Kim Sung Koo, Wi Da Som, Kim Kyung Mi
Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Republic of Korea.
Glob Pediatr Health. 2023 Mar 1;10:2333794X231159224. doi: 10.1177/2333794X231159224. eCollection 2023.
The prevalence of autism spectrum disorder in children, who show problems in social development, is increasing rapidly. If children watch media at an early age, they lose the time to interact with their parents and will not be able to play creatively, which can have a negative impact on social development. This study was performed to evaluate the association of media exposure with social developmental delay.
The sample consisted of 96 patients with social developmental delay who visited the developmental disorder clinic from July 2013 to April 2019. The control group included 101 children who visited our developmental clinic with normal developmental screening test results during the same period. The data were collected using self-reported questionnaires with questions regarding media exposure time, content, background media or foreground media, the age of first exposure, and media exposure with or without parents.
In regard to media exposure time, 63.5% of the social developmental delay patients were exposed to media for more than 2 hours a day compared to 18.8% of the control group ( < .001, [OR] = 8.12). In the risk factor analysis of media exposure on social development, male gender, media exposure before 2 years of age, exposure for more than 2 hours, and exposure alone without parents were statistically significant.
Media exposure was a significant risk factor for social developmental delay.
在社交发展方面存在问题的儿童中，自闭症谱系障碍的患病率正在迅速上升。如果儿童在幼年时观看媒体，他们就会失去与父母互动的时间，并且无法进行创造性玩耍，这可能会对社交发展产生负面影响。本研究旨在评估媒体接触与社交发展延迟之间的关联。
样本包括96名在2013年7月至2019年4月期间前往发育障碍诊所就诊的社交发展延迟患者。对照组包括101名在同一时期前来我们发育诊所进行发育筛查测试结果正常的儿童。数据通过自我报告问卷收集，问卷涉及媒体接触时间、内容、背景媒体或前景媒体、首次接触年龄以及有无父母陪伴下的媒体接触情况。
在媒体接触时间方面，63.5%的社交发展延迟患者每天接触媒体超过2小时，而对照组这一比例为18.8%（<0.001，[OR]=8.12）。在媒体接触对社交发展的危险因素分析中，男性性别、2岁前接触媒体、接触超过2小时以及无父母陪伴单独接触媒体具有统计学意义。
媒体接触是社交发展延迟的一个重要危险因素。
