海口市学龄前儿童屏幕暴露影响因素及其对夜间睡眠的影响分析  

Analysis of Screen Exposure Chronotype,Influencing Factors and Its Impact on Sleep of Preschool Children in Haikou City

作　　者：黄燕 雷玥 黄垂灿 罗庆 曹文婷 樊利春 HUANG Yan;LEI Yue;HUANG Chuican;LUO Qing;CAO Wenting;FAN Lichun(Hainan Women and Children's Medical Center,Haikou,570206,China;不详)

机构地区：[1]海南省妇女儿童医学中心儿童保健科,海南海口570206 [2]海南医学院公共卫生与全健康国际学院,海南海口571199

出　　处：《中国社会医学杂志》2024年第5期569-574,共6页Chinese Journal of Social Medicine

基　　金：海南省重大科技项目(ZDKJ2019010);海南省重点科技合作项目(DYF2020210);海南省临床医学中心建设项目(琼卫医函〔2021〕75号);海南省优秀人才团队资助项目(琼人才办通〔2021〕21号)。

摘　　要：目的了解海口市学龄前儿童屏幕暴露对夜间睡眠的影响,为改善海口市学龄前儿童的夜间睡眠质量提供参考依据。方法于2019年6月-2020年6月在海口市展开现况研究,对482名学龄前儿童家长进行自制问卷调查,儿童观看电子屏幕时间>1 h/d定义为屏幕暴露。收集入组儿童的人口学特征、屏幕暴露时间、儿童睡眠习惯等信息,采用卡方检验、Logistic回归分析探讨学龄前儿童屏幕暴露的影响因素,以及对夜间睡眠的影响。结果学龄前儿童上学日的屏幕暴露率为31.7%,低于节假日屏幕暴露率(60.4%)(χ^(2)=123.8,P<0.001),有7.1%的儿童节假日屏幕暴露时长>4 h。不论在上学日(r=0.18,P<0.01)还是节假日(r=0.20,P<0.01),屏幕暴露时间越长,对学龄前儿童睡眠问题的影响越大。上学日和节假日屏幕暴露情况与用餐时习惯性使用电子屏幕有关(OR=19.73,95%CI=6.29~61.83和OR=7.45,95%CI=2.03~27.28)。节假日屏幕暴露还与电子屏幕设备的使用数量相关(OR=2.15,95%CI=1.05~4.38)。结论海口市学龄前儿童屏幕暴露率较高,且影响睡眠质量,需引起家长和有关部门的关注,采取科学措施降低学龄前儿童屏幕暴露率及暴露时长。Objective To understand the impact of screen exposure on night sleep of preschool children,and to provide scientific reference for improving night sleep quality of school-age children in Haikou city.Methods A cross-sectional study was conducted in Haikou from June 2019 to June 2020.482 parents of preschool children were surveyed with self-made questionnaires.Watching more than one hour of electronic screen every day were defined as screen exposure.Demographic characteristics,screen exposure time,children's sleep habits and other information of the enrolled children were collected.Chi-square test and logistic regression analysis were used to explore the influencing factors of screen exposure of preschool children and its impact on night sleep.Results The screen exposure rate of preschool children on school days was 31.7%,lower than that on holidays(60.4%)(χ^(2)=123.8,P<0.001).7.1%of children exposed to the screen more than 4 hours on holidays.Whether on school days(r=0.18,P<0.01)or holidays(r=0.20,P<0.01),the longer the screen exposure time,the greater the impact on sleep problems of preschool children.There were relationship between screen exposure on school days and holidays and habitual use of electronic screens during meals were significant(OR=19.73,95%CI:6.29-61.83;OR=7.45,95%CI:2.03-27.28).Holiday screen exposure was also related to the number of electronic screen devices used(OR=2.15,95%CI:1.05-4.38).Conclusion The screen exposure rate of preschoolers in Haikou city is high,and affects sleep quality at night.It is necessary to arouse the attention of parents and relevant departments,and take scientific measures to reduce the screen exposure rate and exposure time of preschoolers.

关 键 词：屏幕暴露 学龄前儿童 睡眠质量 

分 类 号：R179[医药卫生—妇幼卫生保健]