Tóm tắt
Background: Screen media exposure among children has become ubiquitous, posing developmental risks while also serving as a non-pharmacological distraction during medical care. Although excessive screen media time among pediatric inpatients is widely documented in high-income settings, empirical evidence regarding screen habits and associated family and behavioral factors in developing countries like Vietnam remains scarce.
Objective: To evaluate the status of screen media time and identify associated factors among hospitalized children at Hue University of Medicine and Pharmacy Hospital.
Materials and method: A cross-sectional descriptive study was conducted from April 2026 to August 2026 on 194 pediatric inpatients at the Department of General Pediatrics, Hue University of Medicine and Pharmacy Hospital. Data regarding demographic characteristics, maternal screen habits and discipline, child screen media characteristics, and 24-hour screen media time were collected through self-administered structured questionnaires completed by the mothers. Data were analyzed using descriptive statistics and inferential tests, including Spearman correlation, Kruskal–Wallis, and Mann–Whitney U tests, with a significance threshold of p < 0.05.
Results: The mean age of the pediatric patients was 6.03 ± 4.50 years (range: 0 – 16 years), with 52.6% males and 89.2% admitted for acute illnesses. The mean screen media time was 140.53 ± 145.52 min/day (median: 120, IQR: 20 - 240 min/day). The three most common reasons for screen use were lack of alternative activities (43.3%), habit (40.7%), and stress/anxiety reduction (38.7%). Inferential analysis demonstrated that the child age was positively correlated with screen media time (r = 0.493; p < 0.001), whereas the maternal screen discipline score showed a significant negative correlation (r = -0.273; p < 0.001). Reasons for screen media use (habit, stress reduction, treatment support, learning, lack of alternative activities) and engagement in non-screen activities (play, learning/creativity) were significantly associated with screen media time (p < 0.05). Conversely, gender, medical condition, family income, and maternal screen media time were not significantly associated with screen media time.
Conclusion: Hospitalized pediatric patients spend a substantial amount of time on screen media, which is significantly associated with child age and maternal discipline. Providing hospital-based non-screen diversions alongside supporting positive parental mediation represent promising, modifiable intervention targets that warrant further interventional evaluation
| Đã xuất bản | 15-11-2026 | |
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| Số tạp chí | Tập 16 Số S-3 (2026) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.34071/jmp.2026.S-3.22 | |
| Từ khóa | Screen media, screen media time, hospitalized children, maternal discipline |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International .
Bản quyền (c) 2026 Hue Journal of Medicine and Pharmacy
Supanitayanon S, Trairatvorakul P, Chonchaiya W. Screen media exposure in the first 2 years of life and preschool cognitive development: a longitudinal study. Pediatr Res. 2020;88(6):894-902. doi: 10.1038/s41390-020-0831-8.
Anderson DR, Subrahmanyam K; Cognitive Impacts of Digital Media Workgroup. Digital screen media and cognitive development. Pediatrics. 2017;140(Suppl 2):S57-S61. doi:0.1542/peds.2016-1758C.
Elhai JD, Yang H, Montag C. Fear of missing out (FOMO): overview, theoretical underpinnings, and literature review on relations with severity of negative affectivity and problematic technology use. Braz J Psychiatry. 2021;43(2):203-209. doi:10.1590/1516-4446-2020-0870.
World Health Organization. Teens, screens and mental health - New WHO report indicates need for healthier online habits among adolescents. Geneva: World Health Organization; 2024. Available from: https://www.who.int/europe/news/item/25-09-2024-teens--screens-and-mental-health
American Academy of Pediatrics. Screen time guidelines. Itasca, IL: American Academy of Pediatrics, Center of Excellence on Social Media and Youth Mental Health; 2025. Available from: https://www.aap.org/en/patient-care/media-and-children/center-of-excellence-on-social-media-and-youth-mental-health/qa-portal/qa-portal-library/qa-portal-library-questions/screen-time-guidelines/
Hmidan A, Seguin D, Duerden EG. Media screen time use and mental health in school aged children during the pandemic. BMC Psychol. 2023;11(1):202. doi:10.1186/s40359-023-01240-0
Somani A, Hron JD, Lee J, O’Reilly A, Agrawal R. Night-time screen media use in the pediatric intensive care unit. Glob Pediatr Health. 2021;8. doi:10.1177/2333794X211049758.
Chaiseksamphan O, Chonchaiya W. Screen media use in hospitalized children: a prospective observational study. Eur J Pediatr. 2022;181(6):2357-2366. doi:10.1007/s00431-022-04435-6.
Detnakarintra K, Trairatvorakul P, Louthrenoo O, Panyayong B, Chonchaiya W. Positive mother-child interactions and parenting styles were associated with lower screen time in early childhood. Acta Paediatr. 2020;109(4):817-826. doi:10.1111/apa.15007.
Nguyen PV, Le HT, Do V, Tran KV, Nguyen TK, Dibley MJ. Excessive screen viewing time by adolescents and body fatness in a developing country: Vietnam. Asia Pac J Clin Nutr. 2016;25(1):174-183. doi:10.6133/apjcn.2016.25.1.21.
Tran NA, Trinh TDQ, Tran LT, Nguyen TTN, Bui TH, Pham TH, et al. Status of electronic entertainment device use during meals among children under 6 years old in Vietnam in 2021 and related factors [in Vietnamese]. J Community Med. 2022;63(2):45-52.
Ragavan R, Thiyagharajan M. Excessive screen media use among children and adolescents: prevalence and associated impacts – a cross-sectional study. J Neonatal Surg. 2025;14(22S):563-571.
Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. Upper Saddle River, NJ: Prentice Hall; 2010
Affeldt GH, Silva AR, Santos MT, Fischer GB. Prevalence of excessive screen time in hospitalized pediatric patients. J Pediatr (Rio J). 2025;101(4):544-550. doi:10.1016/j.jped.2025.02.005.
Arora G, Agrawal R, O’Reilly A, Hron JD. Screen media use in hospitalized children. Hosp Pediatr. 2016;6(5):297-304. doi:10.1542/hpeds.2015-0060.
Martins M, Bacellar A. Screen use by hospitalized children and adolescents: caregivers’ perception. Cad Bras Ter Ocup. 2024;32:e3541. doi:10.1590/2526-8910.ctoAO261334112.
Ma L. Research on the influence of parental behavior on children’s social media addiction. Lect Notes Educ Psychol Public Media. 2023;11:145-151. doi:10.54254/2753-7048/11/20230733.
Yalçin SS, Tezol O, Yılmaz G, Çiçek S, Dursun A. Evaluation of problematic screen exposure in pre-schoolers using a unique tool called “seven-in-seven screen exposure questionnaire”: cross-sectional study. BMC Pediatr. 2021;21(1):472. doi:10.1186/s12887-021-02939-y.