摘要
目的探讨儿童屏幕暴露对孤独症谱系障碍(autism spectrum disorder,ASD)和语言发育迟缓患病风险的影响。方法通过病例对照研究,选取64例孤独症谱系障碍患儿为ASD组、64例语言发育迟缓患儿为语言发育迟缓组,正常儿童52例为对照组。应用SPSS 17.0统计软件进行描述性分析、方差分析、卡方检验和Logistic回归分析。对比两病例组与正常儿童间屏幕暴露的异同,分析屏幕暴露对两种疾病患病风险的影响。结果三组间频繁接触时段日累计时间(F=27.758)、频繁接触时间跨度(F=12.516)、首次接触屏幕时间(χ^(2)=13.749)及屏幕接触时家长讲解(χ^(2)=16.368)均差异具有统计学意义(均P<0.05)。ASD组首次接触屏幕时间在1岁以内的占65.62%(42/64),语言发育迟缓组占40.63%(26/64),正常儿童占33.33%(17/51)。与对照组[(1.42±1.44)h]相比,ASD组[(4.04±2.00)h]和语言发育迟缓组[(3.53±2.07)h]每天累计接触屏幕时间更长,均差异具有统计学意义(均P<0.05)。与对照组相比[(6.14±4.59)个月],ASD组[(11.97±7.32)个月]和语言发育迟缓组[(9.96±5.15)个月]儿童持续屏幕接触时间跨度更长,均差异有统计学意义(均P<0.05)。与对照组相比,ASD组和语言发育迟缓组屏幕接触时家长讲解均较少,均差异有统计学意义(均P<0.05)。Logistic回归结果表明,每天累计接触时间少于2 h(β=-5.338,OR=0.005,95%CI=0.001~0.120)、民主接纳的教养方式(β=-3.279,OR=0.038,95%CI=0.003~0.554)、父亲年龄为35岁以下(β=-5.432,OR=0.004,95%CI=0.001~0.691)为孤独症谱系障碍的保护因子;父亲文化在大专以下为危险因子(β=3.125,OR=22.755,95%CI=1.866~277.463)。每天累计接触时间少于2 h(β=-3.357,OR=0.035,95%CI=0.002~0.526)为语言发育迟缓的保护因子,父亲文化为大专以下(β=2.740,OR=15.482,95%CI=1.350~177.573)为语言发育迟缓的危险因子。结论过量的屏幕暴露对孤独症谱系障碍及语言发育迟缓的患病风险均具有一定影�
Objective To explore the effects of screen exposure on morbidity risk in children with autism spectrum disorder(ASD)or language retardation.Methods In a case-control study,64 children with autism spectrum disorder were selected as the ASD group,64 children with language retardation as the language retardation group,and 52 normal children as the control group.Descriptive analysis,t-test,Chi-square test,Logistic regression analysis and other statistical methods of SPSS 17.0 software were used to analyze the data.The differences of screen exposure between the case groups and control group were compared to analyze the effects of screen exposure on the diseases.Results There were statistically significant differences in daily cumulative screen time(F=27.758),duration of screen exposure(F=12.516),first-time exposure to screen(χ^(2)=13.749)and parents'explanation during screen contact(χ^(2)=16.368)among the three group(all P<0.05).The proportion of first-time exposure to screen before 1 year old was 65.62%(42/64)in ASD group,40.63%(26/64)in language retardation group and 33.33%(17/51)in control group.Compared with the control group((1.42±1.44)h),the ASD group((4.04±2.00)h)and the language delay group((3.53±2.07)h)had longer daily cumulative screen time,and the differences were statistically significant(both P<0.05).Compared with the control group((6.14±4.59)months),children in the ASD group((11.97±7.32)months)or the language retardation group((9.96±5.15)months)had the longer duration of screen exposure,and the differences were statistically significant(both P<0.05).Compared with the control group,parents in ASD group and language retardation group elaborated less while the children were exposed to screen,the differences were statistically significant(both P<0.05).Logistic regression analysis showed that cumulative daily exposure time less than 2 hours(β=-5.338,OR=0.005,95%CI=0.001-0.120),democratically parenting style(β=-3.279,OR=0.038,95%CI=0.003-0.554),paternal age less than 35 years old(β=-5.432,OR=0.004,9
作者
王艳娟
刁旺
王文荣
Wang Yanjuan;Diao Wang;Wang Wenrong(Department of Child Mental Health,Maternal and Child Health Hospital of Lianyungang,Lianyungang 222000,China;Department of Function,Maternal and Child Health Hospital of Lianyungang,Lianyungang 222000,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2021年第12期1102-1106,共5页
Chinese Journal of Behavioral Medicine and Brain Science
基金
连云港市卫生健康委科技项目(202028)。
关键词
孤独症谱系障碍
语言发育迟缓
屏幕暴露
影响因素
Autism spectrum disorder
Language retardation
Screen exposure
Influencing factors
