全国7省父母视屏时间和限制行为对6~17岁儿童青少年视屏时间的联合影响研究

doi:10.11852/zgetbjzz2020-2213

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (10): 1063-1067.DOI: 10.11852/zgetbjzz2020-2213

全国7省父母视屏时间和限制行为对6~17岁儿童青少年视屏时间的联合影响研究

马莹¹, 苏彬彬², 霍家康¹, 陈曼曼¹, 李艳辉¹, 高迪¹, 董彦会¹, 马军¹

1.北京大学公共卫生学院,北京大学儿童青少年卫生研究所,北京 100191;
2.北京大学人口研究所

收稿日期:2020-12-29 修回日期:2021-02-25 发布日期:2021-10-26 出版日期:2021-10-10
通讯作者: 马军,E-mail:majunt@bjmu.edu.cn
作者简介:马莹(1997-),女,广西人,在读硕士,主要研究方向为儿童青少年生长发育及其影响因素。
基金资助:
国家自然科学基金(81903344);博士后科学基金(BX20200019;2020M680266)

Study on the combined influence of parental screen time and restrictive behaviors on screen time of children and adolescents aged 6 to 17 years from 7 provinces in China

MA Ying^*, SU Bin-bin, HUO Jia-kang, CHEN Man-man, LI Yan-hui, GAO Di, DONG Yan-hui, MA Jun

^*Institute of Child and Adolescent Health,School of Public Health,Peking University,Beijing 100191,China

Received:2020-12-29 Revised:2021-02-25 Online:2021-10-10 Published:2021-10-26
Contact: MA Jun,E-mail:majunt@bjmu.edu.cn

摘要/Abstract

摘要： 目的分析父母视屏时间和限制儿童屏幕使用行为对儿童视屏时间的联合作用, 探究父母控制自身视屏时间结合对儿童视屏时间的限制行为是否能更有效地控制儿童视屏时间,为促进儿童青少年养成健康的生活方式提供依据。方法于2012年采用分层整群抽样方法,在上海市、广东省、湖南省、重庆市、宁夏回族自治区、天津市和辽宁省7个省市中共抽取93所学校,对抽中学校班级的学生及家长进行问卷调查,分析父母视屏时间结合限制儿童视屏时间的行为对学生视屏时间的影响。结果共37 984名6~17岁儿童青少年纳入调查,平均年龄为(10.7±3.2)岁,其中有8 543人(22.5%)视屏时间超过2 h。单因素分析显示父母不限制儿童视屏时间和父母视屏时间超过2 h组的儿童视屏时间过长的风险分别比对照组增加了25%(OR=1.25,95%CI:1.09~1.43,P=0.002)和52%(OR=1.52,95%CI:1.44~1.60,P＜0.001);父母视屏时间超过2 h且不限制儿童屏幕使用的,其视屏时间超过2 h的风险是对照组的1.93倍(OR=1.93,95%CI:1.72~2.17,P＜0.001),调整了性别、城乡、年龄、父母文化程度等因素后和亚组分析显示相同的结果。结论父母控制视屏时间和限制儿童的视屏时间都能降低儿童视屏时间过长的风险,且二者同时作用时效果更明显。为了进一步减少儿童青少年因视屏时间过长而导致的肥胖等健康问题,家长不仅应对儿童的视屏时间做出限制,也需要控制自身的视屏时间不宜过长。

