Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (1): 26-30.DOI: 10.11852/zgetbjzz2023-0004

• Original Articles • Previous Articles     Next Articles

Status quo of screen exposure and its determinants in 3- to 6-year-old children in Minhang district, Shanghai

CHEN Min1*, ZHANG Hongmei2*, KANG Shurong1, LI Yun1   

  1. 1. Department of Child Health Care, Minhang District Maternal and Child Healthcare Hospital, Shanghai 201102, China;
    2. Department of Child Health Care, Maqiao CommunityHealth Service Center, Minhang District
  • Received:2023-01-03 Revised:2023-05-05 Online:2024-01-10 Published:2024-01-04
  • Contact: LI Yun, E-mail:


陈敏1*, 张红梅2*, 康淑蓉1, 李云1   

  1. 1.上海市闵行区妇幼保健院儿童保健科,上海 201102;
  • 通讯作者: 李云,
  • 作者简介:陈敏(1976-),女,江西人,副主任医师,本科学历,主要研究方向为儿童保健;张红梅(1976-),女,上海人,本科学历,主治医师,主要研究方向为儿童保健。*共同第一作者
  • 基金资助:

Abstract: Objective To investigate the screen exposure status in 3- to 6-year-old children in Minhang district and to analyze its determinants, so as to provide a basis for scientific intervention of screen exposure in children. Methods A total of 1 035 children aged 3 to 6 years were selected from 30 classes in 10 kindergartens in Minhang district by multi-stage cluster sampling in October 2022. An online questionnaire survey was conducted by their parents. Screen exposure was difined as spending more than one hour on video products per day. Multivariate Logistic regression model was adopted to analyze the determinants of children screen exposure. Results Among 1 035 children, 730 experienced screen exposure (70.53%). The average time of daily screen exposure was (1.67±0.98)h. The daily screen exposure time of children aged 3, 4, 5 and 6 years at weekends was (1.77±1.13), (1.76±1.04), (1.98±1.10)h and(2.08±1.22)h, respectively, and the difference was statistically significant (F=3.98, P<0.01). Multivariate Logistic analysis showed that age group of 5 years old (OR=1.79, 95%CI:1.19 - 2.68), the caregivers using video products for 1 - 2hours/day (OR=2.61, 95%CI:1.90 - 3.60) and >2hours/day (OR=2.10, 95%CI:1.35 - 3.27) when accompanying children, parents supporting children using video products(OR=1.59, 95%CI:1.17 - 2.15), children using video products before bedtime(OR=1.94, 95%CI:1.32 - 2.86), and unsupervised use of video products for children(OR=1.94, 95%CI:1.36 - 2.77) were independent risk factors for children's screen exposure(P<0.05). Father's education level of bachelor(OR=0.61,95%CI:0.43 - 0.89), master and above(OR=0.49, 95%CI:0.34 - 0.73) was a protective factor for children's screen exposure(P<0.05). Conclusions Attention should be paid to the problem of screen exposure of 3 -to 6 - year-old children. Targeted efforts should be made to popularize the knowledge of the harm of early screen exposure to children among caregivers, caregivers are advocated for the rule formulation of screen behavior, scientifically regulate children's screen exposure behaviors, and increase parent-child communication, so as to reduce the adverse effects of screen exposure on children's health.

Key words: preschool children, screen exposure, home nurturing environment

摘要: 目的 了解闵行区3~6岁儿童屏幕暴露现况,分析其影响因素,为科学开展儿童屏幕暴露干预提供依据。方法 采用多阶段整群抽样法于2022年10月抽取闵行区10个幼儿园30个班级1 035名3~6岁儿童,对其抚养人进行在线问卷调查,儿童每天使用视屏产品>1h定义为屏幕暴露。采用多因素Logistic回归分析儿童屏幕暴露的影响因素。结果 1 035名儿童中,有屏幕暴露730人(70.53%),平均每天屏幕暴露时间为(1.67±0.98)h。周末时3、4、5岁和6岁组儿童每日屏幕暴露时间分别为(1.77±1.13)、(1.76±1.04)、(1.98±1.10)、(2.08±1.22)h,差异有统计学意义(F=3.98,P<0.01)。Logistic多因素回归分析显示,儿童5岁年龄组(OR=1.79,95%CI:1.19~2.68),抚养人每天在儿童面前使用视屏产品时间1~2h(OR=2.61,95%CI:1.90~3.60)及>2h(OR=2.10, 95%CI:1.35~3.27),抚养人支持儿童使用视屏产品(OR=1.59, 95%CI:1.17~2.15), 儿童临睡前使用视屏产品(OR=1.94,95%CI:1.32~2.86)和抚养人不陪伴儿童使用视屏产品(OR=1.94,95%CI:1.36~2.77)是3~6岁儿童屏幕暴露的独立危险因素(P<0.05);父亲文化程度为本科(OR=0.61,95%CI:0.43~0.89)和硕士及以上(OR=0.49, 95%CI:0.34~0.73)是儿童屏幕暴露的独立保护因素(P<0.05)。结论 3~6岁儿童屏幕暴露问题值得重视,应有针对性地向抚养人普及早期屏幕暴露对儿童危害的认知,倡导抚养人制定屏幕行为准则,科学规范儿童的屏幕暴露行为,增加亲子交流,以减少屏幕暴露对儿童健康的不良影响。

关键词: 学龄前儿童, 屏幕暴露, 家庭养育环境

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