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Published in: BMC Pediatrics 1/2020

Open Access 01-12-2020 | Research article

Correlates of screen time and mediators of differences by parental education among adolescents

Authors: Mekdes K. Gebremariam, Sigrun Henjum, Laura Terragni, Liv Elin Torheim

Published in: BMC Pediatrics | Issue 1/2020

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Abstract

Background

Existing literature shows that there is an inverse association between socioeconomic position and screen time among adolescents. What is less known is the mechanism behind these differences. The study aimed to explore individual, interpersonal and neighborhood environmental correlates of total screen time (TST) among adolescents and to assess their mediating role in the association between parental education and TST.

Methods

A cross-sectional study including 706 adolescents (mean age of 13.6 (SD = 0.3)) was used to collect data at schools through an online questionnaire. Multiple regression analyses were used to explore factors associated with TST. Mediation analyses were conducted to assess whether these factors mediated the association between parental education and TST.

Results

Multiple linear regression analyses, adjusted for gender and age, showed that parental modelling of TV and movie streaming, TV/movie streaming during dinner and access to screens were positively related to TST. Self-efficacy towards limiting TV and movie streaming, self-efficacy towards limiting computer/electronic game use, and the perceived opportunities for physical activity in the neighborhood were inversely related to total screen time. All of these factors except self-efficacy towards limiting TV and movie streaming mediated the association between parental education and TST.

