Nagata Jason M, Paul Angel, Yen Felicia, Smith-Russack Zacariah, Shao Iris Yuefan, Al-Shoaibi Abubakr A A, Ganson Kyle T, Testa Alexander, Kiss Orsolya, He Jinbo, Baker Fiona C
Department of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Pediatr Res. 2025 Jan;97(1):403-410. doi: 10.1038/s41390-024-03243-y. Epub 2024 Jun 5.
To assess the prevalence of various media parenting practices and identify their associations with early adolescent screen time and problematic social media, video game, and mobile phone use.
Cross-sectional data from Year 3 of the Adolescent Brain Cognitive Development (ABCD) Study (2019-2022) that included 10,048 adolescents (12-13 years, 48.3% female, 45.6% racial/ethnic minorities) in the US were analyzed using multiple linear regression analyses adjusting for potential confounders.
Parent screen use, family mealtime screen use, and bedroom screen use were associated with greater adolescent screen time and problematic social media, video game, and mobile phone use. Parental use of screens to control behavior (e.g., as a reward or punishment) was associated with higher screen time and greater problematic video game use. Parental monitoring of screens was associated with lower screen time and less problematic social media and mobile phone use. Parental limit setting of screens was associated with lower screen time and less problematic social media, video game, and mobile phone use.
Parent screen use, mealtime screen use, and bedroom screen use were associated with higher adolescent problematic screen use and could be limited in a family media use plan. Parental monitoring and limiting of screen time are associated with less problematic screen use.
Although the American Academy of Pediatrics provides guidance for screen use for children 5-18 years, there is a paucity of evidence-based guidance for media parenting practices, specifically for early adolescents. In a diverse sample of 10,048 early adolescents across the US, we found cross-sectional associations between parent, mealtime, and bedroom screen use and higher adolescent problematic screen use. Parental monitoring and limiting of adolescent screen time were cross-sectionally associated with less problematic screen use in our analytic sample and may be incorporated into a family media use plan.
评估各种媒体育儿方式的流行程度，并确定它们与青少年早期屏幕使用时间以及社交媒体、电子游戏和手机使用问题之间的关联。
对青少年大脑认知发展（ABCD）研究第三年（2019 - 2022年）的横断面数据进行分析，该研究纳入了美国10,048名青少年（12 - 13岁，48.3%为女性，45.6%为少数种族/族裔），使用多元线性回归分析并对潜在混杂因素进行了调整。
家长的屏幕使用、家庭用餐时的屏幕使用以及卧室屏幕使用与青少年更长的屏幕使用时间以及社交媒体、电子游戏和手机使用问题相关。家长使用屏幕来控制行为（例如作为奖励或惩罚）与更长的屏幕使用时间以及更严重的电子游戏使用问题相关。家长对屏幕的监督与更少的屏幕使用时间以及更少的社交媒体和手机使用问题相关。家长对屏幕使用的限制与更少的屏幕使用时间以及更少的社交媒体、电子游戏和手机使用问题相关。
家长的屏幕使用、用餐时的屏幕使用和卧室屏幕使用与青少年更高的问题性屏幕使用相关，可在家庭媒体使用计划中加以限制。家长对屏幕时间的监督和限制与问题性屏幕使用较少相关。
尽管美国儿科学会为5 - 18岁儿童的屏幕使用提供了指导，但对于媒体育儿方式，特别是针对青少年早期，缺乏基于证据的指导。在全美10,048名青少年的多样化样本中，我们发现家长、用餐时和卧室屏幕使用与青少年更高的问题性屏幕使用之间存在横断面关联。在我们的分析样本中，家长对青少年屏幕时间的监督和限制与问题性屏幕使用较少存在横断面关联，可纳入家庭媒体使用计划。
