The relationship between screen time, screen content for children aged 1-3, and the risk of ADHD in preschools

作者：Jianbo Wu, Yanni Yang, Qiang Zhou, Jiemin Li, Weikang Yang, Xiaona Yin, Shuang-Yan Qiu, Jingyu Zhang, Minghui Meng, Yawei Guo, Jianhui Chen, Z. Y. Chen · 发表于：PLoS ONE · 年份：2025 · DOI：10.1371/journal.pone.0312654 · 被引用次数：8 · 研究领域：Child Development and Digital Technology、Attention Deficit Hyperactivity Disorder、Impact of Technology on Adolescents

OBJECTIVE: This study investigates the relationship between screen time, screen content, and the risk of Attention Deficit Hyperactivity Disorder (ADHD) using data from a large sample. Specifically, it examines how different types of screen content (such as educational videos, cartoon videos, and interactive videos) are associated with the risk of ADHD. The aim is to offer a scientific foundation for the rational management of children's screen time and screen content. METHODS: We collected data through a questionnaire survey involving a study population of 41,494 children from Longhua District, Shenzhen City, China. The questionnaire recorded the daily screen time and the type of content viewed by the children at ages 1-3 years and assessed their risk of ADHD using the Strengths and Difficulties Questionnaire (SDQ) at ages 4-6 years. Hierarchical logistic regression analysis, controlling for confounding factors, was employed to explore the associations between screen time, screen content, and ADHD risk. RESULTS: In the total sample, 6.7% of the participants had screen time exceeding 60 minutes per day, with educational videos predominant type (63.4%). 16.5% of the participants were identified as being at risk for ADHD. Statistically significant positive associations with ADHD were observed across all categories of screen time (P<0.001). Moreover, as screen time increased, the risk of ADHD also rose (OR1~60 mins/d=1.627, 95%CI=1.460~1.813; OR61~120 mins/d=2.838, 95%CI=2.469~3...