The error bars indicate the 95% confidence intervals of the estimated hours per day. Total screen time in 1997 included time spent on any activity while watching television programs or videotapes plus time spent on electronic video games and home-computer–related activities. Total screen time in 2014 included time spent on any activity while using television, videotapes, digital video disc, game devices, computer, cell phone, smartphone, tablet, electronic reader, and child’s learning devices. Television time refers to time spent on any activity while watching television programs using a television set (rather than using videotapes, digital video disc, or other devices). Mobile device time refers to time spent on any activity while using cell phone, smartphone, tablet, electronic reader, and child’s learning devices.
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Chen W, Adler JL. Assessment of Screen Exposure in Young Children, 1997 to 2014. JAMA Pediatr. 2019;173(4):391–393. doi:10.1001/jamapediatrics.2018.5546
There is widespread concern that children are exposed to too much screen time1,2 via increasingly prevalent and accessible mobile devices.3,4 This study assesses young children’s screen time before and after commonly used mobile devices were widely available.
We estimated young children’s screen time using time diary data from the 1997 and 2014 Child Development Supplement of the Panel Study of Income Dynamics, which collects information of a population-based representative sample of American children. There were 1327 and 443 children younger than 6 years who completed the time dairy in 1997 and 2014, respectively. In each survey, the cohort was divided into 2 age groups: 0 to 2 years and 3 to 5 years. Based on the institutional review board policy, this study did not require approval because the data used are publicly available from the Panel Study of Income Dynamics and completely deidentified. For this reason, informed consent was not obtained.
In 1997, screen time was defined as time spent on any activity while watching television programs or videotapes, plus time spent on electronic video games and home computer–related activities. By 2014, screen time activities included the use of television, videotapes, digital video disc, game devices, computer, cell phone, smartphone, tablet, electronic reader, and children’s learning devices.
We calculated children’s mean daily screen time (in hours) during a typical week. We present the time spent on dominant device type in both 1997 and 2014 and the time spent on mobiles devices (including cell phones, smartphones, tablets, electronic readers, and children’s learning devices) in 2014.
Lastly, we classified children into high-user and low-user groups based on median screen time within age group and examined differences in individual and family characteristics. All analyses were adjusted for child-level sample weights. The P value level of significance was .05, and all P values were 2-sided.
In 1997, daily screen time averaged 1.32 hours for children aged 0 to 2 years and 2.47 hours for children aged 3 to 5 years (Figure). In comparison with other devices, screen time allocated to television was highest; children aged 0 to 2 years and children aged 3 to 5 years watched television for 0.56 and 1.19 hours (43% and 48% of total screen time) per day, respectively.
By 2014, total screen time among children aged 0 to 2 years had risen to 3.05 hours per day. Most of that time (2.62 hours) was spent on television, while 0.37 hours were spent on mobile devices. The older cohort experienced no significant change in total screen time but an increase of about 80% in television time. On average, children aged 3 to 5 years spent 2.14 hours on television and 0.42 hours on mobile devices. In 2014, television time accounted for 86% and 78% of total screen time for the age groups of 0 to 2 years and 3 to 5 years, respectively.
In 1997 and 2014, the low-user group had higher family income (Table). Among other family characteristics, significant differences across user groups were found in age, race/ethnicity, employment status of primary caregiver, and number of children in the household in 1997 and in sex, education level of family unit head and spouse, and metropolitan area residence in 2014.
This study examines young children’s screen time based on time diary data. Such data are shown to be highly associated with directly observed use of time, whereas time use reported via parent surveys, such as those used in the Common Sense Census and other studies,3,4 is only moderately associated with direct observation.5 We found that, between 1997 and 2014, screen time doubled among children aged 0 to 2 years and that, both before and after the advent of mobile devices, young children’s television time increased tremendously. The 2014 high-user group was dominated by boys and children with low parental education level and family income. Future research should examine the association between screen time and other Child Development Supplement measures, such as parenting style and sibling and peer influence. Meanwhile, as stakeholders warn against an overreliance on mobile devices, they should be mindful that young children spend most of their screen time watching television.
Corresponding Author: Weiwei Chen, PhD, Department of Health Policy and Management, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW Eighth St, Miami, FL 33199 (firstname.lastname@example.org).
Accepted for Publication: October 10, 2018.
Published Online: February 18, 2019. doi:10.1001/jamapediatrics.2018.5546
Author Contributions: Dr Chen had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Chen.
Acquisition, analysis, or interpretation of data: Both authors.
Drafting of the manuscript: Both authors.
Critical revision of the manuscript for important intellectual content: Both authors.
Statistical analysis: Chen.
Administrative, technical, or material support: Chen.
Conflict of Interest Disclosures: None reported.
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