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Table 2 Odds ratios (95% confidence intervals) of emotional and behavioral problems associated with screen time (n = 2490)

From: Early childhood screen time as a predictor of emotional and behavioral problems in children at 4 years: a birth cohort study in China

SDQ

ST at age of 0.5

ST at age of 2.5

ST at age of 4

0 h/day

> 0 h/day

≤ 2 h/day

> 2 h/day

≤ 2 h/day

> 2 h/day

No. of participants (%)

1353 (54.3)

1137 (45.7)

1108 (44.5)

1382 (55.5)

1630 (65.5)

860 (34.5)

Total difficulties

 Crude model

Ref

1.30 (1.01–1.67)*

Ref

1.34 (1.04–1.74)*

Ref

1.76 (1.36–2.28)**

 Adjusted modela

Ref

1.23 (0.95–1.60)b

Ref

1.29 (0.98–1.68)

Ref

1.72 (1.31–2.24)**

Emotional symptoms

 Crude model

Ref

1.43 (1.07–1.90)*

Ref

1.10 (0.82–1.46)

Ref

1.43 (1.07–1.91)*

 Adjusted model

Ref

1.36 (1.02–1.83)*

Ref

1.06 (0.79–1.43)

Ref

1.38 (0.99–1.90)

Conduct problems

 Crude model

Ref

1.41 (1.08–1.84)*

Ref

1.29 (0.99–1.70)

Ref

1.95 (1.49–2.54)**

 Adjusted model

Ref

1.29 (0.99–1.70)

Ref

1.20 (0.91–1.58)

Ref

1.81 (1.38–2.39)**

Hyperactivity

 Crude model

Ref

1.43 (1.16–1.77)**

Ref

1.42 (1.14–1.76)**

Ref

1.52 (1.22–1.89)**

 Adjusted model

Ref

1.31 (1.06–1.64)*

Ref

1.31 (1.04–1.63)*

Ref

1.38 (1.10–1.74)**

Peer problems

 Crude model

Ref

1.21 (0.93–1.34)

Ref

1.12 (0.94–1.34)

Ref

1.39 (1.16–1.67)**

 Adjusted model

Ref

1.04 (0.87–1.25)

Ref

1.05 (0.87–1.27)

Ref

1.36 (1.12–1.65)**

Prosocial behavior

 Crude model

Ref

1.00 (0.79–1.28)

Ref

0.99 (0.78–1.27)

Ref

1.43 (1.11–1.82) **

 Adjusted model

Ref

0.97 (0.75–1.24)

Ref

0.96 (0.75–1.23)

Ref

1.46 (1.13–1.89) **

  1. SDQ Strength and Difficulties Questionnaire
  2. aAdjustment for age, gender, number of siblings, delivery model, birth weight, maximum educational level of parents, family income, passive smoking, outdoor activities
  3. bOR odd ratio, CI confidence interval
  4. *P < 0.05; ** P < 0.01