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CN 34-1304/RISSN 1674-3679

Volume 26 Issue 12
Dec.  2022
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Article Contents
CHEN Yao, ZHANG Lei, LI Si, SUN Lei, YU Wei-ping, TAO Fang-biao, WANG Lei. Screen time and sleep status associated with emotional and behavioral problems in preschool children[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(12): 1462-1467. doi: 10.16462/j.cnki.zhjbkz.2022.12.017
Citation: CHEN Yao, ZHANG Lei, LI Si, SUN Lei, YU Wei-ping, TAO Fang-biao, WANG Lei. Screen time and sleep status associated with emotional and behavioral problems in preschool children[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(12): 1462-1467. doi: 10.16462/j.cnki.zhjbkz.2022.12.017

Screen time and sleep status associated with emotional and behavioral problems in preschool children

doi: 10.16462/j.cnki.zhjbkz.2022.12.017
Funds:

The National Center for Women's and Children's Health of the Chinese Center for Disease Control and Prevention Research Project 2017FYH005

Maternal and Child Health Research Project of Jiangsu Province F202019

More Information
  • Corresponding author: WANG Lei, E-mail: xerolei@qq.com
  • Received Date: 2021-11-15
  • Rev Recd Date: 2022-03-18
  • Available Online: 2022-12-30
  • Publish Date: 2022-12-10
  •   Objective  To study the impact of screen time and sleep status on emotional and behavioral problems in preschool children. Moreover, to explore the combined effect of screen time and sleep status on preschool children's emotional and behavioral problems.  Methods  From November to December 2017, a total of 2 946 preschool children aged 3-6 years in 8 kindergartens in Yangzhou were included. Information on screen behavior, sleep status, emotional and behavioral problems of children were obtained by questionnaire. Binary logistic regression model was used to analyze the effect of screen time and sleep status on emotional and behavioral problems in preschool children.  Results  After adjusting for confounding factors, preschool children with screen time >1 h/d had a higher risk of conduct problems, hyperactivity, peer problems, strengths and difficulties questionnaire (SDQ) difficulties (all P < 0.05). The risk of hyperactivity and peer problems were higher in preschool children with sleep time < 10 h/d (P < 0.05). And higher risk of emotional symptoms, conduct problems, hyperactivity, peer problems, and SDQ difficulties were associated with poor sleep quality (P < 0.001). Combined analysis showed that preschool children with sleep time < 10 h/d combined screen time >1 h/d had a higher risk of hyperactivity and SDQ difficulties (P < 0.05). And children with poor sleep quality combined screen time >1 h/d were more prone to have a higher risk of emotional symptoms, conduct problems, hyperactivity and SDQ difficulties (P < 0.001).  Conclusion  Screen time >1 h/d and poor sleep quality are more likely to have a negative impact on emotional and behavioral problems in preschool children.
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