上海市中小学生屏前时间与内外化行为问题的关联
Association between screen time and internalizing and externalizing behavioral problems in primary and secondary school students in Shanghai
王红会 1童连1
作者信息
- 1. 复旦大学公共卫生学院妇幼与儿少卫生教研室,上海 200032
- 折叠
摘要
目的 探讨屏前时间与中小学生内外化行为问题的关联性,为儿童青少年内外化行为问题的早期干预提供参考.方法 采用分层随机整群抽样方法,于2021年10-12月在上海市抽取2 178名中小学生,使用长处与困难问卷及自编屏前时间问卷进行调查.采用x2检验和多因素Logistic回归模型,分析屏前时间与中小学生内外化行为的关联.结果 中小学生的内、外化行为问题检出率分别为20.5％,23.7％.男生看电视和玩游戏≥2 h/d的报告率(9.2％,3.0％)均高于女生(5.2％,1.2％)(x2值分别为11.95,8.15,P值均＜0.01).校正性别、学生年龄、家庭年收入、父母年龄、父母文化程度、是否独生子女等变量后,手机使用≥2h/d会增加中小学生内化问题的风险(OR=2.40,95％CI=1.53～3.79);学习日屏前时间≥2 h/d会增加中小学生内、外化行为问题的风险[OR值(95％CI)分别为1.93(1.38～2.69),1.63(1.14～2.32)](P值均＜0.05).结论 过长的屏前时间与中小学生内外化行为问题的发生有关.建议合理控制儿童青少年的屏前时间.
Abstract
Objective To explore the association between screen time and internalizing and externalizing behavioral problems of primary and secondary school students,so as to provide reference for early intervention of internalizing and externalizing behavioral problems of children and adolescents.Methods Using stratified random cluster sampling method,2 178 primary and secondary school students were sampled in October to December,2021 in Shanghai,China,and were surveyed by using the Strengths and Dif-ficulties Questionnaire and the self-administered screen time questionnaire.The X2 test and multifactor Logistic regression model were used to analyze the association between screen time and internalizing and externalizing behaviors of primary and secondary school students.Results The detection rates of internalizing and externalizing behavior problems among primary and secondary school students were 20.5％and 23.7％,respectively.Boys were reported of higher rates of watching TV and playing games ≥2 h/d(9.2％,3.0％)than girls(5.2％,1.2％)(X2=11.95,8.15,P＜O.Ol).After adjusting for variables such as sex,students'age,an-nual family income,parental age,parental educational level,and only child status,cell phone use ≥2 h/d increased the risk of internalizing problems in primary and secondary school students(OR=2.40,95％CI=1.53-3.79),screen time ≥ 2 h/d on study days increased the risk of internalizing and externalizing behavioral problems in primary and secondary school students[OR(95％CI)=1.93(1.38-2.69),1.63(1.14-2.32)](P＜0.05).Conclusions Excessive screen time is associated with the development of internalizing and externalizing behavior problems in children and adolescents.It is suggested to control the screen time of primary and secondary school students reasonably.
关键词
注视,眼/时间/行为/精神卫生/回归分析/学生Key words
Fixation,ocular/Time/Behavior/Mental health/Regression analysis/Students引用本文复制引用
基金项目
国家社会科学基金(20BRK048)
上海市公共卫生体系建设三年行动计划重点学科建设项目(第六轮)(GWVI-11.1-32)
出版年
2024
NETL
NSTL
万方数据