Factors influencing screen media use in low-income Mexican American toddlers

影响低收入墨西哥裔美国幼儿屏幕媒体使用的因素

• 批准号: 9794135
• 负责人: Darcy Ann Thompson
• 金额: $ 64.86万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-26 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9794135
• 关键词: 3 year old; Acculturation; Address; Affect; Age; Beds; Behavior; Belief; Body mass index; Child; Child Health; Child Rearing; Childhood; Clinic; Country; Data; Development; Devices; Diet; Early Intervention; Eating; Extended Family; Family; Fathers; Goals; Guidelines; Habits; Health; Health behavior; Intervention; Interview; Latino; Life; Low income; Measures; Mediating; Methods; Mexican Americans; Modeling; Mothers; Obesity; Outcome; Parents; Physical activity; Population; Population Heterogeneity; Research; Risk; Role; Shapes; Sleep; Socioeconomic Status; System; Systems Theory; Tablets; Television; Time; Toddler; United States; Work; age group; base; behavior influence; clinical care; design; digital; early childhood; early screening; family support; health belief; high risk; novel; obesity in children; outcome prediction; recruit; therapy development

Project Summary/Abstract Low-income Latino children are disproportionately affected by obesity starting in early life. Poor health behaviors contribute to obesity, even from this early age. Unhealthy screen use behaviors are known predictors of short sleep duration, poor diet, and obesity in children ≥ 3 years old, with growing, yet limited, evidence in children <3. Because low-income Latino children are more likely to have unhealthy screen use behaviors than low-income non-Latino white children, interventions addressing screen use in this population are critical to efforts to reduce obesity disparities. Evidence, including our own, suggests parental television (TV) use behaviors and TV-related parenting practices are predictors of TV use in children ≥ 3. Today, however, >80% of children use screen devices (e.g. TV, tablet) before age 3. Despite this, little is currently known about the factors contributing to the development of screen use before age 3, or the relationship of such early screen use with sleep, diet, physical activity, and body mass index (BMI). Because screen use behaviors track throughout childhood, intervening on screen use before age 3 may have a lasting impact. By advancing our understanding of how screen use behaviors develop and are related to health outcomes among low- income Latino children <3, we can begin to develop early life interventions to reduce unhealthy screen use in this population. This application’s objective is to identify factors related to early childhood screen use behaviors in low-income Latino children and how those behaviors are, in turn, related to child health outcomes. In this 5- year study, we will recruit low-income Mexican American mothers and fathers with 15 - <27 month olds. Using a mixed methods approach, we will first collect qualitative data from ~40 mothers and fathers to identify parental behaviors and cultural factors related to child screen use in order to adapt/develop measures for this age group (Aim 1). We will then collect quantitative data from 385 families to evaluate associations among parental screen-related behaviors, child screen use, and child sleep duration, diet, physical activity, and BMI (Aim 2) and evaluate the association of sociocultural factors with parental screen-related behaviors (Aim 3). Our central hypothesis, based on family systems theory, is that mothers’ and fathers’ screen use and screen- related parenting practices shape child screen use, which is associated with shorter sleep duration, poor diet, less physical activity, and greater BMI. Based on the ecological model, we also hypothesize parental screen- related behaviors occur within a sociocultural context. Our long-term goal is to design a clinic-based intervention promoting healthy screen use in low-income Mexican American children < 3 years old. This study will produce novel data on the relationship of parental screen-related behaviors with child screen use and related health outcomes, and the context within which these behaviors occur. In this digital era of highly accessible screens introduced at very early ages, it is imperative that we identify factors associated with early screen use so that we can effectively promote healthy screen use behaviors when they are first developing.

项目摘要/摘要 低收入的拉丁裔儿童从早年就开始受到肥胖的影响，这一比例不成比例。健康状况不佳 行为导致肥胖，甚至从这个年纪就是如此。不健康的屏幕使用行为是已知的 ≥3岁儿童睡眠时间短、饮食不佳和肥胖的预测因素， 儿童的证据&3.因为低收入的拉丁裔儿童更有可能使用不健康的屏幕 低收入非拉丁裔白人儿童的行为，解决该人群屏幕使用问题的干预措施 对于减少肥胖差距的努力至关重要。包括我们自己在内的证据表明，父母电视节目 (电视)使用行为和与电视相关的父母行为是儿童≥3使用电视的预测因素。今天， 然而，80%的儿童在3岁之前使用屏幕设备(如电视、平板电脑)。尽管如此，目前还很少 了解在3岁之前导致屏幕使用的发展的因素，或这些因素之间的关系 早期屏幕使用与睡眠、饮食、体力活动和身体质量指数(BMI)有关。因为屏幕使用行为 在整个童年时期，在3岁之前干预屏幕使用可能会产生持久的影响。通过推进 我们对屏幕使用行为是如何发展的，并与低收入人群的健康结果有关的理解 收入拉丁裔儿童，我们可以开始开发早期生活干预措施，以减少不健康的屏幕使用 这群人。这个应用程序的目标是确定与儿童早期屏幕使用行为相关的因素 以及这些行为如何反过来与儿童健康结果相关。在这5个月里- 一年的学习，我们将招募低收入的墨西哥裔美国母亲和父亲与15和27个月大。 使用混合方法，我们将首先收集约40名父母的定性数据，以确定 与儿童屏幕使用有关的父母行为和文化因素，以适应/制定为此采取的措施 年龄组(目标1)。然后，我们将从385个家庭收集定量数据，以评估 父母屏幕相关行为、儿童屏幕使用，以及儿童睡眠时间、饮食、体力活动和BMI (目标2)并评估社会文化因素与父母屏幕相关行为的关系(目标3)。 我们的中心假设是，基于家庭系统理论，母亲和父亲的屏幕使用和屏幕- 相关的育儿实践塑造了儿童屏幕的使用，这与睡眠时间较短、饮食不佳、 较少的体力活动和较大的BMI。基于生态模型，我们还假设父母筛选- 相关的行为发生在社会文化背景下。我们的长期目标是设计一个基于 促进低收入墨西哥裔美国儿童3岁健康屏幕使用的干预措施。本研究 将产生关于父母屏幕相关行为与儿童屏幕使用的关系的新数据，以及 相关的健康结果，以及这些行为发生的背景。在这个高度数字化的时代 无障碍屏幕在很小的时候就引入了，所以我们必须确定与早期相关的因素 屏幕使用，以便我们能够有效地促进健康的屏幕使用行为，在他们刚开始发展的时候。