关键词: 视屏时间, 限制行为, 联合作用, 儿童青少年

Abstract: Objective To analyze the combined influence of parental screen time and restrictive behaviors on screen time of children and adolescents,and to understand whether decreasing parental screen time combined with restrictive behaviors on screen time of children and adolescents will help control the screen time of children and adolescents within two hours more effectively,so as to provide reference for developing healthy lifestyle. Methods Students aged 6—17 years were selected from 93 schools in 7 provinces and cities in China,with a stratified cluster sampling method. Parental screen time,restrictive behaviors on children′s screen time and children′s screen time were measured by structured questionnaires. A multivariable Logistic regression model was used to analyze the combined influence of parental screen time and restrictive behaviors on screen time of children and adolescents. Results A total of 37 984 students were enrolled into this study with an average age of (10.7±3.2) years old. There were 8 543 students(22.5%) whose daily screen time exceeded 2 hours.Compared with control group,the odds ratio of children′s screen time ＞2 h/d in the group without parental restriction on screen time and parental screen time ＞2 h/d group were 1.25(95%CI: 1.09—1.43,P=0.002) and 1.52(95%CI: 1.44—1.60,P<0.001),respectively. And the odds ratio of children′s screen time ＞2 h/d in the group of parental screen time＞2 h/d without restrictive behaviors on children was 1.93 times higher than that in control group(95%CI: 1.72—2.17,P<0.001). After adjusting for confounding factors such as gender,residence place,age and parental education level with stratified analysis,there was also a consistent result with the overall. Conclusions Parental screen time ＜2 h/d and restrictive behaviors on screen time of children and adolescents are both the protective factors of controlling children′s screen time,and there is a combined influence of the two factors. In order to further reduce the obesity and other health problems of children and adolescents caused by too long screen time,parents should not only limit the children′s screen time,but also need to control their own screen time.

Key words: screen time, restrictive behaviors, combined influence, children and adolescents

中图分类号:

R179

马莹, 苏彬彬, 霍家康, 陈曼曼, 李艳辉, 高迪, 董彦会, 马军. 全国7省父母视屏时间和限制行为对6~17岁儿童青少年视屏时间的联合影响研究[J]. 中国儿童保健杂志, 2021, 29(10): 1063-1067.

MA Ying, SU Bin-bin, HUO Jia-kang, CHEN Man-man, LI Yan-hui, GAO Di, DONG Yan-hui, MA Jun. Study on the combined influence of parental screen time and restrictive behaviors on screen time of children and adolescents aged 6 to 17 years from 7 provinces in China[J]. Chinese Journal of Child Health Care, 2021, 29(10): 1063-1067.

参考文献

[1] 张云婷,马生霞,陈畅,等.中国儿童青少年身体活动指南[J].中国循证儿科杂志,2017,12(6):401-409.
[2] Song B,Hu W,Hu W,et al.Physical disorders are associated with health risk behaviors in Chinese adolescents: a latent class analysis[J].Int J Environ Res Public Health,2020,17(6):2139.
[3] Trinh L,Wong B,Faulkner GE.The independent and interactive associations of screen time and physical activity on mental health,school connectedness and academic achievement among a population-based sample of youth[J].J Can Acad Child Adolesc Psychiatry,2015,24(1):17-24.
[4] Baiden P,Tadeo SK,Peters KE.The association between excessive screen-time behaviors and insufficient sleep among adolescents: findings from the 2017 youth risk behavior surveillance system[J].Psychiatry Res,2019,281:112586.
[5] Stiglic N,Viner RM. Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews[J].BMJ Open,2019,9(1):e023191.
[6] Pearson N,Griffiths P,Biddle SJ,et al.Clustering and correlates of screen-time and eating behaviours among young adolescents[J].BMC Public Health,2017,17(1):533.
[7] Shqair AQ,Pauli LA,Costa VPP,et al.Screen time,dietary patterns and intake of potentially cariogenic food in children:a systematic review[J].J Dent,2019,86:17-26.
[8] Domingues-Montanari S.Clinical and psychological effects of excessive screen time on children[J].J Paediatr Child Health,2017,53(4):333-338.
[9] Chen JY,Strodl E,Huang LH,et al.early electronic screen exposure and autistic-like behaviors among preschoolers: the mediating role of caregiver-child Interaction,sleep duration and outdoor activities[J].Children(Basel),2020,7(11):200-200.
[10] Jago R,Thompson JL,Sebire SJ,et al.Cross-sectional associations between the screen-time of parents and young children: differences by parent and child gender and day of the week[J].Int J Behav Nutr Phys Act,2014,11:54.
[11] Jago R,Sebire SJ,Edwards MJ,et al.Parental TV viewing,parental self-efficacy,media equipment and TV viewing among preschool children[J].Eur J Pediatr,2013,172(11):1543-1545.
[12] 韦冬梅,吴丽晶,高爱钰,等.儿童视屏行为和家庭相关因素与儿童体重指数的关系[J].北京大学学报(医学版),2015,47(3):390-394.
[13] 安美静,陈天娇,马军.父母因素对儿童青少年视屏时间的影响及其性别差异[J].中国学校卫生,2019,40(2):202-205.
[14] Jago R,Wood L,Zahra J,et al.Parental control,nurturance,self-efficacy,and screen viewing among 5- to 6-year-old children: a cross-sectional mediation analysis to inform potential behavior change strategies[J].Child Obes,2015,11(2):139-147.

