Associations between factors within the home setting and screen time among children aged 0-5 years: a cross-sectional study

Valerie Carson, Ian Janssen, Valerie Carson, Ian Janssen

Abstract

Background: Excessive engagement in screen time has several immediate and long-term health implications among pre-school children. However, little is known about the factors that influence screen time in this age group. Therefore, the purpose of this study was to use the Ecologic Model of Sedentary Behavior as a guide to examine associations between intrapersonal, interpersonal, and physical environment factors within the home setting and screen time among pre-school children.

Methods: Participants were 746 pre-school children (≤ 5 years old) from the Kingston, Ontario, Canada area. From May to September, 2011, parents completed a questionnaire regarding several intrapersonal (child demographics), interpersonal (family demographics, parental cognitions, parental behavior), and physical environment (television, computer, or video games in the bedroom) factors within the home setting. Parents also reported the average amount of time per day their child spent watching television and playing video/computer games. Associations were examined using linear and logistic regression models.

Results: Most participants (93.7%) watched television and 37.9% played video/computer games. Several intrapersonal, interpersonal, and physical environment factors within the home setting were associated with screen time. More specifically, age, parental attitudes, parental barriers, parental descriptive norms, parental screen time, and having a television in the bedroom were positive predictors of screen time; whereas, parental education, parental income, and parental self-efficacy were negative predictors of screen time in the linear regression analysis. Collectively these variables explained 64.2% of the variance in screen time. Parental cognitive factors (self-efficacy, attitudes, barriers, descriptive norms) at the interpersonal level explained a large portion (37.9%) of this variance.

Conclusions: A large proportion of screen time in pre-school children was explained by factors within the home setting. Parental cognitive factors at the interpersonal level were of particular relevance. These findings suggest that interventions aiming to foster appropriate screen time habits in pre-school children may be most effective if they target parents for behavioral change.

