文章摘要
潘婉,江流,耿梦龙,丁鹏,伍晓艳,陶芳标.学龄前儿童视屏时间及户外活动对情绪的影响[J].中华流行病学杂志,2019,40(12):1569-1572
学龄前儿童视屏时间及户外活动对情绪的影响
Correlation between screen-watching time and emotional problems as well as combination effect of outdoor time among preschool children
收稿日期:2019-04-18  出版日期:2019-12-20
DOI:10.3760/cma.j.issn.0254-6450.2019.12.012
中文关键词: 学龄前儿童  视屏时间  日常生活活动  情绪
英文关键词: Children, preschool  Screen time  Activities of daily living  Emotion
基金项目:国家自然科学基金(81573168)
作者单位E-mail
潘婉 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系, 合肥 230032
出生人口健康教育部重点实验室, 合肥 230032
国家卫生健康委配子及生殖道异常研究重点实验室, 合肥 230032
人口健康与优生安徽省重点实验室, 合肥 230032 
 
江流 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系, 合肥 230032
出生人口健康教育部重点实验室, 合肥 230032
国家卫生健康委配子及生殖道异常研究重点实验室, 合肥 230032
人口健康与优生安徽省重点实验室, 合肥 230032 
 
耿梦龙 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系, 合肥 230032
出生人口健康教育部重点实验室, 合肥 230032
国家卫生健康委配子及生殖道异常研究重点实验室, 合肥 230032
人口健康与优生安徽省重点实验室, 合肥 230032 
 
丁鹏 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系, 合肥 230032
出生人口健康教育部重点实验室, 合肥 230032
国家卫生健康委配子及生殖道异常研究重点实验室, 合肥 230032
人口健康与优生安徽省重点实验室, 合肥 230032 
 
伍晓艳 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系, 合肥 230032
出生人口健康教育部重点实验室, 合肥 230032
国家卫生健康委配子及生殖道异常研究重点实验室, 合肥 230032
人口健康与优生安徽省重点实验室, 合肥 230032 
 
陶芳标 安徽医科大学公共卫生学院儿少卫生与妇幼保健学系, 合肥 230032
出生人口健康教育部重点实验室, 合肥 230032
国家卫生健康委配子及生殖道异常研究重点实验室, 合肥 230032
人口健康与优生安徽省重点实验室, 合肥 230032 
fbtao@ahmu.edu.cn 
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中文摘要:
      目的 评价学龄前儿童视屏时间过长与情绪问题的正向关联作用,探讨学龄前儿童视屏时间与户外活动时间对情绪问题的联合作用。方法 2017年10-11月以江苏、湖北、安徽省11座城市109所幼儿园的27 200名3~6岁学龄前儿童作为研究对象,采用《学龄前儿童健康发育调查问卷》调查学龄前儿童的视屏行为、户外活动情况以及社会人口学特征,使用《长处与困难问卷》评估儿童情绪问题。采用二分类logistic回归模型分析学龄前儿童视屏时间过长与情绪问题(可疑或异常)的关联强度,同时分析户外活动时间与视屏时间的联合作用。结果 学龄前儿童情绪症状可疑或异常的比例为17.9%(4 868/27 200)。学龄前儿童平均每日视屏时间>1 h的比例为62.4%(16 983/27 200),平均每日户外活动时间<2 h的比例为65.7%(17 873/27 200)。调整儿童性别、年龄、居住地区、家庭经济状况、BMI、父母年龄和文化程度等混杂因素后,发现视屏时间过长(>1 h/d)与情绪问题可疑或异常呈正相关(OR=1.15,95% CI:1.08~1.24);户外活动不足(<2 h/d)与学龄前儿童情绪症状可疑或异常呈正相关(OR=1.08,95% CI:1.01~1.16)。联合作用分析显示,户外活动时间不足合并视屏时间过长与学龄前儿童情绪问题呈现更强的正相关。结论 学龄前儿童视屏时间过长十分普遍,与情绪问题呈正相关,户外活动不足联合视屏时间过长与情绪问题的正向关联更强。
英文摘要:
      Objective To evaluate the positive correlation between excessive screen-watching time, combined effect of screen-watching and outdoor time and the emotional problems in preschool children. Methods A total of 27 200 preschool children aged 3-6 years in 109 kindergartens in 11 cities in Jiangsu, Hubei, Anhui participated in the study. Information on both screen-watching and outdoor time and social-demographic characteristics was collected through the Questionnaire on the healthy Development of Preschool Children. Emotional problems of these children were accessed by using the Strengths and Difficulties Questionnaire (SDQ). Correlation intensity between excessive screen time and emotional problems (suspicious or abnormal) in preschool children, and the combined effects of screen-watching and outdoor time were analyzed by binary logistic regression model. Results The overall detected rate of emotional symptoms in preschool children was 17.9% (4 868/27 200). Rates showed in preschool children would include:with screen-watching time >1 h/d as 62.4% (16 983/27 200) and with outdoor time <2 h/d as 65.7% (17 873/27 200). After adjusting for confounding factors as gender, age, place of residence, family economic status, BMI, parents' age and education level, data showed that the screen-watching time was positive correlated with emotional symptoms (OR=1.15, 95% CI:1.08-1.24) while the outdoor time was positive correlated with emotional symptoms (OR=1.08, 95% CI:1.01-1.16). Strong correlation between the combination of screen-watching and outdoor time and the existing emotional problems among preschool children was seen. Conclusions Excessive screen-watching time was prevalent among preschool children. Screen-watching time was positively associated with the existing emotional problems while the combined effect of screen-watching time and outdoor time was stronger.
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