Conclusions

The study identified several modifiable factors at the individual, interpersonal and neighborhood environmental levels that can be targeted in interventions aimed at decreasing screen time among youth in general and among those with a low socioeconomic position in particular.
Literature
1.
go back to reference Sedentary Behaviour Research Network. Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours". Appl Physiol Nutr Metab. 2012;37:540–2.CrossRef Sedentary Behaviour Research Network. Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours". Appl Physiol Nutr Metab. 2012;37:540–2.CrossRef
2.
go back to reference Thomas G, Bennie JA, De Cocker K, et al. A descriptive epidemiology of screen-based devices by children and adolescents: a scoping review of 130 surveillance studies since 2000. Child Indic Res. 2019:1–16. Thomas G, Bennie JA, De Cocker K, et al. A descriptive epidemiology of screen-based devices by children and adolescents: a scoping review of 130 surveillance studies since 2000. Child Indic Res. 2019:1–16.
3.
go back to reference Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, Saunders TJ, Katzmarzyk PT, Okely AD, Connor Gorber S, Kho ME, Sampson M, Lee H, Tremblay MS. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab. 2016;41:S240–65.CrossRef Carson V, Hunter S, Kuzik N, Gray CE, Poitras VJ, Chaput JP, Saunders TJ, Katzmarzyk PT, Okely AD, Connor Gorber S, Kho ME, Sampson M, Lee H, Tremblay MS. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab. 2016;41:S240–65.CrossRef
4.
go back to reference Biddle SJ, García Bengoechea E, Wiesner G. Sedentary behaviour and adiposity in youth: a systematic review of reviews and analysis of causality. Int J Behav Nutr Phys Act. 2017;14:43.CrossRef Biddle SJ, García Bengoechea E, Wiesner G. Sedentary behaviour and adiposity in youth: a systematic review of reviews and analysis of causality. Int J Behav Nutr Phys Act. 2017;14:43.CrossRef
5.
go back to reference Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51:345–51.CrossRef Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51:345–51.CrossRef
6.
go back to reference Salmon J, Tremblay MS, Marshall SJ, Hume C. Health risks, correlates, and interventions to reduce sedentary behavior in young people. Am J Prev Med. 2011;41:197–206.CrossRef Salmon J, Tremblay MS, Marshall SJ, Hume C. Health risks, correlates, and interventions to reduce sedentary behavior in young people. Am J Prev Med. 2011;41:197–206.CrossRef
7.
go back to reference Hoyos Cillero I, Jago R. Systematic review of correlates of screen-viewing among young children. Prev Med. 2010;51:3–10.CrossRef Hoyos Cillero I, Jago R. Systematic review of correlates of screen-viewing among young children. Prev Med. 2010;51:3–10.CrossRef
8.
go back to reference Xu H, Wen LM, Rissel C. Associations of parental influences with physical activity and screen time among young children: a systematic review. J Obes. 2015;2015:546925.CrossRef Xu H, Wen LM, Rissel C. Associations of parental influences with physical activity and screen time among young children: a systematic review. J Obes. 2015;2015:546925.CrossRef
9.
go back to reference Pate RR, Mitchell JA, Byun W, Dowda M. Sedentary behaviour in youth. Br J Sports Med. 2011;45:906–13.CrossRef Pate RR, Mitchell JA, Byun W, Dowda M. Sedentary behaviour in youth. Br J Sports Med. 2011;45:906–13.CrossRef
10.
go back to reference van der Horst K, Paw MJ, Twisk JW, Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39:1241–50.CrossRef van der Horst K, Paw MJ, Twisk JW, Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39:1241–50.CrossRef
11.
go back to reference Parajára MDC, de Castro BM, Coelho DB, Meireles AL. Are neighborhood characteristics associated with sedentary behavior in adolescents? A systematic review. Int J Environ Health Res. 2019;31:1–21. Parajára MDC, de Castro BM, Coelho DB, Meireles AL. Are neighborhood characteristics associated with sedentary behavior in adolescents? A systematic review. Int J Environ Health Res. 2019;31:1–21.
12.
go back to reference Sallis JF, Owen N, Fisher EB. In: Glanz Z, Rimer BK, Viswanath K, editors. Ecological models of health behaviour. In: health behaviour and health education. Theory, research and practice. 4th ed. San Francisco: Jossey-Bass; 2008. Sallis JF, Owen N, Fisher EB. In: Glanz Z, Rimer BK, Viswanath K, editors. Ecological models of health behaviour. In: health behaviour and health education. Theory, research and practice. 4th ed. San Francisco: Jossey-Bass; 2008.
13.
go back to reference Gebremariam MK, Altenburg TM, Lakerveld J, Andersen LF, Stronks K, Chinapaw MJ, Lien N. Associations between socioeconomic position and correlates of sedentary behaviour among youth: a systematic review. Obes Rev. 2015;16:988–1000.CrossRef Gebremariam MK, Altenburg TM, Lakerveld J, Andersen LF, Stronks K, Chinapaw MJ, Lien N. Associations between socioeconomic position and correlates of sedentary behaviour among youth: a systematic review. Obes Rev. 2015;16:988–1000.CrossRef
14.
go back to reference Gebremariam MK, Lien N, Nianogo RA, Arah OA. Mediators of socioeconomic differences in adiposity among youth: a systematic review. Obes Rev. 2017;18:880–98.CrossRef Gebremariam MK, Lien N, Nianogo RA, Arah OA. Mediators of socioeconomic differences in adiposity among youth: a systematic review. Obes Rev. 2017;18:880–98.CrossRef
15.
go back to reference Pearl J. Causality: models, reasoning and inference. Cambridge: Cambridge University Press; 2000. Pearl J. Causality: models, reasoning and inference. Cambridge: Cambridge University Press; 2000.