References

    1. Must A, Tybor DJ. Physical activity and sedentary behavior: a review of longitudinal studies of weight and adiposity in youth. Int J Obes (Lond) 2005;29(Suppl 2):S84–96.
    1. Neiman P. Impact of media on children and youth: Canadian Pediatric Society statement. Paediatr Child Health. 2003;8:301–306.
    1. Children, adolescents, and television. Pediatrics. 2001;107:423–426.
    1. Policy statement: Media use by children younger than 2 years. Pediatrics. 2011;128:1–6. doi: 10.1542/peds.2011-0662.
    1. Zimmerman FJ, Christakis DA, Meltzoff AN. Television and DVD/video viewing in children younger than 2 years. Arch Pediatr Adolesc Med. 2007;161:473–479. doi: 10.1001/archpedi.161.5.473.
    1. Healthy Habits Start Earlier Than You Think. The Active Healthy Kids Canada Report Card on Physical Activity for Children and Youth, Toronto, ON; 2010.
    1. Mendoza JA, Zimmerman FJ, Christakis DA. Television viewing, computer use, obesity, and adiposity in US preschool children. Int J Behav Nutr Phys Act. 2007;4:44. doi: 10.1186/1479-5868-4-44.
    1. Manganello JA, Taylor CA. Television exposure as a risk factor for aggressive behavior among 3-year-old children. Arch Pediatr Adolesc Med. 2009;163:1037–1045. doi: 10.1001/archpediatrics.2009.193.
    1. Christakis DA. The effects of infant media usage: what do we know and what should we learn? Acta Paediatr. 2009;98:8–16. doi: 10.1111/j.1651-2227.2008.01027.x.
    1. Janz KF, Burns TL, Levy SM. Tracking of activity and sedentary behaviors in childhood: the Iowa Bone Development Study. Am J Prev Med. 2005;29:171–178. doi: 10.1016/j.amepre.2005.06.001.
    1. Hancox RJ, Milne BJ, Poulton R. Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study. Lancet. 2004;364:257–262. doi: 10.1016/S0140-6736(04)16675-0.
    1. Sallis JF, Owen N, Fotheringham MJ. Behavioral epidemiology: a systematic framework to classify phases of research on health promotion and disease prevention. Ann Behav Med. 2000;22:294–298. doi: 10.1007/BF02895665.
    1. Conner M, Norman P. Predicting Health Behaviour. 2. Open University Press, Berkshire, England; 2007.
    1. Owen N, Sugiyama T, Eakin EE, Gardiner PA, Tremblay MS, Sallis JF. Adults' sedentary behavior determinants and interventions. Am J Prev Med. 2011;41:189–196. doi: 10.1016/j.amepre.2011.05.013.
    1. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15:351–377. doi: 10.1177/109019818801500401.
    1. Tandon PS, Zhou C, Lozano P, Christakis DA. Preschoolers' total daily screen time at home and by type of child care. J Pediatr. 2011;158:297–300. doi: 10.1016/j.jpeds.2010.08.005.
    1. Saelens BE, Sallis JF, Nader PR, Broyles SL, Berry CC, Taras HL. Home environmental influences on children's television watching from early to middle childhood. J Dev Behav Pediatr. 2002;23:127–132. doi: 10.1097/00004703-200206000-00001.
    1. Salmon J, Timperio A, Telford A, Carver A, Crawford D. Association of family environment with children's television viewing and with low level of physical activity. Obes Res. 2005;13:1939–1951. doi: 10.1038/oby.2005.239.
    1. Hoyos Cillero I, Jago R. Systematic review of correlates of screen-viewing among young children. Prev Med. 2010;51:3–10. doi: 10.1016/j.ypmed.2010.04.012.
    1. Hinkley T, Salmon J, Okely AD, Trost SG. Correlates of sedentary behaviours in preschool children: a review. Int J Behav Nutr Phys Act. 2010;7:66. doi: 10.1186/1479-5868-7-66.
    1. He M, Irwin JD, Sangster Bouck LM, Tucker P, Pollett GL. Screen-viewing behaviors among preschoolers parents' perceptions. Am J Prev Med. 2005;29:120–125. doi: 10.1016/j.amepre.2005.04.004.
    1. Campbell K, Hesketh K, Silverii A, Abbott G. Maternal self-efficacy regarding children's eating and sedentary behaviours in the early years: associations with children's food intake and sedentary behaviours. Int J Pediatr Obes. 2010;5:501–508. doi: 10.3109/17477161003777425.
    1. Salmon J, Tremblay MS, Marshall SJ, Hume C. Health risks, correlates, and interventions to reduce sedentary behavior in young people. Am J Prev Med. 2011;41:197–206. doi: 10.1016/j.amepre.2011.05.001.
    1. 2008–2009 National Longitudinal Survey of Children and Youth, 2011. Available at: Accessed September, 2011.
    1. Jordan AB, Hersey JC, McDivitt JA, Heitzler CD. Reducing children's television-viewing time: a qualitative study of parents and their children. Pediatrics. 2006;118:e1303–1310. doi: 10.1542/peds.2006-0732.
    1. 2000 Canadian Community Health Survey, 2011. Available at: Accessed September, 2011.
    1. Anderson DR, Field DE, Collins PA, Lorch EP, Nathan JG. Estimates of young children's time with television: a methodological comparison of parent reports with time-lapse video home observation. Child Dev. 1985;56:1345–1357. doi: 10.2307/1130249.
    1. SAS - Multiple Imputation for Missing Data, 2011. Available at: Accessed September, 2011.
    1. Cohen J. A power primer. Psychol Bull. 1992;112:155–159.
    1. Oleckno WA. Essential epidemiology: Principles and applications. Waveland Press Inc., Long grove, Illinois; 2002.
    1. Spurrier NJ, Magarey AA, Golley R, Curnow F, Sawyer MG. Relationships between the home environment and physical activity and dietary patterns of preschool children: a cross-sectional study. Int J Behav Nutr Phys Act. 2008;5:31. doi: 10.1186/1479-5868-5-31.
    1. O'Connor TM, Jago R, Baranowski T. Engaging parents to increase youth physical activity a systematic review. Am J Prev Med. 2009;37:141–149. doi: 10.1016/j.amepre.2009.04.020.
    1. Golan M, Weizman A. Familial approach to the treatment of childhood obesity: conceptual mode. J Nutr Educ. 2001;33:102–107. doi: 10.1016/S1499-4046(06)60173-5.
    1. Rothman KJ, Greenland S, Lash TL. Modern Epidemiology. 3. Lippincott Williams \u0026\u0061\u006d\u0070; Wilkins, Philadelphia, PA; 2008.
    1. Rosenbaum R, Austin L, Blanchette R, Dixon L, Donovan T, Dowker M, Greek K, Hockey K, Hughes M, MacRae K, Peters R, Sheriff V, Varma B. Review of Early Learning \u0026\u0061\u006d\u0070; Child Care in Kingston, Frontenac, Lennox \u0026\u0061\u006d\u0070; Addington. United Way Success by 6, ; 2008.

Source: PubMed

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