Health Research Institute, University of Limerick, Limerick V94 T9PX, Ireland.
Centre of Physical Activity and Health Research, University of Limerick, Limerick V94 T9PX, Ireland.
Int J Environ Res Public Health. 2018 Oct 17;15(10):2276. doi: 10.3390/ijerph15102276.
Reducing sedentary behaviours can help prevent non-communicable diseases, particularly among young adolescents with long term illnesses or disabilities (LTID). Much of young people's voluntary sedentary time is related to screen-time behaviours (STBs) such as TV viewing, playing computer games, and using the computer for other activities. Although public health data on adolescents' STB is growing, information about adolescents with LTID is currently lacking in a European context. The purpose of this study is to compare time on STBs between adolescents with and without LTID in European Countries through the HBSC 2013/14 study. Young adolescents (n = 61,329; boys 47.8%) from 15 European countries reported the time spent on TV viewing, playing computer games, and using the computer for other purposes on weekdays and the weekend. STBs were dichotomised based on international recommendations of less than 2 h per day, and Chi-square tests of independence were performed to investigate differences. STB time was combined to produce a sum score as dependent variable in multiple analysis of covariance with age and family affluence as covariates. There were statistically significant differences in computer gaming among boys and other computer use among girls for both weekdays and weekends, whereby adolescents with LTID reported higher use. In addition, both boys and girls with LTID spent more time on STBs than their same sex peers without LTID (Boys, F = 28.17, < 0.001; Girls, F = 9.60, = 0.002). The results of this study indicate a need for preventive strategies to address high levels of STB among young adolescents with LTID and reduce the risk of poor health outcomes associated with higher levels of sedentary behaviour.
减少久坐行为有助于预防非传染性疾病，尤其是患有长期疾病或残疾的青少年（LTID）。青少年大部分自愿久坐的时间都与屏幕时间行为（STB）有关，例如看电视、玩电脑游戏和使用电脑进行其他活动。尽管关于青少年 STB 的公共卫生数据在不断增加，但在欧洲背景下，目前还缺乏有关 LTID 青少年的信息。本研究的目的是通过 HBSC 2013/14 研究比较欧洲国家 LTID 和非 LTID 青少年的 STB 时间。来自 15 个欧洲国家的青少年（n = 61,329；男生 47.8%）报告了他们在工作日和周末看电视、玩电脑游戏和使用电脑进行其他活动的时间。STB 根据国际建议分为每天少于 2 小时，采用独立性卡方检验来研究差异。将 STB 时间合并为一个总和得分，作为年龄和家庭富裕程度为协变量的多元协方差分析的因变量。男孩在工作日和周末的电脑游戏时间以及女孩的其他电脑使用时间均存在统计学差异，患有 LTID 的青少年报告的使用时间更高。此外，患有 LTID 的男孩和女孩在 STB 上花费的时间都比没有 LTID 的同性别青少年多（男孩，F = 28.17， < 0.001；女孩，F = 9.60， = 0.002）。本研究的结果表明，需要制定预防策略来解决 LTID 青少年中高水平的 STB 问题，并降低与高水平久坐行为相关的不良健康后果的风险。
