山东省4~6岁儿童电子屏幕暴露现况及影响因素研究

doi:10.11852/zgetbjzz2019-0026

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (12): 1300-1303.DOI: 10.11852/zgetbjzz2019-0026

山东省4~6岁儿童电子屏幕暴露现况及影响因素研究

滕晓雨¹, 丁磊², 邵静³, 袁安香⁴, 宋晶⁵, 张春光⁶, 李玲⁷, 聂立伟⁸, 刘鑫⁴, 赵冬梅⁷, 杨召川¹, 衣明纪¹

1 青岛大学附属医院儿童保健科,山东青岛 266003;
2 青岛大学附属医院医务部,山东青岛 266003;
3 青岛市李沧区妇幼保健计划生育服务中心,山东青岛 266041;
4 日照市妇幼保健院儿童保健科,山东日照 276825;5 威海市妇幼保健院儿童保健科,山东威海 264200; 6 青岛市市北区妇幼保健计划生育服务中心,山东青岛266021; 7 济南市儿童医院,山东济南 250022; 8 临沂市妇女儿童医院,山东临沂 276000

收稿日期:2019-01-07 修回日期:2019-03-01 发布日期:2019-12-10 出版日期:2019-12-10
通讯作者: 杨召川,E-mail:yzhchuanchuan@163.com;衣明纪,E-mail:yimji@126.com
作者简介:滕晓雨(1993-),女,山东人,在读硕士研究生,主要研究方向为发育行为儿科
基金资助:
国家自然科学基金面上项目(81371499)

Research on the current status and influencing factors of electronic screen exposure in children aged 4 to 6 years in Shandong

TENG Xiao-yu¹,DING Lei²,SHAO Jing³,YUAN An-xiang⁴,SONG Jing⁵,ZHANG Chun-guang⁶,LI Ling⁷, NIE Li-wei⁸,LIU Xin⁴,ZHAO Dong-mei⁷,YANG Zhao-chuan¹,YI Ming-ji¹

1 Department of Child Health Care,the Affiliated Hospital of Qingdao University,Qingdao,Shandong 266003,China;
2 Medical Administration Division,the Affiliated Hospital of Qingdao University,Qingdao,Shandong 266003,China;
3 Maternal and Child Health Care Family Planning Service Center in Licang District,Qingdao,Shandong 266041,China;
4 Department of Child Health Care,Rizhao Maternal and Child Health Care Hospital,Rizhao,Shandong 276825,China;
5 Department of Child Health Care,Weihai Maternal and Child Health Care Hospital,Weihai,Shandong 264200,China;
6 Maternal and Child Health Care Family Planning Service Center in Shibei District,Qingdao,Shandong 266021,China;
7 Children's Hospital in Jinan,Jinan,Shandong 250022,China;
8 Women's and Children's Hospital in Linyi,Linyi,Shandong 276000,China

Received:2019-01-07 Revised:2019-03-01 Online:2019-12-10 Published:2019-12-10
Contact: YANG Zhao-chuan,E-mail:yzhchuanchuan@163.com;YI Ming-ji,E-mail:yimji@126.com

摘要/Abstract

摘要： 目的了解山东省4～6岁儿童电子屏幕暴露现况及影响因素,为科学干预学龄前儿童使用电子设备提供参考。方法 2018年9-10月分层随机整群抽取山东省5市共20所幼儿园的儿童,采用问卷调查收集基本信息及屏幕暴露相关情况。采用Logistic回归模型分析屏幕时间≥1 h的影响因素。结果山东省4～6岁儿童工作日屏幕时间低于周末[(1.40±1.48) h vs (1.88±1.38) h],差异有统计学意义(t=-15.411,P＜0.05)。男童与女童日平均屏幕时间分别为(1.57±1.37) h、(1.50±1.24) h,差异无统计学意义(t=1.275,P=0.203)。多因素分析显示生后4月内中等比例母乳喂养、家长允许儿童使用电子设备、母亲文化水平为初中及以下、家长经常对儿童屏幕内容限制频率为偶尔/有时/经常、家长每日屏幕时间长、儿童睡前屏幕时间长是儿童日平均屏幕时间≥1 h的危险因素,OR值(95%CI)分别为1.426(1.087～1.966)、3.806(1.904～7.608)、2.692(1.397～5.188)、1.929(1.326~2.807)、2.165(1.611~2.911)、1.484(1.167～1.887)、1.069(1.033～1.107)、2.183(1.740～2.740)。结论过度屏幕暴露在4～6岁儿童中普遍存在,并呈现低龄化发展趋势,且受多种因素影响,对儿童的屏幕时间应给予科学干预和正确引导。

关键词: 电子设备, 屏幕时间, 学龄前儿童

Abstract: Objective To understand the current status and influencing factors of electronic screen exposure in children aged 4 to 6 years in Shandong,in order to provide reference for appropriate use of electronic device. Methods A total of children in 20 kindergartens from 5 cities in Shandong province were selected by random sampling method from September to October 2018.The basic information,screen exposure conditions were investigated by questionnaires.Logistic regression model was used to analyze the influencing factors of screen time. Results The screen time of children aged 4-6 years on weekday was significantly lower than that in weekend [(1.40±1.48) h vs.(1.88±1.38)h,t=-15.411,P＜0.05].The daily average screen time for boys and girls was (1.57±1.37) h and (1.50±1.24) h,and the difference was not significant(t=1.275,P=0.203).Multivariate analysis showed that medium proportion of breastfeedingwithin 4 months after birth(OR=1.462,95%CI:1.087-1.966),parents' frequent permission on using electronic devices(OR=3.806,95%CI:1.904-7.608),maternal education level under junior high school(OR=2.692,95%CI:1.397-5.188),parents'occasionally/sometimes/frequent restriction on screen content(OR=1.929,95%CI:1.326-2.807;OR=2.165,95%CI:1.611-2.911;OR=1.484,95%CI:1.167-1.887),longer daily screen time of parents(OR=1.069,95%CI:1.033-1.107) and the longer screen time of children before bedtime(OR=2.183,95%CI:1.740-2.740) were risk factors of daily average screen time≥1 h. Conclusions Excessive screen time is common among children aged 4-6 years and shows a lowering trend of age.Electronic screen exposure is affected by multiple factors,andchildren should be given scientific intervention and proper guidance.

Key words: electronic devices, screen time, preschool children

中图分类号:

:R179

滕晓雨, 丁磊, 邵静, 袁安香, 宋晶, 张春光, 李玲, 聂立伟, 刘鑫, 赵冬梅, 杨召川, 衣明纪. 山东省4~6岁儿童电子屏幕暴露现况及影响因素研究[J]. 中国儿童保健杂志, 2019, 27(12): 1300-1303.

TENG Xiao-yu,DING Lei,SHAO Jing,YUAN An-xiang,SONG Jing,ZHANG Chun-guang,LI Ling, NIE Li-wei,LIU Xin,ZHAO Dong-mei,YANG Zhao-chuan,YI Ming-ji. Research on the current status and influencing factors of electronic screen exposure in children aged 4 to 6 years in Shandong[J]. journal1, 2019, 27(12): 1300-1303.

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山东省4~6岁儿童电子屏幕暴露现况及影响因素研究

Research on the current status and influencing factors of electronic screen exposure in children aged 4 to 6 years in Shandong

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