背景:儿童肥胖在全球范围内日益被视为主要的公共卫生挑战,过多的久坐屏幕时间正在成为一个关键的风险因素。本研究旨在评估中国小学学龄儿童的休闲屏幕久坐时间,并探讨屏幕相关家庭因素与结果变量之间的关系。
方法:我们的研究使用了来自北京五年级学生及其父母的横断面调查数据,中国,2018年4月至5月(n=2,373)。这些问题包括基本的人口统计信息,家庭社会经济地位,学生和家长久坐和锻炼的习惯,家庭内部沟通因素,和健康信仰模式。比较了不同人口群体儿童的娱乐屏幕久坐时间。该研究采用多元线性回归模型来检查儿童的屏幕时间与各种家庭因素之间的关联,以及整体家庭沟通的调节作用。
结果:我们的发现显示,参与者的平均每日休闲屏幕久坐时间为2.4小时。不同人口统计类别的屏幕时间差异很大,包括儿童性,年龄,residence,父母的教育,家庭收入,家庭大小,和主要家庭成员。调整后,儿童拥有数字设备的比例(p<0.01),儿童个人房间(p<0.05),家庭一起观看屏幕(p<0.01),父母的屏幕时间与儿童休闲久坐的屏幕时间呈正相关(p<0.01)。父母对屏幕时间的限制(p<0.001)和减少坐着时间的态度(p<0.01)与儿童屏幕时间的减少相关。整体家庭沟通环境显著缓和了父母限制儿童屏幕时间的影响(p<0.001)。父母的正强化(p<0.05),和父母的休闲久坐屏幕时间(p<0.001)。
结论:我们的发现强调了家庭动态的重要性,父母的做法,和沟通塑造儿童的屏幕时间行为,为减少儿童肥胖的量身定制干预措施和策略提供有价值的见解。
BACKGROUND: Childhood obesity is increasingly recognized as a major public health challenge worldwide, and excessive sedentary screen time is emerging as a key risk factor. This
study aimed to assess the recreational screen sedentary time of Chinese primary school-aged children and investigate the relationship between screen-related family factors and the outcome variable.
METHODS: Our
study used data from a cross-sectional survey collected from fifth-grade students and their parents in Beijing, China, from April to May 2018 (n = 2,373). The questions included basic demographic information, family socioeconomic status, students\' and parents\' sedentary and exercising habits, within-family communicational factors, and health belief patterns. The recreational screen sedentary time of the children was compared across demographic groups. The
study employed multivariate linear regression models to examine associations between children\'s screen time and various family factors, as well as the moderating effect of overall family communication.
RESULTS: Our findings revealed an average daily recreational screen sedentary time of 2.4 h among participants. Screen time significantly varied across demographic categories, including children\'s sex, age, residence, parents\' education, household income, family size, and primary family member. After adjustment, the proportion of child-owned digital devices (p < 0.01), child\'s personal room (p < 0.05), family screen-viewing together (p < 0.01), and parental screen time (p < 0.01) were positively related to children\'s recreational sedentary screen time. Parental restrictions on screen time (p < 0.001) and attitudes toward reducing sitting time (p < 0.01) were correlated with a decrease in children\'s screen time. The overall family communication environment significantly moderated the effects of parental practice of restricting children\'s screen time (p < 0.001), positive reinforcement by parents (p < 0.05), and parents\' recreational sedentary screen time (p < 0.001).
CONCLUSIONS: Our findings underscored the significance of family dynamics, parental practices, and communication in shaping children\'s screen time behaviors, providing valuable insights for tailored interventions and strategies to reduce childhood obesity.