scholarly journals Predictors of Parental Barriers to Reduce Excessive Child’s Screen Time Among Parents of Children Under Five Years of Age in Selangor: A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Elliza Mansor ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli

BACKGROUND Globally, there is an increasing prevalence of excessive screen time exposure among young children, including Malaysia. Parents are advised to limit this exposure but there are barriers for many of them to follow this recommendation. To date, there is a lack of studies on the factors that cause these parental barriers. OBJECTIVE This study aimed to determine the parental barrier towards the reduction of excessive child’s screen time and its predictors among parents of children under five years old in Petaling District, Selangor. METHODS A cross-sectional study was conducted from April 2019 to June 2020 among 789 parent-child dyads attending child health clinics in Petaling District, Selangor. Validated self-administered questionnaires were used to capture information on sociodemographic factors, parental influences, child-related factors, environmental factors, and parental barriers. Stratified sampling with probability proportionate to size was employed. Data were analysed with IBM SPSS version 25. Descriptive analysis and bivariate analysis were performed before multiple linear regression was used to identify the predictors of parental barriers. RESULTS The overall mean score of parental barriers was 3.51 ± 0.83, indicating that the average numbers of barriers experienced by parents were more than three. The multivariate analysis showed that the predictors of parental barriers included monthly household income (adjusted β: -0.031, 95% CI: -0.048 to -0.015), parents who worked in public sectors (adjusted β: 0.178, 95% CI: 0.063 to 0.292), positive parental attitude on screens (adjusted β: 0.684, 95% CI: 0.576 to 0.793), parents’ low self-efficacy to influence child’s physical activity (adjusted β: -0.318, 95% CI: -0.432 to -0.204), and child’s screen time (adjusted β: 0.042, 95% CI: 0.024 to 0.061). CONCLUSIONS The strongest predictor of the parental barriers to reduce excessive child’s screen time was the positive parental attitude on screen time. Thus, future intervention strategies should aim to foster correct parental attitudes towards screen time activities among young children.

2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.


2020 ◽  
Author(s):  
Sisay Shine ◽  
Sindew Muhamud ◽  
Solomon Adnew ◽  
Alebachew Demelash ◽  
Makda Abate

Abstract Background: Diarrhea is responsible for 525,000 children under-five deaths and 1.7 billion cases globally and is the second leading cause of death among children under-five every year. It is a major public health problem in low income countries like Ethiopia. The main aim of this study was to assess the prevalence of diarrhea and associated risk factors among children under-five in Debre Berhan Town, Ethiopia. Methods: A community-based cross-sectional study was conducted in 420 parent or caretaker/children pairs in Debre Berhan town between 13–18 April 2018. A multi-stage sampling strategy was used to select the study participants. Data were collected using pre-tested and structured questionnaires. Data were entered in Epi-info computer software version 3.5.1 and exported to SPSS Window Version-16 for analysis. Adjusted odds ratio with 95% confidence intervals were used to assess the level of significance. Results: The two week prevalence of diarrhea among children under-five was 16.4% (69/351). Children aged 7-11 months (adjusted odds ratio (AOR): 4.2, 95% confidence interval (CI): 1.2 - 15.3), being the second-born child (AOR: 3.9, 95%CI: 1.8 - 8.5), not vaccinated against rotavirus (AOR: 10.3, 95%CI: 3.2 - 91.3) and feeding children by hand (AOR: 2.5, 95%CI: 1.1 - 6.1) were significant predictors of diarrhea. Conclusions: This study revealed that the two weeks period prevalence of diarrhea among children under-five years was 16.4%. Education programs on the importance of vaccination against rotavirus, increasing breast feeding frequency with complementary food after six months and the critical points of hand washing are recommended.


2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Fazly Azry Abdul Aziz ◽  
Noor Ani Ahmad ◽  
Mohamad Aznuddin Abdul Razak ◽  
Maisarah Omar ◽  
Noraida Mohamad Kasim ◽  
...  

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Fiona Atim ◽  
Teddy Nagaddya ◽  
Florence Nakaggwa ◽  
Mary Gorrethy N-Mboowa ◽  
Peter Kirabira ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
pp. 8-13
Author(s):  
Sharad Koirala ◽  
Sanju Banstola ◽  
Nirmala Shrestha ◽  
Nisha Gurung ◽  
Saurabh Kishor Sah ◽  
...  

Background: Sedentary lifestyle is a major modifiable risk factor that usually starts from childhood. High screen time is associated with sedentary lifestyle in children; and parents might have played a role in screen time among the children. This study aims to assess the role of parents in the screen time of young children aged five to nine years in Pokhara metropolitan city in Nepal. Methods: A cross sectional study was done among 360 children where respondents were one of the parents of those children. Face to face interview was done using a semi structured questionnaire between March 8 and September 4, 2020. A daily screen time <2 hours was taken as a normal value. Descriptive and inferential analyses were done with the data. Chi square test at 5% level of significance was computed for the inferential analysis. The ethical approval was taken from the Nepal Health Research Council. Results: Of the total 360 children, 54.7% were male and 35.6% were aged 9 years. Screen time >2 hours was found among 48.6% children. The screen time of >2 hours children was significantly associated with the educational qualification of parents, parental worry and parental permission to watch the screen for tasks like eating, doing homework, not going out or making free time for parents. The screen time of children was not associated with socioeconomic characteristics like parental occupation. Conclusion: Parental characteristics have role in the screen time of children. Parental factors must also be considered while implementing programs to reduce children’s screen time.


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