Screen time and its correlates among children aged 3-10 years during COVID-19 pandemic in Nepal: a community-based cross-sectional study.


Journal

BMJ open ophthalmology
ISSN: 2397-3269
Titre abrégé: BMJ Open Ophthalmol
Pays: England
ID NLM: 101714806

Informations de publication

Date de publication:
08 2022
Historique:
received: 27 04 2022
accepted: 05 08 2022
entrez: 26 9 2022
pubmed: 27 9 2022
medline: 28 9 2022
Statut: ppublish

Résumé

This study aims to determine the prevalence of high screen time among schoolchildren aged 3-10 years in Bhaktapur, its correlates and the parents' strategies to reduce screen time during the COVID-19 pandemic in Nepal. This cross-sectional descriptive study was conducted during March 2021. A total of 630 households were selected for the study from 21 randomly selected clusters in Bhaktapur, Nepal. Correlates of high screen time were determined using a logistic model. P<0.002 was taken as significant. Among all the participants, the mean (SD) age was 7.0 (2.2) years, with 50.3% male participation. Few participants had online classes (n=24, 3.8%). The prevalence of high screen time among the participants was very high (55.2%, 95% CI=51.3% to 59.1%), which is even higher in boys (61.8%, 95% CI=58.0% to 65.6%). The median screen time before the COVID-19 pandemic was 1.0 hours (mean rank=275.8) which increased to 2.2 hours (mean rank=116.6) during the pandemic (p<0.001). Participants having smartphones were about seven times (adjusted OR=6.9, 95% CI=1.5 to 31.3, p=0.013) more likely to have high screen time than those who did not have the device. Most parents used to reprimand and urge their children to play outside to limit their screen usage. During the COVID-19 pandemic, about one in two schoolchildren of 3-10 years had higher screen time than before the COVID-19 pandemic. Parents' strategies to reduce screen time were not effective. An intervention study is recommended to design and test effective strategies to reduce screen time and its negative effects on children's health.

Identifiants

pubmed: 36161845
pii: bmjophth-2022-001052
doi: 10.1136/bmjophth-2022-001052
pmc: PMC9402449
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Rajan Shrestha (R)

Academic and Research Department, Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal rajanshrestha011@gmail.com.

Bijay Khatri (B)

Academic and Research Department, Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal.

Sangita Majhi (S)

Academic and Research Department, Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal.

Manish Kayastha (M)

Academic and Research Department, Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal.

Barsha Suwal (B)

Department of Ophthalmology, Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal.

Samata Sharma (S)

Department of Ophthalmology, Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal.

Rinkal Suwal (R)

Vision Therapy, Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal.

Santoshi Adhikari (S)

Ethical Review, Monitoring and Evaluation Section, Nepal Health Research Council, Kathmandu, Nepal.

Junu Shrestha (J)

Central Department of Public Health, Tribhuvan University Institute of Medicine, Maharajgunj, Nepal.

Madan Prasad Upadhyay (MP)

Hospital for Children Eye ENT and Rehabilitation Services, B P Eye Foundation, Bhaktapur, Nepal.

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Classifications MeSH