Pons Montserrat, Bordoy Andreva, Alemany Elodia, Huget Olga, Zagaglia Analia, Slyvka Silvia, Yáñez Aina María
Hospital Manacor. Illes Balears. España.
Centro de Atención Primaria de Felanitx. Illes Balears. España.
Rev Esp Salud Publica. 2021 Jan 14;95:e202101002.
An increase in screen time has been observed among children despite the impact on health. This study was aimed to analyze if the child population complies with health recommendations for adequate use of recreational screens (television and video games) and to evaluate associated variables.
Cross-sectional study with 521 children between 6 months and 14 years old who attended Primary Care. A self-administered survey was used to collect sociodemographic variables, child's recreational screens time, the parent's television (TV) time, and related environmental and sociocultural variables.
521 surveys were carried out (55.2% boys and 44.8% girls). Recreational screen time in children under 2 years of age averaged 71 minutes/day and increased to 160 minutes/day in those over 10 years old. Boys had 30% more video game time than girls. A total of 80% of the sample started using TV before 2 years of age. The modifiable variables that showed an independent association with excess of time spent on recreational screens were the parental TV time (OR 4.34; 95% CI: 2.48-7.72), maintaining the "background TV on often" (OR 1.70; 95% CI: 1.07-2.72) and watching TV usually alone (OR 2.08; 95%: 1.30-3.32).
Most of the child population does not comply with the main recommendations of health organizations regarding the adequate use of recreational screens. Our results indicated that environmental and cultural variables influence screen time. Our findings can contribute to design strategies to improve the use of recreational screens in childhood.
尽管对健康有影响，但儿童的屏幕使用时间仍在增加。本研究旨在分析儿童群体是否遵守关于合理使用娱乐屏幕（电视和电子游戏）的健康建议，并评估相关变量。
对521名6个月至14岁的初级保健儿童进行横断面研究。采用自填式调查问卷收集社会人口学变量、儿童娱乐屏幕使用时间、家长看电视时间以及相关的环境和社会文化变量。
共进行了521次调查（男孩占55.2%，女孩占44.8%）。2岁以下儿童的娱乐屏幕使用时间平均为每天71分钟，10岁以上儿童增加到每天160分钟。男孩的电子游戏时间比女孩多30%。样本中共有80%的儿童在2岁之前就开始看电视。与娱乐屏幕使用时间过长呈独立关联的可改变变量包括家长看电视时间（比值比4.34；95%置信区间：2.48 - 7.72）、经常开着“背景电视”（比值比1.70；95%置信区间：1.07 - 2.72）以及通常独自看电视（比值比2.08；95%置信区间：1.30 - 3.32）。
大多数儿童群体未遵守卫生组织关于合理使用娱乐屏幕的主要建议。我们的结果表明，环境和文化变量会影响屏幕使用时间。我们的研究结果有助于设计改善儿童时期娱乐屏幕使用的策略。
