Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort
Abstract Background Excessive screen time in infancy and childhood has been associated with consequences on children’s development and health. International guidelines call for no screen time before age 2 years, whereas in France, the most prominent guidelines recommend no screen before age 3 years....
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-022-01342-9 |
| _version_ | 1798042530329133056 |
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| author | Lorraine Poncet Mélèa Saïd Malamine Gassama Marie-Noëlle Dufourg Falk Müller-Riemenschneider Sandrine Lioret Patricia Dargent-Molina Marie-Aline Charles Jonathan Y. Bernard |
| author_facet | Lorraine Poncet Mélèa Saïd Malamine Gassama Marie-Noëlle Dufourg Falk Müller-Riemenschneider Sandrine Lioret Patricia Dargent-Molina Marie-Aline Charles Jonathan Y. Bernard |
| author_sort | Lorraine Poncet |
| collection | DOAJ |
| description | Abstract Background Excessive screen time in infancy and childhood has been associated with consequences on children’s development and health. International guidelines call for no screen time before age 2 years, whereas in France, the most prominent guidelines recommend no screen before age 3 years. However, data are lacking on parental adherence to the no-screen guideline for toddlers and factors of adherence in France. Using data from the French nationwide Elfe birth cohort, we estimated adherence to the no-screen guideline at age 2 years and examined related factors, including sociodemographic characteristics, parental leisure activities and screen time. Methods In 2011, 18,329 newborns and their parents were enrolled in 349 randomly selected maternity units across mainland France. At age 2 years, screen exposure of 13,117 toddlers was reported by parents in phone interviews. Data on sociodemographic characteristics, parental leisure activities and screen time were collected from both parents. Three patterns of parental leisure activities were derived by principal component analysis: literate (e.g.,reading), screen-based, and physical/artistic activities. Multivariable logistic regression models were used to examine the associations of sociodemographic characteristics, parental leisure activities and parental screen time with adherence to the no-screen guideline for toddlers. Results Overall, 1809/13,117 (13.5%) families adhered to the no-screen guideline for toddlers. Adherence was reduced with maternal age < 40 years, low parental education, single-parent household and parental migration status. After adjusting for sociodemographic characteristics, adherence to the guideline was positively associated with a parental literate activity pattern (mothers: odds ratio [95% confidence interval]: 1.15 [1.08, 1.22]); fathers: 1.15 [1.07, 1.23]) and negatively with a screen-based activity pattern (mothers: 0.73 [0.69, 0.77]; fathers: 0.81 [0.76, 0.87]). With each additional hour of parental screen time, mothers and fathers were less likely to adhere to the guideline (mothers: adjusted odds ratio 0.80 [0.77, 0.83]; fathers: 0.88 [0.85, 0.91]). Conclusions Adherence to the no-screen guideline for toddlers in France was low. Parental leisure activities and parental screen time are major factors of adherence to the no-screen guideline and could be considered in targeted public health interventions. |
| first_indexed | 2024-04-11T22:36:44Z |
| format | Article |
| id | doaj.art-6a70fe7e44f14fa49e7fb0924ad0d76c |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-04-11T22:36:44Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
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| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-6a70fe7e44f14fa49e7fb0924ad0d76c2022-12-22T03:59:11ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682022-08-0119111110.1186/s12966-022-01342-9Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohortLorraine Poncet0Mélèa Saïd1Malamine Gassama2Marie-Noëlle Dufourg3Falk Müller-Riemenschneider4Sandrine Lioret5Patricia Dargent-Molina6Marie-Aline Charles7Jonathan Y. Bernard8Centre for Research in Epidemiology and Statistics (CRESS), Université de Paris, Inserm, INRAECentre for Research in Epidemiology and Statistics (CRESS), Université de Paris, Inserm, INRAEUnité Mixte Inserm-Ined-EFS ElfeUnité Mixte Inserm-Ined-EFS ElfeSaw Swee Hock School of Public Health, National University of SingaporeCentre for Research in Epidemiology and Statistics (CRESS), Université de Paris, Inserm, INRAECentre for Research in Epidemiology and Statistics (CRESS), Université de Paris, Inserm, INRAECentre for Research in Epidemiology and Statistics (CRESS), Université de Paris, Inserm, INRAECentre for Research in Epidemiology and Statistics (CRESS), Université de Paris, Inserm, INRAEAbstract Background Excessive screen time in infancy and childhood has been associated with consequences on children’s development and health. International guidelines call for no screen time before age 2 years, whereas in France, the most prominent guidelines recommend no screen before age 3 years. However, data are lacking on parental adherence to the no-screen guideline for toddlers and factors of adherence in France. Using data from the French nationwide Elfe birth cohort, we estimated adherence to the no-screen guideline at age 2 years and examined related factors, including sociodemographic characteristics, parental leisure activities and screen time. Methods In 2011, 18,329 newborns and their parents were enrolled in 349 randomly selected maternity units across mainland France. At age 2 years, screen exposure of 13,117 toddlers was reported by parents in phone interviews. Data on sociodemographic characteristics, parental leisure activities and screen time were collected from both parents. Three patterns of parental leisure activities were derived by principal component analysis: literate (e.g.,reading), screen-based, and physical/artistic activities. Multivariable logistic regression models were used to examine the associations of sociodemographic characteristics, parental leisure activities and parental screen time with adherence to the no-screen guideline for toddlers. Results Overall, 1809/13,117 (13.5%) families adhered to the no-screen guideline for toddlers. Adherence was reduced with maternal age < 40 years, low parental education, single-parent household and parental migration status. After adjusting for sociodemographic characteristics, adherence to the guideline was positively associated with a parental literate activity pattern (mothers: odds ratio [95% confidence interval]: 1.15 [1.08, 1.22]); fathers: 1.15 [1.07, 1.23]) and negatively with a screen-based activity pattern (mothers: 0.73 [0.69, 0.77]; fathers: 0.81 [0.76, 0.87]). With each additional hour of parental screen time, mothers and fathers were less likely to adhere to the guideline (mothers: adjusted odds ratio 0.80 [0.77, 0.83]; fathers: 0.88 [0.85, 0.91]). Conclusions Adherence to the no-screen guideline for toddlers in France was low. Parental leisure activities and parental screen time are major factors of adherence to the no-screen guideline and could be considered in targeted public health interventions.https://doi.org/10.1186/s12966-022-01342-9ChildBirth cohortParentingScreen timeSedentary behaviorSmartphone |
| spellingShingle | Lorraine Poncet Mélèa Saïd Malamine Gassama Marie-Noëlle Dufourg Falk Müller-Riemenschneider Sandrine Lioret Patricia Dargent-Molina Marie-Aline Charles Jonathan Y. Bernard Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort International Journal of Behavioral Nutrition and Physical Activity Child Birth cohort Parenting Screen time Sedentary behavior Smartphone |
| title | Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort |
| title_full | Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort |
| title_fullStr | Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort |
| title_full_unstemmed | Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort |
| title_short | Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort |
| title_sort | sociodemographic and behavioural factors of adherence to the no screen guideline for toddlers among parents from the french nationwide elfe birth cohort |
| topic | Child Birth cohort Parenting Screen time Sedentary behavior Smartphone |
| url | https://doi.org/10.1186/s12966-022-01342-9 |
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