ArticleBMC public health2018
Household chaos and screen media use among preschool-aged children: a cross-sectional study.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Effect of a Pragmatic eHealth Behavioral Gestational Weight Gain Intervention on Household Chaos in Pregnant People of Lower Socioeconomic Status: Randomized Controlled Trial.JMIR mental health · 2026Trial
- Exploring Associations of Household Chaos and Child Health Behaviors in Rural Families.American journal of health behavior · 2022Trial
- Trial
- Prospective Association Between Parental Problematic Smartphone Use and Early Childhood Internalizing Symptoms.Child: care, health and development · 2026Article
- Associations Between Household Chaos and Child Behavior and Vocabulary in an Immigrant, Ethnic-Minority Community in Sunset Park, Brooklyn: A Cross-Sectional Study.Journal of immigrant and minority health · 2026Article
- The Association Between Parental Phubbing and Preschoolers' Excessive Electronic Media Use: The Chain Mediating Role of Parent-Child Attachment and Self-Control.Behavioral sciences (Basel, Switzerland) · 2026Article
- Associations between household chaos and appetitive traits in preschoolers and preadolescents.Frontiers in public health · 2026Article
- Early childhood screen use and symptoms of problematic media use.Journal of behavioral addictions · 2025Article
- Gender Moderates the Neural Impact of Problematic Media Use on Working Memory in Preschoolers: An fNIRS Study.Brain sciences · 2025Article
- Screen Time and Associated Factors in Early Adolescent Age Group Experience From a North Indian Center.Cureus · 2025Article
- Problematic Digital Technology Use Measures in Children Aged 0 to 6 Years: Scoping Review.JMIR mental health · 2025Article
- Screen time among preschoolers: exploring individual, familial, and environmental factors.Clinical and experimental pediatrics · 2024Article
- Household chaos, emotion regulation and social adjustment in preschool children.Scientific reports · 2024Article
- Maternal distress, parenting stress, maladaptive parenting and children's problematic media use in China: evidence from 2022 spring in Shanghai.BMC public health · 2024Article
- Development of the Rural Perception Scale (RPS-18).The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- Article
- Parental use of routines, setting limits, and child screen use during COVID-19: findings from a large Canadian cohort study.Frontiers in child and adolescent psychiatry · 2024Article
- Association between the use of mobile touchscreen devices and the quality of parent-child interaction in preschoolers.Frontiers in child and adolescent psychiatry · 2024Article
- The Together for Health - Virginia Research Program: A Multi-Modal Approach for Population Health Assessment.Preventive oncology & epidemiology · 2024Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundExcess screen media use is a robust predictor of childhood obesity. Understanding how household factors may affect children's screen use is needed to tailor effective intervention efforts. The preschool years are a critical time for obesity prevention, and while it is likely that greater household disorder influences preschool-aged children's screen use, data on that relationship are absent. In this study, our goal was to quantify the relationships between household chaos and screen use in preschool-aged children.
methodsA cross-sectional, online survey was administered to 385 parents of 2-5 year-olds recruited in 2017. Household chaos was measured with the Confusion, Hubbub and Order Scale (i.e., the chaos scale), a validated, parent-reported scale. The scale consists of 15 items, each scored on a 4-point Likert scale. Final scores were the sum across the 15 items and modeled as quartiles for analyses. Parents reported their children's screen use for nine electronic media activities. Adjusted linear and Poisson regression were used to model associations between household chaos and children's total weekly screen use, screen use within one hour of bedtime and screen use in the bedroom.
resultsChildren averaged 31.0 (SD = 23.8) hours per week with screens, 49.6% used screens within one hour of bedtime and 41.0% used screens in their bedrooms. In adjusted regression models, greater household chaos was positively associated with weekly screen use (P = 0.03) and use of screens within one hour of bedtime (P < 0.01) in a dose-dependent manner. Children in the fourth versus the first quartile of household chaos were more likely to use screens in their bedroom (P = 0.03).
conclusionsGreater household chaos was associated with increased total screen use as well as screen use behaviors that are related to disrupted nighttime sleep. Findings suggest that household chaos may be an obesity risk factor during the preschool years because of such effects on screen use, and highlight the need to consider household chaos when implementing home-based obesity prevention programs for young children.
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