[1]	缪宇铃, 林青敏, 姜艳蕊, 赵瑾, 张云婷, 王广海, 江帆. 上海市青少年24小时活动与负性情绪的相关研究[J]. 中国儿童保健杂志, 2023, 31(5): 475-480.
[2]	吴巧玲, 徐健, 赵正言, 彭咏梅, 龚春丹. 超敏C反应蛋白与儿童青少年代谢综合征的相关性[J]. 中国儿童保健杂志, 2023, 31(4): 427-432.
[3]	李正华, 梁彩玲, 何漪, 刘琦, 王纪, 张丽军. 孤独症谱系障碍儿童睡眠问题及其影响因素[J]. 中国儿童保健杂志, 2023, 31(3): 316-321.
[4]	陶佳慧, 陈琳琳, 马钰, 丁琴琴, 王秋晶, 丁文清. 儿童青少年肌肉质量与心血管疾病危险因素的关系[J]. 中国儿童保健杂志, 2022, 30(7): 706-710.
[5]	刘宇, 杨新军. 异常出生体重与儿童青少年神经行为发育的研究进展[J]. 中国儿童保健杂志, 2022, 30(7): 759-763.
[6]	舒瑶, 张英波. 动作技能干预对智力障碍儿童青少年基本动作技能影响的系统综述[J]. 中国儿童保健杂志, 2022, 30(7): 770-774.
[7]	宫艳慧, 郭玲玲, 车超, 陈坤平, 柴润玉, 曹爱华, 童连. 发育性语言障碍儿童的亲子互动特征及影响因素分析[J]. 中国儿童保健杂志, 2022, 30(3): 259-263.
[8]	唐敏华, 赵根明, 姜永根, 朱虹, 李咏梅, 陈妮儿, 何玉萍, 姚春霞. 上海市松江区2 036名儿童青少年视力健康现状及其影响因素分析[J]. 中国儿童保健杂志, 2022, 30(3): 319-324.
[9]	周金玉, 白玲, 董洋洋, 蔡蓉蓉, 贾磊娜, 丁文清. 银川城区儿童青少年骨矿物质含量与肥胖相关关系的研究[J]. 中国儿童保健杂志, 2022, 30(1): 15-19.
[10]	余丽蓉, 杜香平, 吴限, 袁意, 杨玉, 余珍. 先天性肾上腺皮质增生症儿童及青少年的生存质量及其影响因素[J]. 中国儿童保健杂志, 2021, 29(8): 843-847.
[11]	王椿淇, 刘磊, 刘洋, 许志勇, 王一诺, 庄绪秀, 闻德亮. 血清单胺氧化酶与儿童青少年肥胖之间的关系研究[J]. 中国儿童保健杂志, 2021, 29(2): 151-155.
[12]	李娟, 王海军, 陈巍. 运动改善大脑奖赏功能防治儿童青少年肥胖的研究进展[J]. 中国儿童保健杂志, 2021, 29(2): 165-168.
[13]	朱谦让, 戴月, 张坚, 张静娴, 谢玮. 儿童青少年膳食及血清锌状况与心血管疾病代谢危险因素的关系[J]. 中国儿童保健杂志, 2021, 29(12): 1304-1308.
[14]	张耀东, 王一然, 黄晓培, 卫海燕. 河南省6~17岁儿童青少年超重肥胖流行情况及影响因素分析[J]. 中国儿童保健杂志, 2021, 29(11): 1181-1185.
[15]	陈曼曼, 霍家康, 马莹, 马涛, 李艳辉, 高迪, 陈力, 董彦会, 马军. 中国七省市儿童青少年不同肥胖类型对血压偏高的影响研究[J]. 中国儿童保健杂志, 2021, 29(10): 1053-1057.

全国7省父母视屏时间和限制行为对6~17岁儿童青少年视屏时间的联合影响研究

Study on the combined influence of parental screen time and restrictive behaviors on screen time of children and adolescents aged 6 to 17 years from 7 provinces in China

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics