中国学龄前儿童视屏时间过长发生率的Meta分析  

Excessive screen time in preschool children in China:a meta-analysis

作　　者：罗欢 高静[1] 柏丁兮[1] 陈欢 鲜圆圆 游倩 陈昕羽 LUO Huan;GAO Jing;BAI Ding-xi;CHEN Huan;XIAN Yuan-yuan;YOU Qian;CHEN Xin-yu(School of Nursing,Chengdu University of Traditional Chinese MedicineC,hengdu 610075,China)

机构地区：[1]成都中医药大学护理学院,四川成都610075

出　　处：《中国健康教育》2024年第7期592-599,共8页Chinese Journal of Health Education

基　　金：四川应用心理学研究中心立项项目(CSXL-22215)。

摘　　要：目的系统评价中国学龄前儿童视屏时间过长发生率。方法计算机检索CNKI、VIP、WanFang Data、CBM、PubMed、Cochrane、Embase、CINAHL和Web of Scuence数据库中发表的有关中国学龄前儿童视屏时间过长发生率的横断面研究,检索时间为建库至2022年10月18日,由2名研究者独立筛选文献、提取资料并评价文献质量,采用Stata16.0软件进行Meta分析。结果共纳入28篇文献,包含143483例学龄前儿童。Meta分析结果显示,中国学龄前儿童视屏时间过长总发生率为46.4%,视屏时间>1h、≥1 h、>2 h、≥2h的发生率分别为61.6%、56.5%、28.1%、34.1%,平均每日视屏时间为1.86小时。总视屏时间过长发生率亚组分析结果显示,男、女童发生率分别为48.5%、45.6%,3~6岁发生率分别为40.9%、45.8%、45.4%、44.4%,独生、非独生发生率分别为47.9%、53.8%,父母初中及以下文化程度发生率分别为49.7%、49.9%,父母高中文化程度发生率分别为46.5%、44.4%,父母大学及以上文化程度发生率分别为41.8%、42.4%,学习日、周末发生率分别为35.3%、43.7%,2019年前、后发生率分别为43.2%、46.2%,东部、中部、西部地区发生率分别为49.7%、39.4%、39.3%。结论中国学龄前儿童视屏时间过长发生率较高,男童、年龄越大、非独生、父母文化程度低、东部地区的发生率更高,应有针对性地进行预防和干预。受纳入研究数量和质量限制,上述结论尚需更多高质量研究予以验证。Objective To systematically review status of excessive screen time in preschool children in China.Methods Cross sectional studies on the incidence of excessive screen time among Chinese preschool children published in CNKI,VIP,Wanfang data,CBM,PubMed,Cochrane,Embase,CINAHL and Web of Science databases were retrieved by computer.The retrieval time was from the establishment of the database to October 18,2022.Two researchers independently screened and extracted the data,evaluated the literature quality,and performed meta analysis using Stata16.0software.Results A total of 28 articles were included,including 143,483 preschool children.The results of meta-analysis showed that the excessive screen time rate of Chinese preschool children was 46.4%,and the average daily screen time was1.86 hours.The results of subgroup analysis showed that the excessive screen time rates were 48.5%for boys and 45.6%for girls.The different rates from 3 to 6 years old were 40.9%,45.8%,45.4%,44.4%,respectively.The rate in only-onechild families was 47.9%and 53.8%in other families.The rates in father or mother with junior high school or lower education level were 49.7%and 49.9%.The rates in father or mother with high school education level were 46.5%and 44.4%.The rates in father or mother with university or higher education level were 41.8%and 42.4%.The rate in study days was35.3%and 43.7%in weekends.The rate before 2019 was 43.2%and 46.2%after 2019.The rates in eastern China,central China and western China were 49.7%,39.4%and 39.3%.Conclusions It is showed that the excessive screen time rate of preschool children in China is relatively high.Boys,older children,non only-one-child family,parents with lower education,eastern regions have higher incidence rate.Therefore,targeted prevention and intervention should be carried out.Limited by the quantity and quality of included studies,the above conclusions need more high-quality studies to verify.

关 键 词：学龄前儿童 视屏时间 屏幕暴露 META分析 

分 类 号：R193[医药卫生—卫生事业管理]