Household chaos and screen media use among preschool-aged children: a cross-sectional study.
Household chaos and screen media use among preschool-aged children: a cross-sectional study.
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DOI：
10.1186/s12889-018-6113-2
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发表时间：
2018-10-29
影响因子：
4.5
通讯作者：
Neelon SB
中科院分区：
文献类型：
--
作者：
Emond JA;Tantum LK;Gilbert-Diamond D;Kim SJ;Lansigan RK;Neelon SB
过度使用屏幕媒体是儿童肥胖的有力预测因素。为了制定有效的干预措施，需要了解家庭因素可能如何影响儿童的屏幕使用。学龄前几年是预防肥胖的关键时期，虽然更大的家庭混乱很可能会影响学龄前儿童使用屏幕，但缺乏关于这种关系的数据。在这项研究中，我们的目标是量化家庭混乱和学龄前儿童屏幕使用之间的关系。2017年，一项横断面在线调查对385名2-5岁儿童的父母进行了调查。家庭混乱用混乱、喧闹和秩序量表(即混乱量表)来衡量，这是一种经过验证的、由家长报告的量表。该量表由15个项目组成，每个项目的得分都是4分的利克特量表。最终分数是15个项目的总和，并以四分位数建模进行分析。家长们报告了他们的孩子在九项电子媒体活动中使用屏幕的情况。使用调整后的线性和泊松回归来建立家庭混乱与儿童每周屏幕使用总量、睡前一小时内屏幕使用以及在卧室使用屏幕之间的关联。儿童每周使用屏幕的时间平均为31.0%(SD = 23.8)，49.6%的儿童在睡前一小时内使用屏幕，41.0%的儿童在卧室使用屏幕。在调整后的回归模型中，更大的家庭混乱与每周使用屏幕(P = 0.03)和睡前1小时内使用屏幕(P <； 0.01)呈剂量依赖性正相关。家庭混乱的第四个四分之一的孩子比第一个四分之一的孩子更有可能在卧室里使用屏幕(P = 0.03)。更大的家庭混乱与总屏幕使用量的增加以及与夜间睡眠中断相关的屏幕使用行为有关。研究结果表明，由于家庭混乱对屏幕使用的影响，家庭混乱可能是学龄前几年肥胖的风险因素，并突显了在为幼儿实施以家庭为基础的肥胖预防计划时考虑家庭混乱的必要性。本文的在线版本(10.1186/s12889-0186113-2)包含补充材料，可供授权用户使用。
Excess screen media use is a robust predictor of childhood obesity. Understanding how household factors may affect children’s screen use is needed to tailor effective intervention efforts. The preschool years are a critical time for obesity prevention, and while it is likely that greater household disorder influences preschool-aged children’s screen use, data on that relationship are absent. In this study, our goal was to quantify the relationships between household chaos and screen use in preschool-aged children. A cross-sectional, online survey was administered to 385 parents of 2–5 year-olds recruited in 2017. Household chaos was measured with the Confusion, Hubbub and Order Scale (i.e., the chaos scale), a validated, parent-reported scale. The scale consists of 15 items, each scored on a 4-point Likert scale. Final scores were the sum across the 15 items and modeled as quartiles for analyses. Parents reported their children’s screen use for nine electronic media activities. Adjusted linear and Poisson regression were used to model associations between household chaos and children’s total weekly screen use, screen use within one hour of bedtime and screen use in the bedroom. Children averaged 31.0 (SD = 23.8) hours per week with screens, 49.6% used screens within one hour of bedtime and 41.0% used screens in their bedrooms. In adjusted regression models, greater household chaos was positively associated with weekly screen use (P = 0.03) and use of screens within one hour of bedtime (P < 0.01) in a dose-dependent manner. Children in the fourth versus the first quartile of household chaos were more likely to use screens in their bedroom (P = 0.03). Greater household chaos was associated with increased total screen use as well as screen use behaviors that are related to disrupted nighttime sleep. Findings suggest that household chaos may be an obesity risk factor during the preschool years because of such effects on screen use, and highlight the need to consider household chaos when implementing home-based obesity prevention programs for young children. The online version of this article (10.1186/s12889-018-6113-2) contains supplementary material, which is available to authorized users.
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DOI：
10.1056/nejmoa1309753
发表时间：
2014-01-30
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cunningham SA;Kramer MR;Narayan KM
通讯作者：
Narayan KM
影响因子：
7.1
作者：
Biro, Frank M.;Wien, Michelle
通讯作者：
Wien, Michelle
影响因子：
8
作者：
Chassiakos, Yolanda (Linda) Reid;Radesky, Jenny;Cross, Corinn
通讯作者：
Cross, Corinn
影响因子：
8
作者：
Cespedes, Elizabeth M.;Gillman, Matthew W.;Taveras, Elsie M.
通讯作者：
Taveras, Elsie M.
影响因子：
8
作者：
Dennison, BA;Erb, TA;Jenkins, PL
通讯作者：
Jenkins, PL