Atkin, Andrew J. ORCID: https://orcid.org/0000-0002-3819-3448, Sharp, Stephen J., Corder, Kirsten and van Sluijs, Esther M. F. and International Children's Accelerometry Database (ICAD) Collaborators (2014) Prevalence and correlates of screen time in youth: An international perspective. American Journal of Preventive Medicine, 47 (6). pp. 803-807. ISSN 0749-3797
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Background: Screen time (including TV viewing/computer use) may be adversely associated with metabolic and mental health in children. Purpose: To describe the prevalence and sociodemographic correlates of screen time in an international sample of children aged 4–17 years. Methods: Data from the International Children’s Accelerometry Database were collected between 1997–2009 and analyzed in 2013. Participants were 11,434 children (48.9% boys; mean [SD] age at first assessment, 11.7 [3.2] years). Exposures were sex, age, weight status, maternal education, and ethnicity. The outcome was self- or proxy-reported screen time <2 or >2 hours/day. Analyses were conducted initially at study level and then combined using random-effects meta-analysis. Results: Within each contributing study, at least two thirds of participants exceeded 2 hours/day of screen time. In meta-analytic models, overweight or obese children were more likely to exceed 2 hours/day of screen time than those who were non-overweight (OR=1.58, 95% CI=1.33,1.88). Girls (vs boys: 0.65; 0.54, 0.78) and participants with more highly educated mothers (vs <university level: 0.53; 0.42, 0.68) were less likely to exceed 2 hours/day of screen time. Associations of age and ethnicity with screen time were inconsistent at study level and non-significant in pooled analyses. Conclusions: Screen time in excess of public health guidelines was highly prevalent, particularly among boys, those who were overweight or obese, and those with mothers of lower educational attainment. The population-attributable risk associated with this exposure is potentially high; further efforts to understand the determinants of within- and between-country variation in these behaviors and inform the development of effective behavior change intervention programs is warranted.
Item Type: | Article |
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Additional Information: | Copyright © 2014. Published by Elsevier Inc. |
Uncontrolled Keywords: | sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being |
Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences |
UEA Research Groups: | Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Population Health |
Depositing User: | Pure Connector |
Date Deposited: | 08 Feb 2017 04:22 |
Last Modified: | 19 Oct 2023 01:55 |
URI: | https://ueaeprints.uea.ac.uk/id/eprint/62365 |
DOI: | 10.1016/j.amepre.2014.07.043 |
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