High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study
Objectives This study investigated the frequency of electronic media (e-media) usage by preschool children and the risks of high-dose e-media use on young children’s psychosocial well-being.Design Longitudinal associations between e-media use at 18 months and psychosocial symptoms at 5 years of age...
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BMJ Publishing Group
2021-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/3/e040848.full |
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| author | Outi Saarenpää-Heikkilä Janette Niiranen Olli Kiviruusu Riitta Vornanen E Juulia Paavonen |
| author_facet | Outi Saarenpää-Heikkilä Janette Niiranen Olli Kiviruusu Riitta Vornanen E Juulia Paavonen |
| author_sort | Outi Saarenpää-Heikkilä |
| collection | DOAJ |
| description | Objectives This study investigated the frequency of electronic media (e-media) usage by preschool children and the risks of high-dose e-media use on young children’s psychosocial well-being.Design Longitudinal associations between e-media use at 18 months and psychosocial symptoms at 5 years of age were studied, as well as cross-sectional associations between e-media use and psychosocial symptoms at 5 years.Setting Between 2011 and 2017 in Finland.Participants Children aged 5 years (n=699).Primary and secondary outcome measures Children’s psychosocial symptoms were determined at the age of 5 years using the parent-reported questionnaires Five-to-Fifteen (FTF) and the Strengths and Difficulties Questionnaire (SDQ).Results Based on our results, 95% of the preschool children exceeded the daily recommended use of e-media set by health professionals. Our results indicate that increased screen time at 5 years of age is associated with a risk of multiple psychosocial symptoms (OR 1.53–2.18, 95% CI 1.05 to 3.34, p<0.05), while increased levels of e-media use at 18 months was only associated with FTF peer problems (OR 1.59, 95% CI 1.04 to 2.41, p=0.03). Moreover, high-dose use of electronic games at the age of 5 years seems to be associated with fewer risks for psychosocial well-being than programme viewing, as it was only associated with SDQ hyperactivity (OR 1.65, 95% CI 1.08 to 2.51, p=0.02).Conclusion Increased screen time has multiple risks for children’s psychosocial well-being. These risk factors seem to be significant in the long term, and are related to problems in children’s socio-emotional development later on. Health professionals and paediatricians have an important role as communicators of the current research results on the safe usage time of e-media for families, and enhancing parents’ skills as regulators of children’s safe e-media use. More research is needed on the family conditions of high-dose e-media users. |
| format | Article |
| id | doaj-art-f7d79c4af1dd4fe9b17755522a45e9dc |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-f7d79c4af1dd4fe9b17755522a45e9dc2024-11-21T01:30:08ZengBMJ Publishing GroupBMJ Open2044-60552021-03-0111310.1136/bmjopen-2020-040848High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort studyOuti Saarenpää-Heikkilä0Janette Niiranen1Olli Kiviruusu2Riitta Vornanen3E Juulia Paavonen45 Tampere Centre for Child Health Research, University of Tampere and Tampere University Hospital, Tampere, Finland1 Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, FinlandDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland2 Department of Social Sciences, University of Eastern Finland, Kuopio, Finland1 Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, FinlandObjectives This study investigated the frequency of electronic media (e-media) usage by preschool children and the risks of high-dose e-media use on young children’s psychosocial well-being.Design Longitudinal associations between e-media use at 18 months and psychosocial symptoms at 5 years of age were studied, as well as cross-sectional associations between e-media use and psychosocial symptoms at 5 years.Setting Between 2011 and 2017 in Finland.Participants Children aged 5 years (n=699).Primary and secondary outcome measures Children’s psychosocial symptoms were determined at the age of 5 years using the parent-reported questionnaires Five-to-Fifteen (FTF) and the Strengths and Difficulties Questionnaire (SDQ).Results Based on our results, 95% of the preschool children exceeded the daily recommended use of e-media set by health professionals. Our results indicate that increased screen time at 5 years of age is associated with a risk of multiple psychosocial symptoms (OR 1.53–2.18, 95% CI 1.05 to 3.34, p<0.05), while increased levels of e-media use at 18 months was only associated with FTF peer problems (OR 1.59, 95% CI 1.04 to 2.41, p=0.03). Moreover, high-dose use of electronic games at the age of 5 years seems to be associated with fewer risks for psychosocial well-being than programme viewing, as it was only associated with SDQ hyperactivity (OR 1.65, 95% CI 1.08 to 2.51, p=0.02).Conclusion Increased screen time has multiple risks for children’s psychosocial well-being. These risk factors seem to be significant in the long term, and are related to problems in children’s socio-emotional development later on. Health professionals and paediatricians have an important role as communicators of the current research results on the safe usage time of e-media for families, and enhancing parents’ skills as regulators of children’s safe e-media use. More research is needed on the family conditions of high-dose e-media users.https://bmjopen.bmj.com/content/11/3/e040848.full |
| spellingShingle | Outi Saarenpää-Heikkilä Janette Niiranen Olli Kiviruusu Riitta Vornanen E Juulia Paavonen High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study BMJ Open |
| title | High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study |
| title_full | High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study |
| title_fullStr | High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study |
| title_full_unstemmed | High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study |
| title_short | High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study |
| title_sort | high dose electronic media use in five year olds and its association with their psychosocial symptoms a cohort study |
| url | https://bmjopen.bmj.com/content/11/3/e040848.full |
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