16.
go back to reference World Health Organization. Closing the gap in a generation. Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2008. World Health Organization. Closing the gap in a generation. Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization; 2008.
17.
go back to reference Tandon PS, Zhou C, Sallis JF, Cain KL, Frank LD, Saelens BE. Home environment relationships with children's physical activity, sedentary time, and screen time by socioeconomic status. Int J Behav Nutr Phys Act. 2012;9:88.CrossRef Tandon PS, Zhou C, Sallis JF, Cain KL, Frank LD, Saelens BE. Home environment relationships with children's physical activity, sedentary time, and screen time by socioeconomic status. Int J Behav Nutr Phys Act. 2012;9:88.CrossRef
18.
go back to reference Singh AS, Vik FN, Chinapaw MJ, Uijtdewilligen L, Verloigne M, Fernández-Alvira JM, Stomfai S, Manios Y, Martens M, Brug J. Test-retest reliability and construct validity of the ENERGY-child questionnaire on energy balance-related behaviours and their potential determinants: the ENERGY-project. Int J Behav Nutr Phys Act. 2011;8:136.CrossRef Singh AS, Vik FN, Chinapaw MJ, Uijtdewilligen L, Verloigne M, Fernández-Alvira JM, Stomfai S, Manios Y, Martens M, Brug J. Test-retest reliability and construct validity of the ENERGY-child questionnaire on energy balance-related behaviours and their potential determinants: the ENERGY-project. Int J Behav Nutr Phys Act. 2011;8:136.CrossRef
19.
go back to reference Lien N, Bjelland M, Bergh IH, Grydeland M, Anderssen SA, Ommundsen Y, Andersen LF, Henriksen HB, Randby JS, Klepp KI. Design of a 20-month comprehensive, multicomponent school-based randomised trial to promote healthy weight development among 11-13 year olds: the HEalth in adolescents study. Scand J Public Health. 2010;38:38–51.CrossRef Lien N, Bjelland M, Bergh IH, Grydeland M, Anderssen SA, Ommundsen Y, Andersen LF, Henriksen HB, Randby JS, Klepp KI. Design of a 20-month comprehensive, multicomponent school-based randomised trial to promote healthy weight development among 11-13 year olds: the HEalth in adolescents study. Scand J Public Health. 2010;38:38–51.CrossRef
20.
go back to reference Jago R, Baranowski T, Watson K. Development of new physical activity and sedentary behavior change self-efficacy questionnaires using item response modeling. Int J Behav Nutr Phys Act. 2009;6:20.CrossRef Jago R, Baranowski T, Watson K. Development of new physical activity and sedentary behavior change self-efficacy questionnaires using item response modeling. Int J Behav Nutr Phys Act. 2009;6:20.CrossRef
21.
go back to reference Ommundsen Y, Page A, Ku PW, Cooper AR. Cross-cultural, age and gender validation of a computerised questionnaire measuring personal, social and environmental associations with children's physical activity: the European youth heart study. Int J Behav Nutr Phys Act. 2008;5:29.CrossRef Ommundsen Y, Page A, Ku PW, Cooper AR. Cross-cultural, age and gender validation of a computerised questionnaire measuring personal, social and environmental associations with children's physical activity: the European youth heart study. Int J Behav Nutr Phys Act. 2008;5:29.CrossRef
22.
go back to reference Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40:879–91.CrossRef Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40:879–91.CrossRef
23.
go back to reference Yamada M, Sekine M, Tatsuse T. Parental internet use and lifestyle factors as correlates of prolonged screen time of children in Japan: results from the super Shokuiku school project. J Epidemiol. 2018;28:407–13.CrossRef Yamada M, Sekine M, Tatsuse T. Parental internet use and lifestyle factors as correlates of prolonged screen time of children in Japan: results from the super Shokuiku school project. J Epidemiol. 2018;28:407–13.CrossRef
24.
go back to reference Hesketh K, Ball K, Crawford D, Campbell K, Salmon J. Mediators of the relationship between maternal education and children's TV viewing. Am J Prev Med. 2007;33:41–7.CrossRef Hesketh K, Ball K, Crawford D, Campbell K, Salmon J. Mediators of the relationship between maternal education and children's TV viewing. Am J Prev Med. 2007;33:41–7.CrossRef
25.
go back to reference Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice-Hall; 1986. Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice-Hall; 1986.
26.
go back to reference Timperio A, Salmon J, Ball K, Saskia J, Brug J, Crawford D. Neighborhood characteristics and TV viewing in youth: nothing to do but watch TV? J Sci Med Sport. 2012;15:122–8.CrossRef Timperio A, Salmon J, Ball K, Saskia J, Brug J, Crawford D. Neighborhood characteristics and TV viewing in youth: nothing to do but watch TV? J Sci Med Sport. 2012;15:122–8.CrossRef
27.
go back to reference Forsyth A, Wall M, Choo T, Larson N, Van RD, Neumark-Sztainer D. Perceived and police reported neighborhood crime: linkages to adolescent activity behaviors and weight status. J Adolesc Health. 2015;57:87–92.CrossRef Forsyth A, Wall M, Choo T, Larson N, Van RD, Neumark-Sztainer D. Perceived and police reported neighborhood crime: linkages to adolescent activity behaviors and weight status. J Adolesc Health. 2015;57:87–92.CrossRef
28.
go back to reference Kalish M, Banco L, Burke G, Lapidus G. Outdoor play: a survey of parent's perceptions of their child's safety. J Trauma. 2010;69:S218–22.CrossRef Kalish M, Banco L, Burke G, Lapidus G. Outdoor play: a survey of parent's perceptions of their child's safety. J Trauma. 2010;69:S218–22.CrossRef
