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Table 3 Odds ratios (95% confidence intervals) of emotional and behavioral problems associated with screen time stratified by gender (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

Total difficulties

 Boys a

Ref

1.12 (0.79–1.57)b

Ref

1.23 (0.87–1.75)

Ref

1.62 (1.14–2.30)**

 Girls a

Ref

1.38 (0.92–2.09)

Ref

1.39 (0.91–2.11)

Ref

1.89 (1.25–2.87)**

 ROR

 

0.81 (0.48–1.39)

 

0.88 (0.51–1.53)

 

0.86 (0.50–1.48)

Emotional symptoms

 Boys

Ref

1.15 (0.75–1.78)

Ref

1.09 (0.73–1.63)

Ref

1.39 (0.89–2.16)

 Girls

Ref

1.55 (1.04–2.32)*

Ref

1.04 (0.69–1.55)

Ref

1.47 (0.97–2.22)

 ROR

 

0.74 (0.41–1.34)

 

1.05 (0.59–1.85)

 

0.95 (0.52–1.73)

Conduct problems

 Boys

Ref

1.12 (0.78–1.60)

Ref

1.17 (0.82–1.69)

Ref

1.76 (1.22–2.54)**

 Girls

Ref

1.54 (1.01–2.35)*

Ref

1.26 (0.83–1.94)

Ref

1.96 (1.28–3.00)**

 ROR

 

0.73 (0.42–1.27)

 

0.93 (0.53–1.62)

 

0.90 (0.51–1.58)

Hyperactivity

 Boys

Ref

1.36 (1.02–1.80)*

Ref

1.27 (0.95–1.71)

Ref

1.41 (1.05–1.89)*

 Girls

Ref

1.26 (0.89–1.78)

Ref

1.36 (0.96–1.95)

Ref

1.35 (0.95–1.94)

 ROR

 

1.08 (0.69–1.69)

 

0.93 (0.59–1.48)

 

1.04 (0.66–1.66)

Peer problems

 Boys

Ref

1.12 (0.88–1.44)

Ref

0.95 (0.74–1.23)

Ref

1.43 (1.11–1.85)**

 Girls

Ref

0.94 (0.71–1.24)

Ref

1.21 (0.91–1.60)

Ref

1.28 (0.96–1.73)

 ROR

 

1.19 (0.82–1.73)

 

0.79 (0.54–1.15)

 

1.12 (0.76–1.65)

Prosocial behavior

 Boys

Ref

0.83 (0.61–1.14)

Ref

1.01 (0.73–1.38)

Ref

1.62 (1.17–2.24)**

 Girls

Ref

1.23 (0.82–1.84)

Ref

0.90 (0.60–1.35)

Ref

1.26 (0.83–1.93)

 ROR

 

0.67 (0.40–1.12)

 

1.12 (0.67–1.88)

 

1.29 (0.75–2.19)

  1. SDQ Strength and Difficulties Questionnaire, ROR ratio of two odds ratio in boys versus girls
  2. aAdjustment for age, 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