A study on screen time use in children between 24 to 60 months of age in Tamilnadu, India

Shirley, S. Alph; Kumar, S. Santha

doi:10.18203/2349-3291.ijcp20194738

Cited by 4 publications

(6 citation statements)

References 5 publications

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“…Our study demonstrated similarly, with an average screen use of 2.1 h per day and 89.9% exceeding the AAP recommendations. Similar to most published literature, we found that the commonest screen used was TV (76.7%), and the type of content most watched were cartoons (82.5%) [12,21]. We found children who used devices other than a computer were 6.5 times more likely to have excess screen time.…”

Section: Discussionsupporting

confidence: 86%

“…According to 2 other studies from India, less than 20% of preschool children use a screen for less than 1 h a day [12,13]. Our study demonstrated similarly, with an average screen use of 2.1 h per day and 89.9% exceeding the AAP recommendations.…”

Section: Discussionsupporting

confidence: 81%

“…Only a few studies from India have evaluated screen use in preschool children [ 12 , 13 ], and as far as we know, no study in India has studied the association of screen time with cognitive delays and parental mediation during screen use. Hence this study was undertaken to estimate the risk associated with screen time in children, parental supervision, and parent-reported cognitive development among preschool children aged 2–5 years.…”

Section: Introductionmentioning

confidence: 99%

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Association of screen time with parent-reported cognitive delay in preschool children of Kerala, India

John¹,

Joseph²,

David³

et al. 2021

BMC Pediatr

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Background Screen use is increasing rapidly among preschool children and excess screen use in these children has been associated with cognitive side effects and speech delay. We undertook this study to estimate the risk associated with screen time in children, parental supervision, and parent-reported cognitive development among preschool children aged 2–5 years. Methods A cross-sectional study was done between July 2019 and January 2020 involving parents of all students aged 2–5 years, attending 2 kindergarten schools in Thiruvalla using a self-administered questionnaire. Parents also used the Werner David Development pictorial scale (WDDPS), a screening tool to report cognitive development. The schools were sampled based on convenience. Results Of the 189 children included in the study, 89.4% had excess screen use (> 1 h per day) and the average use was 2.14 h. 45.0% of parents supervised screen use inconsistently (self-reported). Meal-time screen use (OR 3.8, 95% CI 1.3–10.8), receiving screen on demand (OR 3.7, 95% CI 1.2–11.3), and using devices other than computers (OR 6.5, 95% CI 1.6–26.8) were significantly associated with excess screen use in pre-school children. Similarly, those children with inconsistently supervised screen time were significantly more likely to have suspected deficits in attention (OR 3.2, 95% CI 1.3–8.2), intelligence (OR 4.1, 95% CI 1.3–13.3), and social skills (OR 15.3, 95% CI 1.9–121.2), compared to children whose screen use was consistently supervised. Conclusion Screen time in the majority of preschool children is above the recommended limits, and inconsistent supervision by parents was seen in almost half of the study participants. Inconsistently supervised screen time is associated with suspected cognitive delays in children.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

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Association of screen time with parent-reported cognitive delay in preschool children of Kerala, India

John¹,

Joseph²,

David³

et al. 2021

BMC Pediatr

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“…We found that children who used screen for more than 1 hour a day interacted more with their playmates and older family members as compared to children with lesser screen use, however, this was not signi cant. Compliance with the AAP recommendations for screen-time is poor as per two other studies from the Indian subcontinent, who demonstrated less than 20% of the preschool population limiting screen use to less than 1 hour a day [11,12]. Our study demonstrated similar data, with an average screen use of 2.14 hours per day and only 11% complying with the AAP recommendations.…”

Section: Resultssupporting

confidence: 68%

Association of Screentime With Cognitive Delay In Preschool Children of Kerala, India

