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High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study

BMJ open, 2021-03, Vol.11 (3), p.e040848-e040848 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2021 ;ISSN: 2044-6055 ;EISSN: 2044-6055 ;DOI: 10.1136/bmjopen-2020-040848 ;PMID: 33731383

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  • Title:
    High-dose electronic media use in five-year-olds and its association with their psychosocial symptoms: a cohort study
  • Author: Niiranen, Janette ; Kiviruusu, Olli ; Vornanen, Riitta ; Saarenpää-Heikkilä, Outi ; Paavonen, E Juulia
  • Subjects: Age ; Child, Preschool ; Children & youth ; Childrens health ; Cohort analysis ; Cohort Studies ; Cross-Sectional Studies ; Electronic games ; Electronics ; Epidemiology ; Families & family life ; Finland - epidemiology ; Hospitals ; Humans ; Paediatrics ; Parents & parenting ; Preschool children ; Preschool education ; Questionnaires ; Screen time ; Surveys and Questionnaires ; Teenagers
  • Is Part Of: BMJ open, 2021-03, Vol.11 (3), p.e040848-e040848
  • Description: ObjectivesThis 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.DesignLongitudinal 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.SettingBetween 2011 and 2017 in Finland.ParticipantsChildren aged 5 years (n=699).Primary and secondary outcome measuresChildren’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).ResultsBased 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).ConclusionIncreased 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.
  • Publisher: England: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 2044-6055
    EISSN: 2044-6055
    DOI: 10.1136/bmjopen-2020-040848
    PMID: 33731383
  • Source: ProQuest One Psychology
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