温州城市婴幼儿电视和DVD/VCD暴露状况调查  

Television and DVD/VCD exposure in children younger than three years old in Wenzhou city

作　　者：叶祎[1] 周永海[1] 陈克[1] 

机构地区：[1]温州医学院附属育英儿童医院儿童保健科,浙江325000

出　　处：《中国预防医学杂志》2009年第12期1060-1064,共5页Chinese Preventive Medicine

摘　　要：目的分析温州城市婴幼儿电视和DVD/VCD暴露状况,探讨城市婴幼儿不当暴露主要危险因素。方法采用随机整群抽样的方法,自行设计问卷,于2007年6～10月对温州市蒲鞋市社区≤36个月常住婴幼儿,共682人进行电视和DVD/VCD使用状况调查。结果98.5%家庭拥有电视,77.0%家庭拥有DVD/VCD;儿童最早电视暴露的时间为1个月龄,3个月龄有34.9%儿童电视暴露,24个月龄达89.3%;1～12个月龄婴儿平均每天电视和DVD/VCD暴露时间为(32.6±56.2)min、13～24个月龄幼儿为(63.7±87.5)min、25～36个月龄幼儿为(169.8±170.0)min;各年龄组电视使用符合美国儿科学会(AAP)电视使用指南的比例分别为38.0%,28.2%,34.1%;家庭成员中有电子传媒嗜好是1～12个月龄婴儿不符合AAP指南的主要危险因素,OR=7.026;家庭电视长期播放、父亲高学历及家长认为电视对儿童有利等因素,是13～24个月龄幼儿不符合AAP电视使用指南的危险因素,OR值分别为4.357,1.396,2.152;家庭中电视长期播放、父亲的高学历、家庭成员中有祖父母同住、家长讲解节目内容是25～36个月龄幼儿电视使用不符合AAP指南的危险因素,其中家庭中电视长期播放和家庭成员中有祖父母同住的OR值分别为37.242和17.399。结论本调查结果显示,绝大多数婴幼儿存在不当电视和DVD/VCD暴露,并随着儿童年龄的增长,暴露时间呈增长趋势。婴幼儿不当电子传媒暴露同家长的行为观念密切相关。Objective To analyze the situation of television and DVD/VCD viewing in children younger than 3 years old in Wenzhou, and to investigate risk factors associated with over-exposure to TV and DVD/VCD. Methods A randomized cluster sampling survey was performed between June 2007 and October 2007. Data were collected from 682 residents aged 0-36 months old in Puxieshi community of Wenzhou with self-administered structured questionnaire. Results Children were exposed to TV as early as 1 month. By 3 months of age, about 34. 9% of children regularly watched television. By 24 months old, this proportion rose to 89. 3%. The average viewing time per day was （32. 6 ±56.2） minutes for children aged 1 to 12 months old, （63.7 ± 87.5 ） minutes for children aged 13-24 months old, and （ 169. 8 ± 170.0） minutes for children aged 25-36 months old. The rates in accordance with the AAP guidelines for media use were 38.0%, 28.2%, 34. 1%, respectively for the above age groups. Family member＇s fondness with TV was the main risk factor for infants （ 1 to 12 months old） exposed to TV and DVD/VCD （ OR =7. 026）. For toddlers aged 13-24 months old, the risk factors included long - hour TV playing at home （ OR =4. 357）, fa- ther with high educational level （ OR = 1. 396） , and parents＇ favorable view of TV to children （ OR =2. 152）. While for toddlers aged 25-36 months old the risk factors included long-hour TV playing, father with high educational level, having grandparents liv- ing together with toddlers, and having parents explaining content to children while watching TV. The OR values were 37. 242 and 17. 399 for long-hour TV playing and having grandparents living together, respectively. Conclusion The majority of infants and toddlers were overexposed to TV and DVD/VCD, and the exposure time increases with age. The problem was closely related to parents＇ opinions and behaviors of electronic media exposure.

关 键 词：婴幼儿 电视 DVD/VCD 调查 

分 类 号：R174[医药卫生—妇幼卫生保健]