The relationship between screen time and speech delay in 1-2-year-old children

Abstract

Background: Speech delay was one among the most prevalent and most often developmental disorders found in children. The use of screen media was suspected to be associated with speech delay, especially related to screen time. Urgent study related with identifying the association between speech delay and screen time was needed especially among younger children. Objective: This study aimed to prove the association between speech delay and screen time in 1-2-year-old children. Methods: This is a cross-sectional study, subjected at children aged 1-2-year-old in Denpasar, Bali, Indonesia Primary Health Care working area. Outcome was speech delay which diagnosed using Capute scales. Results: This study included 167 subjects with average age introduced to screen media was 9,84 + 4,04 months. This study subjects were mostly male (55%) with average age was 19.2 + 3.5 months. Children with screen time more than 2 hours per day were associated with speech delay [OR 6.15 (CI95% 2.84-13.30; p=<0.001)]. Male gender and low social economy were also associated with speech delay [adjusted OR 2.67 and 5.49 (CI95% 1.72-5.60; p=0.009 and 2.04-13.93; p=0.001)]. Conclusion: Screen time more than two hours daily increase the risk of speech delay 6.2 times in children aged 1-2-year old. Male and low parental education also acted as risk factors for speech delay.Keywords: critical congenital heart disease, early screening

Relationship Between Speech Delay and Smart Media in Children: A Systematic Review

“…Studies established a correlation between the intensity of gadget usage and the speaking proficiency of young children, with a higher risk of language delay in children with more gadget use intensity [15,19,20,23,25,26,29]. Screen time exceeding two hours and watching TV for 3 to 4 hours daily were associated with a decrease in receptive and expressive language scores and speech delays [19,23,26]. Moreover, findings also revealed higher odds of screen time among children who watched alone compared to those who viewed with a parent or adult (OR = 8.56, 95% CI: 1.14-64.07, p = 0.037) [26], indicating the parental influence on screen time among children.…”

“…Studies established a correlation between the intensity of gadget usage and the speaking proficiency of young children, with a higher risk of language delay in children with more gadget use intensity [ 15 , 19 , 20 , 23 , 25 , 26 , 29 ]. Screen time exceeding two hours and watching TV for 3 to 4 hours daily were associated with a decrease in receptive and expressive language scores and speech delays [ 19 , 23 , 26 ].…”

“…Three studies reported the influence of sex in the association between smart media and speech delay [ 11 , 19 , 30 ]. While one study reported that male sex and lower socioeconomic background were associated with speech delay (aOR = 2.67; 95%CI: 1.72-5.60; p = 0.009 and OR = 5.49; 95%CI: 2.04-13.93, p = 0.001, respectively) [ 19 ], another study found no influence of socioeconomic backgrounds, sex, age, and family languages [ 11 ].…”

“…Three studies reported the influence of sex in the association between smart media and speech delay [ 11 , 19 , 30 ]. While one study reported that male sex and lower socioeconomic background were associated with speech delay (aOR = 2.67; 95%CI: 1.72-5.60; p = 0.009 and OR = 5.49; 95%CI: 2.04-13.93, p = 0.001, respectively) [ 19 ], another study found no influence of socioeconomic backgrounds, sex, age, and family languages [ 11 ]. One study found that girls had stronger performance in pragmatic development when parents incorporated electronic devices into children’s routines, helping them to develop communication skills [ 30 ].…”