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Published on: September 19, 2019
Excessive Screen Time and Psychosocial Well-Being: The Mediating Role of Body Mass Index, Sleep Duration, and
Jin Zhao1, Yunting Zhang2, Fan Jiang3
1Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Child Health Advocacy Institute, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Insights
Excessive screen time in preschool children is linked to poorer psychosocial well-being. Reduced parent-child interaction is the primary mediator, highlighting its importance for child development.
Area of Science:
- Child Psychology
- Public Health
- Developmental Pediatrics
Background:
- Early childhood screen time is a growing concern.
- Understanding its impact on psychosocial well-being is crucial.
- Mediating factors require investigation.
Purpose of the Study:
- To examine the relationship between excessive screen time and psychosocial well-being in preschool children.
- To investigate the mediating roles of body mass index, sleep duration, and parent-child interaction.
- To identify key factors influencing child development outcomes.
Main Methods:
- Cross-sectional survey of 20,324 preschool children (3-4 years) in Shanghai.
- Stratified random sampling from 191 kindergartens.
- Parental reports on screen time, sleep, BMI, and parent-child interaction.
Main Results:
- Average screen time was 2.8 hours/day, with over 50% exceeding 2 hours.
- Each additional hour of screen time increased risk for poor psychosocial well-being.
- Body mass index, sleep duration, and parent-child interaction mediated this effect, with parent-child interaction being most significant.
Conclusions:
- Excessive screen time is prevalent among Shanghai preschool children.
- Screen time negatively impacts psychosocial well-being, primarily through reduced parent-child interaction.
- Interventions should focus on promoting healthy screen habits and strengthening parent-child bonds.
Objectives:
To examine the relationship between excessive screen time and psychosocial well-being in preschool children, and the potential mediating role of body mass index, sleep duration, and parent-child interaction.
Study Design:
A cross-sectional survey was conducted in Shanghai, China using stratified random sampling design. A representative sample of 20 324 children aged 3-4 years old from 191 kindergartens participated in this study. Parents completed the Strengths and Difficulties Questionnaire and reported the child's time spent on screen exposure, sleep duration, height, weight, and parent-child interactive activities.
Results:
Preschool children in Shanghai were exposed to 2.8 (95% CI 2.7, 2.9) hours/day of screen time, with 78.6% (95% CI 77.8,79.3) exceeding 1 hour/day and 53% (95% CI 52.0,53.9) exceeding 2 hours/day. Every additional hour of screen time was associated with increased risk for poor psychosocial well-being. Body mass index, sleep duration, and parent-child interaction mediated the effect of excessive screen time on children's psychosocial well-being, among which parent-child interaction contributed most. Parent-child interaction could explain 28.1% of the effect on total difficulties and 58.6% on prosocial behavior.
Conclusions:
Excessive screen time during early childhood exists in Shanghai preschool children. Excessive screen exposure was associated with poor psychosocial well-being in preschool children via a number of mediators, mostly by reducing parent-child interaction.
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