Association Between Screen Time and Children's Performance on a Developmental Screening Test
Association Between Screen Time and Children's Performance on a Developmental Screening Test
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DOI：
10.1001/jamapediatrics.2018.5056
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发表时间：
2019-03-01
期刊：
影响因子：
26.1
通讯作者：
Tough, Suzanne
中科院分区：
文献类型：
--
作者：
Madigan, Sheri;Browne, Dillon;Tough, Suzanne
过多的屏幕时间与发育延迟有关;然而，目前尚不清楚是否更多的屏幕时间预示着较低的性能分数在发展筛选测试或如果儿童与发展表现差接受额外的屏幕时间作为一种方式来调节挑战行为。和参与者这项纵向队列研究使用了来自加拿大阿尔伯塔省卡尔加里市的2441名母亲和儿童的3波交叉标记面板模型。儿童年龄为24个月、36个月和60个月时的数据可用。数据收集时间为2011年10月20日至2016年10月6日。统计分析时间为2018年7月31日至11月15日。媒体.主要成果和ME. A. SLIREE.，在年龄24，36，和60个月，儿童的屏幕时间的行为（每周总小时数）和发展成果（年龄和阶段问卷，第三版）进行了评估，通过产妇report.Results的2441名儿童包括在分析中，1169（47.9%）是男孩。一项随机截距交叉标记的面板模型显示，24和36个月时较高水平的筛查时间分别与36个月（13，0.08; 95%Cl，0.13至0.02）和60个月（13，0.06; 95%Cl，0.13至0.02）时发育筛查测试中较差的表现显著相关。这些withinperson（随时间变化）协会统计控制betweenperson（稳定）difficulties.CONCLUSIONS AND RELEVANCE-本研究的结果支持屏幕时间和儿童发展之间的定向关联。建议包括鼓励家庭媒体计划，以及管理屏幕时间，以抵消过度使用的潜在后果。
IMPORTANCE Excessive screen time is associated with delays in development; however, it is unclear if greater screen time predicts lower performance scores on developmental screening tests or if children with poor developmental performance receive added screen time as a way to modulate challenging behavior.ObJECTIVE To assess the directional association between screen time and child development in a population of mothers and children.DESIGN, SETTING, AND PARTICIPANTS This longitudinal cohort study used a 3wave, crosslagged panel model in 2441 mothers and children in Calgary, Alberta, Canada, drawn from the All Our Families study. Data were available when children were aged 24, 36, and 60 months. Data were collected between October 20, 2011, and October 6, 2016. Statistical analyses were conducted from July 31to November 15, 2018.EXPOSURE. Media.MAIN OUTCOMES AND ME.A.SLIREE., At age 24, 36, and 60 months, children's screentime behavior (total hours per week) and developmental outcomes (Ages and Stages Questionnaire, Third Edition) were assessed via maternal report.RESULTS Of the 2441 children included in the analysis, 1169 (47.9%) were boys. A randomintercepts, crosslagged panel model revealed that higher levels of screen time at 24 and 36 months were significantly associated with poorer performance on developmental screening tests at 36 months (13,0.08; 95% Cl,0.13 to0.02) and 60 months (13,0.06; 95% Cl,0.13 to0.02), respectively. These withinperson (timevarying) associations statistically controlled for betweenperson (stable) differences.CONCLUSIONS AND RELEVANCE The results of this study support the directional association between screen time and child development. Recommendations include encouraging family media plans, as well as managing screen time, to offset the potential consequences of excess use.