Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.

The global growth of electronic media usage among children has caused concerns regarding screen time (ST) impact on child development. No previous population-based studies have evaluated ST and child development in India. This study aimed to determine the burden of ST, associated sociodemographic fa...

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Autores principales:	Samya Varadarajan, Akila Govindarajan Venguidesvarane, Karthik Narayanan Ramaswamy, Muthukumar Rajamohan, Murugesan Krupa, Sathiasekaran Bernard Winfred Christadoss
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c95af9b5b46c43cd9de4d5e87aa436c1
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spelling	oai:doaj.org-article:c95af9b5b46c43cd9de4d5e87aa436c12021-12-02T20:09:38ZPrevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.1932-620310.1371/journal.pone.0254102https://doaj.org/article/c95af9b5b46c43cd9de4d5e87aa436c12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254102https://doaj.org/toc/1932-6203The global growth of electronic media usage among children has caused concerns regarding screen time (ST) impact on child development. No previous population-based studies have evaluated ST and child development in India. This study aimed to determine the burden of ST, associated sociodemographic factors, and its impact on domains of child development. A population-based cross-sectional study was conducted in the field practice area of rural and urban health centers in Tamil Nadu, India. A total of 718 children (396 rural and 322 urban) were selected, using a cluster random sampling method. ST estimates were obtained from parents/guardian after a 7-day observation period. The Communication DEALL Developmental Checklist was used to assess child development. The mean ST was 2.39 hours/day (95% confidence interval [CI]: 2.23-2.54), and the prevalence of excessive ST was 73% (95% CI: 69.2-76.8). Excessive ST was significantly associated with the mothers' ST, screen usage at bedtime, birth order (in children < 2 years), and attending school (in children ≥ 2 years). Increased ST was significantly associated with developmental delay, in particular, in the domains of language acquisition and communication. In children aged ≥ 2 years, a delay in ≥ 3 domains was associated with ST (adjusted odds ratio [AOR] = 17.75, 95% CI: 5.04-62.49, p < 0.001), as was language delay (AOR = 52.92, 95% CI: 12.33-227.21, p < 0.001). In children aged < 2 years, a delay in ≥ 2 domains was associated with ST (AOR = 16.79, 95% CI: 2.26-124.4, p < 0.001), as was language delay (AOR = 20.93, 95% CI: 2.68-163.32, p < 0.01). A very high prevalence of excessive ST was identified, with a significant association with developmental delay in children. There is an urgent need to include education on ST limits at the primary healthcare level.Samya VaradarajanAkila Govindarajan VenguidesvaraneKarthik Narayanan RamaswamyMuthukumar RajamohanMurugesan KrupaSathiasekaran Bernard Winfred ChristadossPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254102 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Samya Varadarajan Akila Govindarajan Venguidesvarane Karthik Narayanan Ramaswamy Muthukumar Rajamohan Murugesan Krupa Sathiasekaran Bernard Winfred Christadoss Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.
description	The global growth of electronic media usage among children has caused concerns regarding screen time (ST) impact on child development. No previous population-based studies have evaluated ST and child development in India. This study aimed to determine the burden of ST, associated sociodemographic factors, and its impact on domains of child development. A population-based cross-sectional study was conducted in the field practice area of rural and urban health centers in Tamil Nadu, India. A total of 718 children (396 rural and 322 urban) were selected, using a cluster random sampling method. ST estimates were obtained from parents/guardian after a 7-day observation period. The Communication DEALL Developmental Checklist was used to assess child development. The mean ST was 2.39 hours/day (95% confidence interval [CI]: 2.23-2.54), and the prevalence of excessive ST was 73% (95% CI: 69.2-76.8). Excessive ST was significantly associated with the mothers' ST, screen usage at bedtime, birth order (in children < 2 years), and attending school (in children ≥ 2 years). Increased ST was significantly associated with developmental delay, in particular, in the domains of language acquisition and communication. In children aged ≥ 2 years, a delay in ≥ 3 domains was associated with ST (adjusted odds ratio [AOR] = 17.75, 95% CI: 5.04-62.49, p < 0.001), as was language delay (AOR = 52.92, 95% CI: 12.33-227.21, p < 0.001). In children aged < 2 years, a delay in ≥ 2 domains was associated with ST (AOR = 16.79, 95% CI: 2.26-124.4, p < 0.001), as was language delay (AOR = 20.93, 95% CI: 2.68-163.32, p < 0.01). A very high prevalence of excessive ST was identified, with a significant association with developmental delay in children. There is an urgent need to include education on ST limits at the primary healthcare level.
format	article
author	Samya Varadarajan Akila Govindarajan Venguidesvarane Karthik Narayanan Ramaswamy Muthukumar Rajamohan Murugesan Krupa Sathiasekaran Bernard Winfred Christadoss
author_facet	Samya Varadarajan Akila Govindarajan Venguidesvarane Karthik Narayanan Ramaswamy Muthukumar Rajamohan Murugesan Krupa Sathiasekaran Bernard Winfred Christadoss
author_sort	Samya Varadarajan
title	Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.
title_short	Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.
title_full	Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.
title_fullStr	Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.
title_full_unstemmed	Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.
title_sort	prevalence of excessive screen time and its association with developmental delay in children aged <5 years: a population-based cross-sectional study in india.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/c95af9b5b46c43cd9de4d5e87aa436c1
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Prevalence of excessive screen time and its association with developmental delay in children aged <5 years: A population-based cross-sectional study in India.

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