Trends in Screen Time Use Among Children During the COVID-19 Pandemic, July 2019 Through August 2021.
Trends in Screen Time Use Among Children During the COVID-19 Pandemic, July 2019 Through August 2021.
复制标题
DOI：
10.1001/jamanetworkopen.2022.56157
复制
发表时间：
2023-02-01
影响因子：
13.8
通讯作者：
Ferrara, Assiamira
中科院分区：
文献类型：
--
作者：
Hedderson, Monique M.;Bekelman, Traci A.;Li, Mingyi;Knapp, Emily A.;Palmore, Meredith;Dong, Yanan;Elliott, Amy J.;Friedman, Chloe;Galarce, Maren;Gilbert-Diamond, Diane;Glueck, Deborah;Hockett, Christine W.;Lucchini, Maristella;Mcdonald, Julia;Sauder, Katherine;Zhu, Yeyi;Karagas, Margaret R.;Dabelea, Dana;Ferrara, Assiamira
从COVID-19大流行之前到期间，儿童的屏幕时间有变化吗？在这项针对228名4至12岁儿童的队列研究中，大流行前的平均总筛查时间在第一次大流行期间每天增加1.75小时，在第二次大流行期间每天增加1.11小时。这些发现表明，在COVID-19大流行期间，儿童的屏幕时间有所增加，在许多公共卫生预防措施解除后，屏幕时间仍在增加。这项队列研究评估了从2019年7月至2021年8月大流行之前到大流行期间儿童屏幕时间的变化。2019冠状病毒病大流行导致大范围的封锁和学校关闭，这可能影响了儿童的屏幕时间。尽管在大流行的早期限制是最严格的，但目前尚不清楚随着大流行的发展，屏幕时间是如何变化的。评估从2019年7月至2021年8月大流行之前到大流行期间儿童屏幕时间的变化。这是一项纵向队列研究，反复测量大流行前和两次大流行期间收集的屏幕时间。4至12岁的儿童及其父母被纳入美国3个州的3个儿科队列，参与儿童健康结果的环境影响（ECHO）计划。数据分析时间为2021年11月至2022年7月。COVID-19大流行期：大流行前期（2019年7月至2020年3月）、大流行期1（2020年12月至2021年4月）和大流行期2（2021年5月至2021年8月）。主要结果为总时间、教育时间（不包括偏远学校）和娱乐屏幕时间，通过ECHO儿童媒体使用问卷进行评估。使用线性混合效应模型对屏幕时间根据儿童年龄、兄弟姐妹数量、性别、种族、民族和母亲教育程度进行调整。该队列包括228名儿童（大流行前平均[SD]年龄，7.0[2.7]岁；100名女性[43.9%]），在大流行前和大流行期间至少测量一次屏幕时间。在调整后的模型中，大流行前平均（SD）总筛查时间为每天4.4（3.9）小时，在第一次大流行期间每天增加1.75小时（95% CI, 1.18-2.31小时），在第二次大流行期间每天增加1.11小时（95% CI, 0.49-1.72小时）。流行前平均（SD）娱乐屏幕时间为每天4.0（3.5）小时，在第一次大流行期间每天增加0.89小时（95% CI, 0.39-1.39小时/天），在第二次大流行期间每天增加0.70小时（95% CI, 0.16-1.25小时/天）。大流行前平均（SD）教育屏幕时间为每天0.5（1.2）小时（中位数[IQR]，每天0.0[0.0-0.4]小时），在第一次大流行期间每天增加0.93小时（95% CI，每天0.67-1.19小时），在第二次大流行期间每天增加0.46小时（95% CI，每天0.18-0.74小时）。这些发现表明，在COVID-19大流行期间，儿童的屏幕时间有所增加，即使在许多公共卫生预防措施解除后，屏幕时间仍在增加。需要确定COVID-19大流行期间屏幕时间增加与儿童健康之间的长期关联。
Did children’s screen time change from before to during the COVID-19 pandemic? In this cohort study of 228 children aged 4 to 12 years, prepandemic mean total screen time increased 1.75 hours per day in the first pandemic period and 1.11 hours per day in the second pandemic period. These findings suggest that screen time among children increased during the COVID-19 pandemic and remained elevated after many public health precautions were lifted. This cohort study evaluates changes in children’s screen time from before the pandemic to during the pandemic, from July 2019 through August 2021. The COVID-19 pandemic led to widespread lockdowns and school closures that may have affected screen time among children. Although restrictions were strongest early in the pandemic, it is unclear how screen time changed as the pandemic progressed. To evaluate change in children’s screen time from before the pandemic to during the pandemic, from July 2019 through August 2021. This is a longitudinal cohort study with repeated measures of screen time