Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort

Abstract Background Excessive screen time in infancy and childhood has been associated with consequences on children's development and health. International guidelines call for no screen time before age 2 years, whereas in France, the most prominent guidelines recommend no screen before age 3 y...

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Main Authors: Lorraine Poncet (Author), Mélèa Saïd (Author), Malamine Gassama (Author), Marie-Noëlle Dufourg (Author), Falk Müller-Riemenschneider (Author), Sandrine Lioret (Author), Patricia Dargent-Molina (Author), Marie-Aline Charles (Author), Jonathan Y. Bernard (Author)
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Published: BMC, 2022-08-01T00:00:00Z.
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LEADER 00000 am a22000003u 4500
001 doaj_6a70fe7e44f14fa49e7fb0924ad0d76c
042 |a dc 
100 1 0 |a Lorraine Poncet  |e author 
700 1 0 |a Mélèa Saïd  |e author 
700 1 0 |a Malamine Gassama  |e author 
700 1 0 |a Marie-Noëlle Dufourg  |e author 
700 1 0 |a Falk Müller-Riemenschneider  |e author 
700 1 0 |a Sandrine Lioret  |e author 
700 1 0 |a Patricia Dargent-Molina  |e author 
700 1 0 |a Marie-Aline Charles  |e author 
700 1 0 |a Jonathan Y. Bernard  |e author 
245 0 0 |a Sociodemographic and behavioural factors of adherence to the no-screen guideline for toddlers among parents from the French nationwide Elfe birth cohort 
260 |b BMC,   |c 2022-08-01T00:00:00Z. 
500 |a 10.1186/s12966-022-01342-9 
500 |a 1479-5868 
520 |a Abstract Background Excessive screen time in infancy and childhood has been associated with consequences on children's development and health. International guidelines call for no screen time before age 2 years, whereas in France, the most prominent guidelines recommend no screen before age 3 years. However, data are lacking on parental adherence to the no-screen guideline for toddlers and factors of adherence in France. Using data from the French nationwide Elfe birth cohort, we estimated adherence to the no-screen guideline at age 2 years and examined related factors, including sociodemographic characteristics, parental leisure activities and screen time. Methods In 2011, 18,329 newborns and their parents were enrolled in 349 randomly selected maternity units across mainland France. At age 2 years, screen exposure of 13,117 toddlers was reported by parents in phone interviews. Data on sociodemographic characteristics, parental leisure activities and screen time were collected from both parents. Three patterns of parental leisure activities were derived by principal component analysis: literate (e.g.,reading), screen-based, and physical/artistic activities. Multivariable logistic regression models were used to examine the associations of sociodemographic characteristics, parental leisure activities and parental screen time with adherence to the no-screen guideline for toddlers. Results Overall, 1809/13,117 (13.5%) families adhered to the no-screen guideline for toddlers. Adherence was reduced with maternal age < 40 years, low parental education, single-parent household and parental migration status. After adjusting for sociodemographic characteristics, adherence to the guideline was positively associated with a parental literate activity pattern (mothers: odds ratio [95% confidence interval]: 1.15 [1.08, 1.22]); fathers: 1.15 [1.07, 1.23]) and negatively with a screen-based activity pattern (mothers: 0.73 [0.69, 0.77]; fathers: 0.81 [0.76, 0.87]). With each additional hour of parental screen time, mothers and fathers were less likely to adhere to the guideline (mothers: adjusted odds ratio 0.80 [0.77, 0.83]; fathers: 0.88 [0.85, 0.91]). Conclusions Adherence to the no-screen guideline for toddlers in France was low. Parental leisure activities and parental screen time are major factors of adherence to the no-screen guideline and could be considered in targeted public health interventions. 
546 |a EN 
690 |a Child 
690 |a Birth cohort 
690 |a Parenting 
690 |a Screen time 
690 |a Sedentary behavior 
690 |a Smartphone 
690 |a Nutritional diseases. Deficiency diseases 
690 |a RC620-627 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n International Journal of Behavioral Nutrition and Physical Activity, Vol 19, Iss 1, Pp 1-11 (2022) 
787 0 |n https://doi.org/10.1186/s12966-022-01342-9 
787 0 |n https://doaj.org/toc/1479-5868 
856 4 1 |u https://doaj.org/article/6a70fe7e44f14fa49e7fb0924ad0d76c  |z Connect to this object online.