Screen time and early childhood development in Ceará, Brazil: a population-based study

Abstract Background Globally, children’s exposure to digital screens continues to increase and is associated with adverse effects on child health. We aimed to evaluate the association of screen exposure with child communication, gross-motor, fine-motor, problem-solving, and personal-social developme...

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Autores principales:	Hermano Alexandre Lima Rocha, Luciano Lima Correia, Álvaro Jorge Madeiro Leite, Márcia Maria Tavares Machado, Ana Cristina Lindsay, Sabrina Gabriele Maia Oliveira Rocha, Jocileide Sales Campos, Anamaria Cavalcante e Silva, Christopher Robert Sudfeld
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Screen time Child development Brazil Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d0eeb504f9124ccfbbfb46069e422dc7
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spelling	oai:doaj.org-article:d0eeb504f9124ccfbbfb46069e422dc72021-11-14T12:14:28ZScreen time and early childhood development in Ceará, Brazil: a population-based study10.1186/s12889-021-12136-21471-2458https://doaj.org/article/d0eeb504f9124ccfbbfb46069e422dc72021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12136-2https://doaj.org/toc/1471-2458Abstract Background Globally, children’s exposure to digital screens continues to increase and is associated with adverse effects on child health. We aimed to evaluate the association of screen exposure with child communication, gross-motor, fine-motor, problem-solving, and personal-social development scores. Methods We conducted a population-based, cross-sectional study with cluster sampling among children 0–60 months of age living in the state of Ceará, Brazil. Child screen time was assessed by maternal report and the World Health Organization (WHO) recommendations were used to define excessive screen time exposure. Child development was assessed with the Brazilian Ages and Stages Questionnaire. Generalized linear regression was used to determine the association of screen exposure with developmental outcomes. We also examined the potential non-linear relationship of screen time with development scores using spline analyses. Results A total of 3155 children 0–60 months of age had screen time exposure evaluated and 69% percent were identified as exposed to excessive screen time. This percentage of excess screen time increased with child age from 41.7% for children 0–12 months to 85.2% for children 49–60 months. Each additional hour of screen time was associated with lower child communication (standardized mean difference (SMD): -0.03; 95% CI: − 0.04, − 0.02), problem solving (SMD: -0.03; 95% CI: − 0.05, − 0.02) and personal-social (SMD: -0.04; 95% CI: − 0.06, − 0.03) domain scores. Conclusions Excess screen time exposure was highly prevalent and independently associated with poorer development outcomes among children under 5 years of age in Ceará, Brazil.Hermano Alexandre Lima RochaLuciano Lima CorreiaÁlvaro Jorge Madeiro LeiteMárcia Maria Tavares MachadoAna Cristina LindsaySabrina Gabriele Maia Oliveira RochaJocileide Sales CamposAnamaria Cavalcante e SilvaChristopher Robert SudfeldBMCarticleScreen timeChild developmentBrazilPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Screen time Child development Brazil Public aspects of medicine RA1-1270
spellingShingle	Screen time Child development Brazil Public aspects of medicine RA1-1270 Hermano Alexandre Lima Rocha Luciano Lima Correia Álvaro Jorge Madeiro Leite Márcia Maria Tavares Machado Ana Cristina Lindsay Sabrina Gabriele Maia Oliveira Rocha Jocileide Sales Campos Anamaria Cavalcante e Silva Christopher Robert Sudfeld Screen time and early childhood development in Ceará, Brazil: a population-based study
description	Abstract Background Globally, children’s exposure to digital screens continues to increase and is associated with adverse effects on child health. We aimed to evaluate the association of screen exposure with child communication, gross-motor, fine-motor, problem-solving, and personal-social development scores. Methods We conducted a population-based, cross-sectional study with cluster sampling among children 0–60 months of age living in the state of Ceará, Brazil. Child screen time was assessed by maternal report and the World Health Organization (WHO) recommendations were used to define excessive screen time exposure. Child development was assessed with the Brazilian Ages and Stages Questionnaire. Generalized linear regression was used to determine the association of screen exposure with developmental outcomes. We also examined the potential non-linear relationship of screen time with development scores using spline analyses. Results A total of 3155 children 0–60 months of age had screen time exposure evaluated and 69% percent were identified as exposed to excessive screen time. This percentage of excess screen time increased with child age from 41.7% for children 0–12 months to 85.2% for children 49–60 months. Each additional hour of screen time was associated with lower child communication (standardized mean difference (SMD): -0.03; 95% CI: − 0.04, − 0.02), problem solving (SMD: -0.03; 95% CI: − 0.05, − 0.02) and personal-social (SMD: -0.04; 95% CI: − 0.06, − 0.03) domain scores. Conclusions Excess screen time exposure was highly prevalent and independently associated with poorer development outcomes among children under 5 years of age in Ceará, Brazil.
format	article
author	Hermano Alexandre Lima Rocha Luciano Lima Correia Álvaro Jorge Madeiro Leite Márcia Maria Tavares Machado Ana Cristina Lindsay Sabrina Gabriele Maia Oliveira Rocha Jocileide Sales Campos Anamaria Cavalcante e Silva Christopher Robert Sudfeld
author_facet	Hermano Alexandre Lima Rocha Luciano Lima Correia Álvaro Jorge Madeiro Leite Márcia Maria Tavares Machado Ana Cristina Lindsay Sabrina Gabriele Maia Oliveira Rocha Jocileide Sales Campos Anamaria Cavalcante e Silva Christopher Robert Sudfeld
author_sort	Hermano Alexandre Lima Rocha
title	Screen time and early childhood development in Ceará, Brazil: a population-based study
title_short	Screen time and early childhood development in Ceará, Brazil: a population-based study
title_full	Screen time and early childhood development in Ceará, Brazil: a population-based study
title_fullStr	Screen time and early childhood development in Ceará, Brazil: a population-based study
title_full_unstemmed	Screen time and early childhood development in Ceará, Brazil: a population-based study
title_sort	screen time and early childhood development in ceará, brazil: a population-based study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d0eeb504f9124ccfbbfb46069e422dc7
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Screen time and early childhood development in Ceará, Brazil: a population-based study

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