首页|海南省0~3岁儿童屏幕暴露现况及影响因素研究

海南省0~3岁儿童屏幕暴露现况及影响因素研究

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目的 了解海南省0~3岁儿童屏幕暴露现况,分析其影响因素,为儿童屏幕暴露干预提供科学依据。方法 采用多阶段抽样方法,对2020年12月至2021年7月于海南省18个市(县)的5 843名0~3岁儿童家长进行问卷调查,收集儿童人口学信息、家庭类型、主要带养人及每日平均视屏时间(近一个月)等资料;分别将0~<18月龄儿童视屏时间>0小时/天、18~36月龄儿童视屏时间>1小时/天定义为屏幕暴露,采用多因素Logistic回归分析屏幕暴露的影响因素。结果 5 843名儿童中男童3 259名(55。78%),女童2 584名(44。22%)。65。10%的儿童未接触屏幕,24。75%的儿童每日视屏时间在0~<1小时,5。96%的儿童每日视屏时间在1~2小时,4。19%的儿童每日视屏时间超过2小时。0~3岁儿童屏幕暴露报告率为20。11%,其中0~<18月龄儿童屏幕暴露报告率低于18~36月龄,差异有统计学意义(17。17%vs。26。19%,x2=65。138,P<0。001)。多因素Logistic回归分析结果显示,0~<18月龄中,在农村居住(OR=1。264,95%CI:1。003~1。594)、主要带养人为祖/外祖父母(OR=1。536,95%CI:1。157~2。040)是儿童屏幕暴露的危险因素;18~36月龄中,家庭类型为主干家庭是儿童屏幕暴露的保护因素(OR=0。772,95%CI:0。627~0。950)。结论 0~3岁儿童屏幕暴露问题普遍,屏幕暴露程度易受到外界多种因素干扰,制定干预措施需考虑家庭养育环境的影响。
Research on screen exposure status and influencing factors among children aged 0-3 in Hainan Province
Objective To understand the current status of screen exposure among children aged 0-3 years in Hainan Province,analyze its influencing factors,and provide a scientific basis for interventions on children's screen exposure.Methods Using a multi-stage sampling method,a questionnaire survey was conducted from December 2020 to July 2021 among 5 843 parents of children aged 0-3 years in 18 cities(counties)of Hainan Province,collecting demographic information,family type,main caregiver,and daily average screen time(nearly a month)of children.Screen exposure was defined as screen exposure time>0 hours/day for children aged 0-<18 months and>1 hour/day for children aged 18-36 months.Multivariable Logistic regression was used to analyze influencing factors of screen exposure.Results Among 5 843 children,3 259(55.78%)were boys and 2584(44.22%)were girls.65.10%of children had no screen exposure,24.75%had daily screen time of 0-<1 hour,5.96%had daily screen time of 1-2 hours,and 4.19%had daily screen time exceeding 2 hours.The screen exposure rate for children aged 0-3 years was 20.11%,with a lower rate in children aged 0-<18 months compared to those aged 18-36 months,with statistically significant differences(17.17%vs.26.19%,x2=65.138,P<0.001).Multivariate Logistic regression analysis showed that living in rural areas(OR=1.264,95%CI:1.003-1.594)and grandparents as the main caregivers(OR=1.536,95%CI:1.157-2.040)were risk factors for screen exposure in children aged 0-<18 months,Among children aged 18-36 months,nuclear family type was a protective factor for children's screen exposure(OR=0.772,95%CI:0.627-0.950).Conclusion Screen exposure is a common problem in children aged 0-3 years,and the degree of screen exposure is easily affected by various external factors.Intervention measures need to consider the impact of the family upbringing environment.

children 0-3 years oldscreen exposurecross-sectional studyscreen time

张丞、黄垂灿、黄振宁、王丹、夏雪、罗庆、吴维佳、樊利春

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海南医学院公共卫生学院,海南海口 571199

海南省妇女儿童医学中心儿童保健科,海南海口 570206

海南医学院儿科学院,海南 海口 570206

海南省妇女儿童医学中心科研科,海南 海口 570206

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0~3岁儿童 屏幕暴露 横断面研究 视屏时间

海南省重大科技项目海南省重点科技合作项目海南省自然科学基金青年基金海南省临床医学中心建设项目海南省优秀人才团队项目

ZDKJ2019010DYF2020210821QN416琼卫医函202175号琼人才办通202121号

2024

中国妇幼健康研究
西安交通大学,中国疾病控制中心妇幼保健中心

中国妇幼健康研究

CSTPCD
影响因子:0.942
ISSN:1673-5293
年,卷(期):2024.35(6)
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