甘肃省中部地区学龄前儿童视屏时间及影响因素分析  

Status quo of screen time and influencing factors of excessive screen time in preschool children from central Gansu Province

作　　者：黄蕾[1] 李佳樾[1] 马政源 王鹏丽 伍晓艳[3] 高杨 郭金仙[1] HUANG Lei;LI Jiayue;MA Zhengyuan;WANG Pengli;WU Xiaoyan;GAO Yang;GUO Jinxian(Department of Child Health Care,Gansu Provincial Maternity and Childcare Hospital,Lanzhou,Gansu 730050,China;Department of Child Health Care,Linxia Maternal and Child Health Hospital;Department of Child Health and Maternal and Child Health,School of Public Health,Anhui Medical University)

机构地区：[1]甘肃省妇幼保健院儿保科,甘肃兰州730050 [2]临夏州妇幼保健院儿保科 [3]安徽医科大学公共卫生学院儿少卫生与妇幼保健学系

出　　处：《中国儿童保健杂志》2025年第1期49-54,共6页Chinese Journal of Child Health Care

基　　金：人口健康与优生安徽省重点实验室开放课题(JKYS20215)。

摘　　要：目的了解甘肃省中部地区学龄前儿童视屏时间及视屏超标的相关影响因素,为制定相关防控干预措施,促进儿童健康水平提供参考依据。方法2023年2—5月按照整群抽样法在甘肃省中部地区三市(兰州市、白银市及临夏市)随机选取8所幼儿园,对2188名3~6岁儿童家长进行问卷调查,了解儿童视屏时间及影响因素。共收回有效问卷2073份。采用多因素Logistic回归分析视屏时间超标的影响因素。结果甘肃省中部地区学龄前儿童每天视屏时间为[1.64(0.83,3.14)]h,一周视屏≥2h/d的报告率为45.39%,周末为64.79%。Logistic回归分析显示,≥4岁(OR=2.183,95%CI:1.392~3.425)、居住地为临夏市(OR=1.429,95%CI:1.030~2.017)、儿童使用电子产品没有限制(OR=1.681,95%CI:1.188~2.379)、儿童经常单独使用电子产品(OR=2.212,95%CI:1.768~2.767)及家长看电视时间≥1h/d(OR=1.945,95%CI:1.548~2.444)是儿童视屏超标的危险因素(P<0.05)。母亲文化程度大学以上(OR=0.521,95%CI:0.360~0.753)及以教育为目的给儿童使用电子产品(OR=0.786,95%CI:0.632~0.978)是儿童视屏超标的保护因素。结论甘肃省中部地区学龄前儿童视屏超标状况亟需关注,与儿童年龄、父母文化程度、家庭视屏环境等密切相关,应展开有针对性的教育和干预工作。Objective To investigate preschool children's screen time and related influencing factors of excessive screen time in central Gansu Province,so as to provide reference for formulating relevant prevention and control intervention measures and promoting children's health.Methods From February to May 2023,8 kindergartens were randomly selected in 3 cities(Lanzhou,Baiyin and Linxia)in central Gansu Province by cluster sampling method and 2188 parents of children aged 3-6 years old were surveyed,finally 2073 valid questionnaires were collected.Multivariate Logistic regression was used to analyze the influencing factors of excessive screen time.Results In the central area of Gansu Province,preschool children spent[1.64(0.83,3.14)]h in video screen every day.The report rate of screen time≥2h/d in a week was 45.39%,and 64.79%on weekends.Logistic regression analysis showed that≥4 years old(OR=2.183,95%CI:1.392-3.425),dwelling in Linxia City(OR=1.429,95%CI:1.030-2.017),no restrictions on children's use of electronic products(OR=1.681,95%CI:1.188-2.379),frequent use of electronic products alone(OR=2.212,95%CI:1.768-2.767),and parents'watching TV time≥1h/d(OR=1.945,95%CI:1.548-2.444)were the risk factors for children's excessive screen time(P<0.05).Maternal education level above university(OR=0.521,95%CI:0.360-0.753)and using electronic products for education(OR=0.786,95%CI:0.632-0.978)were protective factors for children's excessive screen time.Conclusions In central Gansu Province,the situation of preschool children with excessive video screens is in need of urgent attention,and is closely related to children's age,the literacy level of their parents,and home video screen environment,so targeted education and intervention efforts should be carried out.

关 键 词：计算机终端 视屏时间 学龄前儿童 

分 类 号：R179[医药卫生—妇幼卫生保健]