Service de pédiatrie, Hôpital Rives de Seine, 36 boulevard du Général Leclerc, Neuilly-sur-Seine 92200, France; Cabinet de médecine générale, 3 rue Pierre d'Artagnan, Le Plessis-Robinson 92350, France.
Service de pédiatrie, Hôpital Rives de Seine, 36 boulevard du Général Leclerc, Neuilly-sur-Seine 92200, France.
Arch Pediatr. 2021 Nov;28(8):632-637. doi: 10.1016/j.arcped.2021.09.028. Epub 2021 Oct 22.
Regarding the massive increase of interactive mobile screen household equipment and the omnipresence of television, many recommendations are in favor of a limitation of use, especially among the youngest.
We aimed to evaluate the proportion of parents who report having discussed the subject of their child's exposure to screens during a consultation with a health professional. We also aimed to assess preschool exposure to television and mobile media devices, and to explore parents' views on the benefits and risks of exposing their children under 3 years old.
A questionnaire was administered to parents of children aged 6 months to 3 years in a pediatric emergency ward and several nurseries. This observational, cross-sectional and multicenter study was conducted from January to May 2019.
We included 451 responses in the analyses. Only 99 (22.7%; 95% CI: 18.7-26.6) parents reported having discussed their child's exposure to screens with a doctor, on the initiative of the parents themselves for 52 households (53.1%; 95% CI: 43.2-62.9). Feelings of a benefit of screens on child learning concerned 134 (34.5%; 95% CI: 29.8-39.3) parents; 300 (68.5%; 95% CI: 64.1-72.8) said they were sufficiently informed about benefits and risks. In a typical week, 240 (53.7%; 95% CI: 49.1-58.3), 160 (35.8%; 95% CI: 31.3-40.2), and 58 (13.0%; 95% CI: 9.9-16.1) children were exposed at least once a week to television, smartphones, and tablets, respectively.
Our study showed that the theme of exposure to screens was hardly addressed by physicians in consultation. Our findings help target prevention messages, including fighting the widespread belief that media are beneficial to child development, emphasizing the importance of screen-free time (eating, going to bed, after waking up) and encouraging support and interaction during exposure in families who choose to expose their children.
随着互动移动屏幕家庭设备的大量增加和电视的无处不在，许多建议都赞成限制使用，尤其是在最年轻的人群中。
我们旨在评估报告在与健康专业人员的咨询中讨论过孩子接触屏幕问题的父母比例。我们还旨在评估学龄前儿童接触电视和移动媒体设备的情况，并探讨父母对暴露于 3 岁以下儿童的利弊的看法。
在儿科急诊室和几家托儿所对 6 个月至 3 岁的儿童的父母进行问卷调查。这是一项观察性、横断面和多中心研究，于 2019 年 1 月至 5 月进行。
我们对 451 份回复进行了分析。只有 99 名（22.7%；95%CI：18.7-26.6）父母报告说，他们曾主动与医生讨论过孩子接触屏幕的问题，其中 52 户（53.1%；95%CI：43.2-62.9）是父母自己提出的。有 134 名（34.5%；95%CI：29.8-39.3）父母认为屏幕对孩子的学习有好处；300 名（68.5%；95%CI：64.1-72.8）表示他们对利弊有足够的了解。在典型的一周中，分别有 240 名（53.7%；95%CI：49.1-58.3）、160 名（35.8%；95%CI：31.3-40.2）和 58 名（13.0%；95%CI：9.9-16.1）儿童每周至少接触一次电视、智能手机和平板电脑。
我们的研究表明，医生在咨询中几乎没有涉及接触屏幕的主题。我们的研究结果有助于针对预防信息进行宣传，包括消除媒体对儿童发展有益的普遍观念，强调无屏幕时间（吃饭、睡觉、醒来后）的重要性，并鼓励在选择让孩子接触媒体的家庭中提供支持和互动。
