Association between screen time and internalizing and externalizing behavioral problems in primary and secondary school students in Shanghai

WANG Honghui; TONG Lian

doi:10.16835/j.cnki.1000-9817.2024128

Volume 45 Issue 4

Apr. 2024

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WANG Honghui, TONG Lian. Association between screen time and internalizing and externalizing behavioral problems in primary and secondary school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 514-519. doi: 10.16835/j.cnki.1000-9817.2024128

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WANG Honghui, TONG Lian. Association between screen time and internalizing and externalizing behavioral problems in primary and secondary school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 514-519. doi: 10.16835/j.cnki.1000-9817.2024128

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Association between screen time and internalizing and externalizing behavioral problems in primary and secondary school students in Shanghai

doi: 10.16835/j.cnki.1000-9817.2024128

WANG Honghui,
TONG Lian^,

Department of Maternal with Child and Adolescent Health, School of Public Health, Fudan University, Shanghai (200032), China

Received Date: 2023-11-27
Rev Recd Date: 2024-02-24

Available Online: 2024-04-25

Publish Date: 2024-04-25

Abstract

Abstract

Objective To explore the association between screen time and internalizing and externalizing behavioral problems of primary and secondary school students, so as to provide reference for early intervention of internalizing and externalizing behavioral problems of children and adolescents. Methods Using stratified random cluster sampling method, 2 178 primary and secondary school students were sampled in October to December, 2021 in Shanghai, China, and were surveyed by using the Strengths and Difficulties Questionnaire and the self-administered screen time questionnaire. The χ² test and multifactor Logistic regression model were used to analyze the association between screen time and internalizing and externalizing behaviors of primary and secondary school students. Results The detection rates of internalizing and externalizing behavior problems among primary and secondary school students were 20.5% and 23.7%, respectively. Boys were reported of higher rates of watching TV and playing games ≥2 h/d(9.2%, 3.0%) than girls (5.2%, 1.2%) (χ²=11.95, 8.15, P < 0.01). After adjusting for variables such as sex, students' age, annual family income, parental age, parental educational level, and only child status, cell phone use ≥2 h/d increased the risk of internalizing problems in primary and secondary school students (OR=2.40, 95%CI=1.53-3.79), screen time ≥2 h/d on study days increased the risk of internalizing and externalizing behavioral problems in primary and secondary school students [OR(95%CI)=1.93(1.38-2.69), 1.63(1.14-2.32)] (P < 0.05). Conclusions Excessive screen time is associated with the development of internalizing and externalizing behavior problems in children and adolescents. It is suggested to control the screen time of primary and secondary school students reasonably.
- Fixation, ocular,
- Time,
- Behavior,
- Mental health,
- Regression analysis,
- Students

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References(38)

References

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