Abstract：
OBJECTIVE: This study aimed to investigate the associations between adverse childhood experiences (ACEs) and excessive recreational screen time.
METHODS: Using data from the UK Millennium Cohort Study, we examined the associations of prospectively collected individual ACEs, ACE scores, and poverty with excessive recreational screen time (>4 hours) across different media types. We ran further analyses to investigate sex differences in the associations of ACEs with excessive screen time. The robustness of these associations were tested by controlling for sociodemographic factors.
RESULTS: Among the included 11,439 adolescents (49.9% boys), those who experienced three or more ACEs were more likely to partake in excessive screen time compared to those with no ACEs after adjusting for covariates. This included recreational internet time at age 14, television time at age 14, electronic game time at ages 14 and 17, and social networking time at ages 14 and 17. We found similar associations between individual ACEs and excessive screen time. For example, parental mental health problems were associated with excessive recreational internet time (odds ratio [OR]: 1.28; 95% confidence interval [CI]: 1.15, 1.42), excessive television time (OR: 1.14; 95% CI: 1.01, 1.28), and excessive electronic game time (OR: 1.34; 95% CI: 1.16, 1.56) at age 14. Boys showed stronger associations between certain ACEs and excessive screen time compared to girls.
CONCLUSIONS: ACEs and poverty are associated with adolescents\' later excessive recreational screen time, including excessive time spent on television watching, electronic games, and social networking.
METHODS: Using data from the UK Millennium Cohort Study, we examined the associations of prospectively collected individual ACEs, ACE scores, and poverty with excessive recreational screen time (>4 hours) across different media types. We ran further analyses to investigate sex differences in the associations of ACEs with excessive screen time. The robustness of these associations were tested by controlling for sociodemographic factors.
RESULTS: Among the included 11,439 adolescents (49.9% boys), those who experienced three or more ACEs were more likely to partake in excessive screen time compared to those with no ACEs after adjusting for covariates. This included recreational internet time at age 14, television time at age 14, electronic game time at ages 14 and 17, and social networking time at ages 14 and 17. We found similar associations between individual ACEs and excessive screen time. For example, parental mental health problems were associated with excessive recreational internet time (odds ratio [OR]: 1.28; 95% confidence interval [CI]: 1.15, 1.42), excessive television time (OR: 1.14; 95% CI: 1.01, 1.28), and excessive electronic game time (OR: 1.34; 95% CI: 1.16, 1.56) at age 14. Boys showed stronger associations between certain ACEs and excessive screen time compared to girls.
CONCLUSIONS: ACEs and poverty are associated with adolescents\' later excessive recreational screen time, including excessive time spent on television watching, electronic games, and social networking.
摘要：
目的：本研究旨在调查不良童年经历（ACE）与过多娱乐屏幕时间之间的关联。
方法：使用英国千年队列研究的数据，我们检查了前瞻性收集的个体ACE的关联，ACE得分,和贫困，不同媒体类型的娱乐屏幕时间过长(>4小时)。我们进行了进一步的分析，以调查ACE与筛查时间过长的相关性的性别差异。通过控制社会人口统计学因素来测试这些关联的稳健性。
结果：在纳入的11,439名青少年（49.9％的男孩）中，在校正协变量后,与没有ACE的患者相比,经历3次或3次以上ACE的患者更有可能在过多的筛选时间内参与.这包括14岁的娱乐互联网时间，14岁的电视时间，14岁和17岁的电子游戏时间以及14岁和17岁的社交网络时间。我们发现单个ACE和过多的屏幕时间之间有相似的关联。例如,父母的心理健康问题与过多的娱乐上网时间有关（优势比[OR]：1.28；95％置信区间[CI]：1.15，1.42），电视时间过长(OR：1.14；95%CI：1.01，1.28)，14岁时电子游戏时间过长（OR：1.34；95%CI：1.16，1.56）。与女孩相比，男孩在某些ACE和过多的屏幕时间之间表现出更强的关联。
结论：ACE和贫困与青少年后期过度的娱乐屏幕时间有关，包括花在看电视上的时间过多，电子游戏,和社交网络。
方法：使用英国千年队列研究的数据，我们检查了前瞻性收集的个体ACE的关联，ACE得分,和贫困，不同媒体类型的娱乐屏幕时间过长(>4小时)。我们进行了进一步的分析，以调查ACE与筛查时间过长的相关性的性别差异。通过控制社会人口统计学因素来测试这些关联的稳健性。
结果：在纳入的11,439名青少年（49.9％的男孩）中，在校正协变量后,与没有ACE的患者相比,经历3次或3次以上ACE的患者更有可能在过多的筛选时间内参与.这包括14岁的娱乐互联网时间，14岁的电视时间，14岁和17岁的电子游戏时间以及14岁和17岁的社交网络时间。我们发现单个ACE和过多的屏幕时间之间有相似的关联。例如,父母的心理健康问题与过多的娱乐上网时间有关（优势比[OR]：1.28；95％置信区间[CI]：1.15，1.42），电视时间过长(OR：1.14；95%CI：1.01，1.28)，14岁时电子游戏时间过长（OR：1.34；95%CI：1.16，1.56）。与女孩相比，男孩在某些ACE和过多的屏幕时间之间表现出更强的关联。
结论：ACE和贫困与青少年后期过度的娱乐屏幕时间有关，包括花在看电视上的时间过多，电子游戏,和社交网络。