collected before the pandemic and during 2 pandemic periods. Children aged 4 to 12 years and their parent were enrolled in 3 pediatric cohorts across 3 states in the US participating in the Environmental Influences of Child Health Outcomes (ECHO) Program. Data analysis was performed from November 2021 to July 2022. COVID-19 pandemic period: prepandemic (July 2019 to March 2020), pandemic period 1 (December 2020 to April 2021), and pandemic period 2 (May 2021 to August 2021). The primary outcomes were total, educational (not including remote school), and recreational screen time assessed via the ECHO Child Media Use questionnaire. Linear mixed-effects models were used for screen time adjusted for child’s age, number of siblings, sex, race, ethnicity, and maternal education. The cohort included 228 children (prepandemic mean [SD] age, 7.0 [2.7] years; 100 female [43.9%]) with screen time measured during the prepandemic period and at least once during the pandemic period. Prepandemic mean (SD) total screen time was 4.4 (3.9) hours per day and increased 1.75 hours per day (95% CI, 1.18-2.31 hours per day) in the first pandemic period and 1.11 hours per day (95% CI, 0.49-1.72 hours per day) in the second pandemic period, in adjusted models. Prepandemic mean (SD) recreational screen time was 4.0 (3.5) hours per day and increased 0.89 hours per day (95% CI, 0.39-1.39 hours per day) in the first pandemic period and 0.70 hours per day (95% CI, 0.16-1.25 hours per day) in the second pandemic period. Prepandemic mean (SD) educational screen time was 0.5 (1.2) hours per day (median [IQR], 0.0 [0.0-0.4] hours per day) and increased 0.93 hours per day (95% CI, 0.67-1.19 hours per day) in the first pandemic period and 0.46 hours per day (95% CI, 0.18-0.74 hours per day) in the second pandemic period. These findings suggest that screen time among children increased during the COVID-19 pandemic and remained elevated even after many public health precautions were lifted. The long-term association of increased screen time during the COVID-19 pandemic with children’s health needs to be determined.
登录
查看更多内容
DOI：
10.15585/mmwr.mm6944e3
发表时间：
2020-11-06
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Zambrano LD;Ellington S;Strid P;Galang RR;Oduyebo T;Tong VT;Woodworth KR;Nahabedian JF 3rd;Azziz-Baumgartner E;Gilboa SM;Meaney-Delman D;CDC COVID-19 Response Pregnancy and Infant Linked Outcomes Team
通讯作者：
CDC COVID-19 Response Pregnancy and Infant Linked Outcomes Team
影响因子：
6.9
作者：
von Hippel, Paul T.;Workman, Joseph
通讯作者：
Workman, Joseph
DOI：
10.1007/s10802-021-00832-x
发表时间：
2021-07-23
影响因子：
2.5
作者：
McAllister, Cooper;Hisler, Garrett C.;Hamilton, Jessica L.
通讯作者：
Hamilton, Jessica L.
影响因子：
5.5
作者：
Franckle R;Adler R;Davison K
通讯作者：
Davison K
影响因子：
0.8
作者：
Eyler AA;Schmidt L;Beck A;Gilbert A;Kepper M;Mazzucca S
通讯作者：
Mazzucca S