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Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study

Excessive screen time interferes with the health and development of children. However, the screen time situation among Malaysian children remains poorly understood. This study aims to identify the prevalence and determinants of excessive screen time among children under five years in Selangor, Malay...

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Main Authors: Raj, Diana, Mohd Zulkefli, Norafiah, Mohd Shariff, Zalilah, Ahmad, Norliza
Format: Article
Published: MDPI 2022
Online Access:http://psasir.upm.edu.my/id/eprint/100924/
https://www.mdpi.com/1660-4601/19/6/3560
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spelling my.upm.eprints.1009242023-07-26T02:39:22Z http://psasir.upm.edu.my/id/eprint/100924/ Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study Raj, Diana Mohd Zulkefli, Norafiah Mohd Shariff, Zalilah Ahmad, Norliza Excessive screen time interferes with the health and development of children. However, the screen time situation among Malaysian children remains poorly understood. This study aims to identify the prevalence and determinants of excessive screen time among children under five years in Selangor, Malaysia, using the latest World Health Organization guidelines. In this cross-sectional study, 489 parent–child dyads were randomly selected from nine government health clinics in Petaling district, Selangor. Total screen time and factors were assessed using validated self-administered questionnaires and analysed using multiple logistic regression. The overall prevalence of excessive screen time was 91.4% with a median of 3.00 h. The majority of children utilized television (66%), followed by handheld devices (30%) and computers (4%). Determinants of screen time identified were Malay ethnicity, (aOR 3.56, 95% CI 1.65–7.68), parental age of ≥30 years (aOR 3.12, 95% CI 1.58–6.16), parental screen time >2 h a day (aOR 2.42, 95% CI 1.24–4.73), moderate self-efficacy to influence a child’s physical activity (aOR 2.29, 95% CI 1.01–5.20) and the positive perception on the influence of screen time on a child’s cognitive wellbeing (aOR 1.15, 95% CI 1.01–1.32). Parents play an important role in determining their child’s screen time. Future interventions should focus on addressing parental determinants to ensure age-appropriate screen time. MDPI 2022-03-17 Article PeerReviewed Raj, Diana and Mohd Zulkefli, Norafiah and Mohd Shariff, Zalilah and Ahmad, Norliza (2022) Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study. International Journal of Environmental Research and Public Health, 19 (6). art. no. 3560. pp. 1-11. ISSN 1660-4601 https://www.mdpi.com/1660-4601/19/6/3560 10.3390/ijerph19063560
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description Excessive screen time interferes with the health and development of children. However, the screen time situation among Malaysian children remains poorly understood. This study aims to identify the prevalence and determinants of excessive screen time among children under five years in Selangor, Malaysia, using the latest World Health Organization guidelines. In this cross-sectional study, 489 parent–child dyads were randomly selected from nine government health clinics in Petaling district, Selangor. Total screen time and factors were assessed using validated self-administered questionnaires and analysed using multiple logistic regression. The overall prevalence of excessive screen time was 91.4% with a median of 3.00 h. The majority of children utilized television (66%), followed by handheld devices (30%) and computers (4%). Determinants of screen time identified were Malay ethnicity, (aOR 3.56, 95% CI 1.65–7.68), parental age of ≥30 years (aOR 3.12, 95% CI 1.58–6.16), parental screen time >2 h a day (aOR 2.42, 95% CI 1.24–4.73), moderate self-efficacy to influence a child’s physical activity (aOR 2.29, 95% CI 1.01–5.20) and the positive perception on the influence of screen time on a child’s cognitive wellbeing (aOR 1.15, 95% CI 1.01–1.32). Parents play an important role in determining their child’s screen time. Future interventions should focus on addressing parental determinants to ensure age-appropriate screen time.
format Article
author Raj, Diana
Mohd Zulkefli, Norafiah
Mohd Shariff, Zalilah
Ahmad, Norliza
spellingShingle Raj, Diana
Mohd Zulkefli, Norafiah
Mohd Shariff, Zalilah
Ahmad, Norliza
Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study
author_facet Raj, Diana
Mohd Zulkefli, Norafiah
Mohd Shariff, Zalilah
Ahmad, Norliza
author_sort Raj, Diana
title Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study
title_short Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study
title_full Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study
title_fullStr Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study
title_full_unstemmed Determinants of excessive screen time among children under five years old in Selangor, Malaysia: a cross-sectional study
title_sort determinants of excessive screen time among children under five years old in selangor, malaysia: a cross-sectional study
publisher MDPI
publishDate 2022
url http://psasir.upm.edu.my/id/eprint/100924/
https://www.mdpi.com/1660-4601/19/6/3560
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score 13.211869

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