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Digital Media Use and Sleep Disturbances in Children: Insights From a Cross-Sectional Study
Mohammed I Alsubhi1, Jaafar M Ali2, Mohamed J Sarhan3
1Family Medicine, King Abdulaziz Medical City, Jeddah, SAU.
Insights
Excessive daily screen time significantly increases the risk of sleep disturbances in children. Limiting screen exposure, especially before bed, is recommended to improve children's sleep quality.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Public Health
Background:
- Excessive screen time is linked to sleep issues in children globally.
- Limited data exists on this association within the Gulf region.
- This study focuses on Saudi Arabian school-aged children.
Purpose of the Study:
- To investigate the relationship between daily screen time and sleep quality in Saudi children.
- To identify the dose-dependent effect of screen time on sleep disturbances.
Main Methods:
- Cross-sectional survey of 500 parents of children aged 6-12 years in Saudi Arabia.
- Data collected via questionnaire on screen time, sleep disturbances (difficulty falling asleep, night awakenings), and medical conditions.
- Statistical analysis included chi-square tests and logistic regression, adjusting for covariates.
Main Results:
- Children with >4 hours of screen time had a significantly higher odds of difficulty falling asleep (OR: 3.21) compared to those with <1 hour.
- A dose-dependent relationship was observed between increased screen time and sleep disturbances.
- Chronic medical conditions were also associated with increased sleep disturbances (OR: 1.50).
Conclusions:
- Daily screen time is an independent risk factor for sleep disturbances in children.
- Reducing screen exposure, particularly in the evening, may improve sleep quality.
- Findings highlight the need for parental guidance on screen time limits for children.
Background:
Excessive screen time has been increasingly associated with sleep disturbances in children, but data from the Gulf region are limited. This study examined the relationship between daily screen time and sleep quality among school-aged children in Saudi Arabia.
Methods:
We conducted a cross-sectional survey of parents of children aged six to 12 years at primary health care centers in Saudi Arabia. A structured questionnaire was used to collect data on daily screen time, sleep disturbances (difficulty falling asleep and night awakenings), and chronic medical conditions. Screen time was categorized as <1 hour, 1-2 hours, 3-4 hours, or >4 hours per day. Associations were assessed using chi-square tests and logistic regression, adjusting for age, gender, and medical conditions.
Results:
A total of 500 children were included (mean age: 7.5 years; 260 boys {52.0%}). Difficulty falling asleep was reported in four of 42 children (9.5%) with <1 hour of screen time, compared to 56 of 84 children (66.7%) with >4 hours. Compared with children with <1 hour of screen time, adjusted odds ratios for difficulty falling asleep were 1.43 (95% CI: 1.01-2.03) for 1-2 hours, 1.89 (95% CI: 1.32-2.71) for 3-4 hours, and 3.21 (95% CI: 2.18-4.77) for >4 hours. Sleep disturbances were also more common in children with chronic medical conditions (57 of 139 {41.0%}) than in those without (88 of 361 {24.4%}; OR: 1.50; 95% CI: 1.03-2.19). Age and gender were not significantly associated with sleep outcomes.
Conclusions:
Screen time is independently and dose-dependently associated with parent-reported sleep disturbances in children. Reducing screen exposure, particularly in the evening, may help improve sleep quality in this population.
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