School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Acta Paediatr. 2022 Sep;111(9):1736-1742. doi: 10.1111/apa.16373. Epub 2022 May 8.
This study determined whether higher screen time was associated with the development of 3-year-old children in Taiwan. It also examined whether differences would be found between television and other screen-based media in the probability of lagged development.
We examined 2139 children aged 3 years and their parents. The association between daily screen time was assessed using multiple logistic regression analysis. All the odds ratios (ORs) were calculated using the rates of lagged developmental achievement, with the group who used screens for less than 1 h a day as the reference category. Screen time comprised television and other screen-based media, such as smartphones, touch screens, computers and laptops.
Children who used screens for more than 3 h per day had the lowest developmental scores and highest probabilities of lagged development. The children who used other screen-based media for more than 1 h per day had greater probabilities of lagged developmental achievements (ORs 1.85-4.98, all p < 0.05) than those who watched television for the same amount of time (OR 1.41-2.77, all p < 0.05).
Increased screen time was associated with higher probabilities of lagged developmental achievement in multiple development domains in 3-year-old children, particularly other screen-based media.
本研究旨在探讨台湾 3 岁儿童的屏幕时间是否与其发育延迟有关，并检验电视与其他屏幕类媒体在导致发育延迟的概率上是否存在差异。
我们对 2139 名 3 岁儿童及其家长进行了研究。采用多因素 logistic 回归分析评估每日屏幕时间与儿童发育延迟之间的关系。所有比值比（OR）均基于发育延迟发生率计算，将每天屏幕使用时间小于 1 小时的儿童组作为参照组。屏幕时间包括电视和其他屏幕类媒体，如智能手机、触摸屏、计算机和平板电脑。
每天使用屏幕超过 3 小时的儿童发育评分最低，发育延迟的概率最高。每天使用其他屏幕类媒体超过 1 小时的儿童发育延迟的概率显著高于观看等量电视节目的儿童（OR 1.85-4.98，均 p<0.05）。
屏幕时间增加与 3 岁儿童多个发育领域发育延迟的概率增加有关，特别是其他屏幕类媒体。
