Association between family screen environment and screen content for preschool children in Shanghai
Objective To investigate the current status of screen exposure among preschool children in Shanghai and its associa-tion with family screen environment,so as to provide a scientific basis for family screen management.Methods Using a convenient sampling method,a total of 349 preschool children aged 4-6 years were selected from 36 kindergarten classes in Xuhui District and Pudong New Area in Shanghai during April to June in 2023.Demographic characteristics and family screen environment were sur-veyed through an online questionnaire.Screen exposure of children was assessed using a diary method,with parents recording the activities over a 7-day period.Multiple Logistic regression analysis was employed to identify factors influencing children's screen content.Results The average daily screen exposure time for children was(61.2±40.2)minutes,with an average of(12.4±17.6)minutes spent on educational screen content,80.8%predominantly watched non-educational screen content.The percentages of time spent on educational screen content for 4-year-old boys,4-year-old girls,5-year-old boys,5-year-old girls,6-year-old boys,and 6-year-old girls were 20.1%,14.7%,21.3%,21.9%,20.6%,and 26.9%,respectively.Multivariate Logistic regression showed that children aged 5-year-old(OR=0.49,95%CI=0.25-0.96)and 6-year-old(OR=0.45,95%CI=0.21-0.95)were negatively asso-ciated with more non-educational screen content(P<0.05).However,occasional(OR=2.02,95%CI=1.09-3.75)and sometimes(OR=4.50,95%CI=1.70-11.90)using electronic devices to calm young child when crying,as well as children using electronic devices without adult supervision(OR=1.81,95%CI=1.01-3.24)were positively associated with more non-educational screen content(P<0.05).Conclusions Preschool children in Shanghai exhibit high exposure to non-educational screen content,and fam-ily screen environment and parent-child interaction are associated with non-educational screen exposure.Strategies for family screen management should be developed to regulate children's screen exposure behaviors,allowing electronic devices to play a positive role in their developmental process.