John¹,

Joseph²,

David³

et al. 2020

Preprint

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Background: Screen use is increasing rapidly among preschool children and excess screen use in these children has been associated with neurocognitive side effects and speech delay.Objectives: To look at patterns of screen use, determinants of excess screen use, and its association with socio-cognitive development among preschool children attending two kindergarten schools in urban Kerala.Methodology: A questionnaire-based survey was conducted among parents of children attending 2 urban kindergarten schools. Cognitive development was reported by the parents as per Werner David Development pictorial scale (WDDPS).Results: Of the 189 children included in the study, 89.4% had excess screen use (>1 hour per day) and the average use was 2.14 hours. Earlier age at introduction to screen (2.5 vs. 2.09 hours, p=0.01), meal-time screen use (OR 3.4, 95% CI 1.3-8.9), lack of parental co-viewing (2.19 vs. 1.96 hours, p=0.03), and receiving screen on demand (OR 3.7, 95% CI 1.3-10.8) were all significantly associated with excess screen use in pre-school children. Children with inconsistently supervised screen time had significantly more deficits as per WDDPS in attention (OR 3.2, 95% CI 1.3-8.2), intelligence (OR 4.1, 95% CI 1.3-13.3) and social skills (OR 15.3, 95% CI 1.9-121.2), compared to children whose screen use was consistently supervised.Conclusion: Screen time in the majority of preschool children is above the recommended limits, and consistent supervision by parents is seen in only half the preschool population. Inconsistently supervised screen time is associated with an increase in the time spent on screens, and significant cognitive delays in children.

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“…In our study, age, gender, residence and socioeconomic status had no influence on screen time. This is similar to studies by Shirley SA, et al19 and Varadarajan S, et al1 .Parental knowledge and perceptions on the effect of screen time highly influences screen time behaviour in children. In a study by Shirley SA, et al19 on the attitude and awareness among parents, majority of parents seemed to be concerned about screen time of children23 .…”

supporting

confidence: 90%

Do children need humans or screen? Institutional-based cross-sectional study

Rajalakshmi,

Mohan,

Kanimozhi

et al. 2023

Sri Lanka J Child Health

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Introduction: Screen exposure is on the rise and has been virtually unavoidable in the post-Covid era. Screen exposure during the critical period of brain development results in delayed language, learning and behaviour problems and subsequent sedentary lifestyle results in non-communicable disease later in life.Objectives: To assess the burden of digital screen exposure and parental perceptions of its effects in children.Method: This institution-based cross-sectional study was conducted among children aged 1-13 years in a tertiary healthcare centre in Puducherry, India, from April 2022 to June 2022. Data were collected using the Digital Screen Exposure Questionnaire (DSEQ), administered by trained Compulsory Rotatory Residential Internship (CRRI) after pilot testing.Results: Our study shows that the prevalence of excessive screen exposure (>1 hour) was 25% during weekdays and 44.9% during weekends. The most common media used was television (TV) in 92.8%, closely followed by smart phones in 90%. Most frequently watched content (>5 times/ week) was random things for enjoyment in 57.8% followed by rhymes in 25.7%; 57.1% had no outside play during weekdays. Mother’s education was the main predictor which influenced the duration of screen exposure in study participants.Conclusions: Our study shows that the prevalence of excessive screen exposure (>1 hour) was 25% during weekdays and 44.9% during weekends. Common media used were TV in 92.8% and smart phones in 90%. Except for mother’s education, no other socio-demographic factor influenced the duration of screen exposure in study participants. There was excessive screen exposure in children despite parental perception of its harmful effects

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A study on screen time use in children between 24 to 60 months of age in Tamilnadu, India

Cited by 4 publications

References 5 publications

Association of screen time with parent-reported cognitive delay in preschool children of Kerala, India

Association of screen time with parent-reported cognitive delay in preschool children of Kerala, India

Association of Screentime With Cognitive Delay In Preschool Children of Kerala, India

Do children need humans or screen? Institutional-based cross-sectional study

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