Khalsa Amrik S, Andridge Rebecca, Keim Sarah A, Zvara Bharathi J, Anderson Sarah E
J Pediatr Health Care. 2024 Nov-Dec;38(6):794-803. doi: 10.1016/j.pedhc.2024.07.003. Epub 2024 Sep 21.
Our study examined the longitudinal relationship between parenting stress and screen time, outdoor play, and sleep routines in toddler to preschool-aged children.
We conducted a descriptive quantitative analysis of a prospective observational cohort study of 300 families with an 18-month-old toddler who were followed for 2 years. Parenting stress was measured using a subscale of the Parenting Stress Index-4 Short Form at child age 18 months. Screen time, outdoor play, and sleep routines were parent-reported at child age 36 months. Multivariable regression estimated associations between parenting stress and screen time behaviors, outdoor play, and sleep routines.
Data from 280 children (42.1% female) showed that 39.6% did not have rules around screen time and 82% of families reported frequently having the television on without anyone watching. In adjusted models, a 1-standard deviation increase in parenting stress at 18 months was associated with increased odds of having a television on without anyone watching (OR 1.26, 95% CI: 1.01, 1.57) and decreased odds of not having rules about the amount of screen time at 36 months (OR 0.75, 95% CI: 0.58, 0.96).
Increased parenting stress in early childhood was associated with some suboptimal screen time behaviors and sleep routines when children were preschool-aged.
我们的研究考察了幼儿至学龄前儿童的育儿压力与屏幕使用时间、户外活动时间和睡眠习惯之间的纵向关系。
我们对300个有18个月大幼儿的家庭进行了一项前瞻性观察队列研究，并进行了描述性定量分析，跟踪研究2年。在孩子18个月大时，使用《育儿压力指数-4简表》的一个子量表来测量育儿压力。在孩子36个月大时，由家长报告屏幕使用时间、户外活动时间和睡眠习惯。多变量回归分析估计了育儿压力与屏幕使用行为、户外活动时间和睡眠习惯之间的关联。
280名儿童（42.1%为女性）的数据显示，39.6%的家庭没有关于屏幕使用时间的规定，82%的家庭报告经常开着电视却无人观看。在调整后的模型中，18个月大时育儿压力增加1个标准差，与开着电视却无人观看的几率增加相关（比值比1.26，95%置信区间：1.01，1.57），以及与36个月大时没有屏幕使用时间规定的几率降低相关（比值比0.75，95%置信区间：0.58，0.96）。
幼儿期育儿压力增加与儿童学龄前一些不理想的屏幕使用行为和睡眠习惯相关。