29.
go back to reference Datar A, Nicosia N, Shier V. Parent perceptions of neighborhood safety and children's physical activity, sedentary behavior, and obesity: evidence from a national longitudinal study. Am J Epidemiol. 2013;177:1065–73.CrossRef Datar A, Nicosia N, Shier V. Parent perceptions of neighborhood safety and children's physical activity, sedentary behavior, and obesity: evidence from a national longitudinal study. Am J Epidemiol. 2013;177:1065–73.CrossRef
30.
go back to reference Ball K, MacFarlane A, Crawford D, Savige G, Andrianopoulos N, Worsley A. Can social cognitive theory constructs explain socio-economic variations in adolescent eating behaviours? A mediation analysis. Health Educ Res. 2009;24:496–506.CrossRef Ball K, MacFarlane A, Crawford D, Savige G, Andrianopoulos N, Worsley A. Can social cognitive theory constructs explain socio-economic variations in adolescent eating behaviours? A mediation analysis. Health Educ Res. 2009;24:496–506.CrossRef
31.
go back to reference Lehto E, Ray C, Te Velde S, Petrova S, Duleva V, Krawinkel M, Behrendt I, Papadaki A, Kristjansdottir A, Thorsdottir I, Yngve A, Lien N, Lynch C, Ehrenblad B, Vaz de Almeida MD, Ribic CH, Simčic I, Roos E. Mediation of parental educational level on fruit and vegetable intake among schoolchildren in ten European countries. Public Health Nutr. 2015;18:89–99.CrossRef Lehto E, Ray C, Te Velde S, Petrova S, Duleva V, Krawinkel M, Behrendt I, Papadaki A, Kristjansdottir A, Thorsdottir I, Yngve A, Lien N, Lynch C, Ehrenblad B, Vaz de Almeida MD, Ribic CH, Simčic I, Roos E. Mediation of parental educational level on fruit and vegetable intake among schoolchildren in ten European countries. Public Health Nutr. 2015;18:89–99.CrossRef
32.
go back to reference Biddle SJ, Petrolini I, Pearson N. Interventions designed to reduce sedentary behaviours in young people: a review of reviews. Br J Sports Med. 2014;48:182–6.CrossRef Biddle SJ, Petrolini I, Pearson N. Interventions designed to reduce sedentary behaviours in young people: a review of reviews. Br J Sports Med. 2014;48:182–6.CrossRef
33.
go back to reference Maniccia DM, Davison KK, Marshall SJ, Manganello JA, Dennison BA. A meta-analysis of interventions that target children's screen time for reduction. Pediatrics. 2011;128:e193–210.CrossRef Maniccia DM, Davison KK, Marshall SJ, Manganello JA, Dennison BA. A meta-analysis of interventions that target children's screen time for reduction. Pediatrics. 2011;128:e193–210.CrossRef
34.
go back to reference Wahi G, Parkin PC, Beyene J, Uleryk EM, Birken CS. Effectiveness of interventions aimed at reducing screen time in children: a systematic review and meta-analysis of randomized controlled trials. Arch Pediatr Adolesc Med. 2011;165:979–86.CrossRef Wahi G, Parkin PC, Beyene J, Uleryk EM, Birken CS. Effectiveness of interventions aimed at reducing screen time in children: a systematic review and meta-analysis of randomized controlled trials. Arch Pediatr Adolesc Med. 2011;165:979–86.CrossRef
35.
go back to reference Minges KE, Owen N, Salmon J, Chao A, Dunstan DW, Whittemore R. Reducing youth screen time: qualitative metasynthesis of findings on barriers and facilitators. Health Psychol. 2015;34:381–97.CrossRef Minges KE, Owen N, Salmon J, Chao A, Dunstan DW, Whittemore R. Reducing youth screen time: qualitative metasynthesis of findings on barriers and facilitators. Health Psychol. 2015;34:381–97.CrossRef
36.
go back to reference Jordon AB, Hersey JC, McDivitt JA, Heitzler CD. Reducing children’s television-viewing time: a qualitative study of parents and their children. Pediatrics. 2006;118:e1303–10.CrossRef Jordon AB, Hersey JC, McDivitt JA, Heitzler CD. Reducing children’s television-viewing time: a qualitative study of parents and their children. Pediatrics. 2006;118:e1303–10.CrossRef
37.
go back to reference Martin-Biggers J, Spaccarotella K, Berhaupt-Glickstein A, Hongu N, Worobey J, Byrd-Bredbenner C. Come and get it! Adiscussion of family mealtime literature and factors affectingobesity risk. Adv Nutr. 2014;5:235–47.CrossRef Martin-Biggers J, Spaccarotella K, Berhaupt-Glickstein A, Hongu N, Worobey J, Byrd-Bredbenner C. Come and get it! Adiscussion of family mealtime literature and factors affectingobesity risk. Adv Nutr. 2014;5:235–47.CrossRef
38.
go back to reference Fulkerson JA, Neumark-Sztainer D, Story M. Adolescent and parent views of family meals. J Am Diet Assoc. 2006;106:526–32.CrossRef Fulkerson JA, Neumark-Sztainer D, Story M. Adolescent and parent views of family meals. J Am Diet Assoc. 2006;106:526–32.CrossRef
39.
go back to reference Pearson N, Braithwaite RE, Biddle SJ, van Sluijs EM, Atkin AJ. Associations between sedentary behaviour and physical activity in children and adolescents: a meta-analysis. Obes Rev. 2014;15:666–75.CrossRef Pearson N, Braithwaite RE, Biddle SJ, van Sluijs EM, Atkin AJ. Associations between sedentary behaviour and physical activity in children and adolescents: a meta-analysis. Obes Rev. 2014;15:666–75.CrossRef
Metadata
Title
Correlates of screen time and mediators of differences by parental education among adolescents
Authors
Mekdes K. Gebremariam
Sigrun Henjum
Laura Terragni
Liv Elin Torheim
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2020
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-020-02181-y

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