Zhang Yinying Huang Zhiwei Jia Jing Chen Wanling Hou Lili Zhao Guiyan Wang Jiemin Zhu |
| author_facet | Yumin Lin Xueqin Zhang Yinying Huang Zhiwei Jia Jing Chen Wanling Hou Lili Zhao Guiyan Wang Jiemin Zhu |
| author_sort | Yumin Lin |
| collection | DOAJ |
| description | AimCurrently young children have more opportunity to access all kinds of media, while their sleep duration has been steadily decreasing. However, little is known about the relationships between screen viewing and sleep quality, and the reasons of screen viewing for children under three years old in China. This study aimed to describe the relationships between screen viewing and sleep quality of infants and toddlers in mainland China.MethodsA cross-sectional study was conducted. Eight hundred twenty-seven children were recruited at a health care unit from a university affiliated hospital in China, and the questionnaires were completed by their parents. An extended Brief Infant Sleep Questionnaire and a Screen Viewing Questionnaire were used to collect information on children's sleep quality and screen viewing. Multivariate linear regression models were used to assess the relationships between screen viewing and sleep quality among infants and toddlers, adjusted for sociodemographic variables.ResultsOf the 827 children, 26.9% of the infants and 61.4% of the toddlers did not comply with the World Health Organization (WHO) guideline on screen time. Even after adjusting for the sociodemographic covariates for both infants and toddlers, negative relationships between screen time and total sleep time (P < 0.001), and screen time and nighttime sleep (P < 0.001) existed. TV viewing time was negatively related to infants' total sleep time (β = −0.15, P < 0.001) and toddlers' nighttime sleep (β = −0.1, P < 0.05). Smartphone viewing time was negatively related to toddlers' total sleep time (β = −0.12, P < 0.05) and daytime sleep (β = −0.22, P < 0.05). Parents who offered screen media for children when they needed to do house chores were more likely to report that their children had less total sleep time (β = −0.1, P < 0.05) and shorter longest sleep episode (β = −0.1, P < 0.05).ConclusionThe majority of toddlers did not meet the WHO guidelines on screen time in China. Screen time was negatively related to total sleep time and nighttime sleep among infants and toddlers. Practical strategies, such as education programs on children's screen viewing, more outdoor exercises and indoor parent-child activities, providing other educational materials instead of screening, early sleep, restricted use of TVs and smartphones, and screen co-viewing, are needed to improve young children's sleep quality and promote their development. |
| first_indexed | 2024-04-11T10:05:55Z |
| format | Article |
| id | doaj.art-1a6666a43ba54f44ad2320bfc66e9677 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-11T10:05:55Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-1a6666a43ba54f44ad2320bfc66e96772022-12-22T04:30:14ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-10-011010.3389/fped.2022.987523987523Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional studyYumin Lin0Xueqin Zhang1Yinying Huang2Zhiwei Jia3Jing Chen4Wanling Hou5Lili Zhao6Guiyan Wang7Jiemin Zhu8Department of Nursing, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Obstetrics and Gynecology, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Nursing, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Child Health, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Child Health, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Nursing, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Nursing, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Obstetrics and Gynecology, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Nursing, School of Medicine, Xiamen University, Xiamen, ChinaAimCurrently young children have more opportunity to access all kinds of media, while their sleep duration has been steadily decreasing. However, little is known about the relationships between screen viewing and sleep quality, and the reasons of screen viewing for children under three years old in China. This study aimed to describe the relationships between screen viewing and sleep quality of infants and toddlers in mainland China.MethodsA cross-sectional study was conducted. Eight hundred twenty-seven children were recruited at a health care unit from a university affiliated hospital in China, and the questionnaires were completed by their parents. An extended Brief Infant Sleep Questionnaire and a Screen Viewing Questionnaire were used to collect information on children's sleep quality and screen viewing. Multivariate linear regression models were used to assess the relationships between screen viewing and sleep quality among infants and toddlers, adjusted for sociodemographic variables.ResultsOf the 827 children, 26.9% of the infants and 61.4% of the toddlers did not comply with the World Health Organization (WHO) guideline on screen time. Even after adjusting for the sociodemographic covariates for both infants and toddlers, negative relationships between screen time and total sleep time (P < 0.001), and screen time and nighttime sleep (P < 0.001) existed. TV viewing time was negatively related to infants' total sleep time (β = −0.15, P < 0.001) and toddlers' nighttime sleep (β = −0.1, P < 0.05). Smartphone viewing time was negatively related to toddlers' total sleep time (β = −0.12, P < 0.05) and daytime sleep (β = −0.22, P < 0.05). Parents who offered screen media for children when they needed to do house chores were more likely to report that their children had less total sleep time (β = −0.1, P < 0.05) and shorter longest sleep episode (β = −0.1, P < 0.05).ConclusionThe majority of toddlers did not meet the WHO guidelines on screen time in China. Screen time was negatively related to total sleep time and nighttime sleep among infants and toddlers. Practical strategies, such as education programs on children's screen viewing, more outdoor exercises and indoor parent-child activities, providing other educational materials instead of screening, early sleep, restricted use of TVs and smartphones, and screen co-viewing, are needed to improve young children's sleep quality and promote their development.https://www.frontiersin.org/articles/10.3389/fped.2022.987523/fullscreen viewingsleep qualityinfantstoddlersChinahealth education |
| spellingShingle | Yumin Lin Xueqin Zhang Yinying Huang Zhiwei Jia Jing Chen Wanling Hou Lili Zhao Guiyan Wang Jiemin Zhu Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional study Frontiers in Pediatrics screen viewing sleep quality infants toddlers China health education |
| title | Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional study |
| title_full | Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional study |
| title_fullStr | Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional study |
| title_full_unstemmed | Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional study |
| title_short | Relationships between screen viewing and sleep quality for infants and toddlers in China: A cross-sectional study |
| title_sort | relationships between screen viewing and sleep quality for infants and toddlers in china a cross sectional study |
| topic | screen viewing sleep quality infants toddlers China health education |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.987523/full |
| work_keys_str_mv | AT yuminlin relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT xueqinzhang relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT yinyinghuang relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT zhiweijia relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT jingchen relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT wanlinghou relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT lilizhao relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT guiyanwang relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy AT jieminzhu relationshipsbetweenscreenviewingandsleepqualityforinfantsandtoddlersinchinaacrosssectionalstudy |