ArticleInternational journal of environmental research and public health2022
Determinants of Excessive Screen Time among Children under Five Years Old in Selangor, Malaysia: A Cross-Sectional Study.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05805592 (The Effect of Screen to Move Program), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
The Effect of Screen to Move Program (STEP) on Screen Use Time and Physical Activity in Preschool Children
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Impact of Modifiable Parenting Factors on the Screen Use of Children Five Years or Younger: A Systematic Review.Clinical child and family psychology review · 2025Pooled it
- Stop and Play Digital Health Education Intervention for Reducing Excessive Screen Time Among Preschoolers From Low Socioeconomic Families: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Barriers to Reducing Children's Screen Time and Associated Factors Among Mothers of Under-Five Children in Woliso City Administration, Oromia Ethiopia: Community-Based Cross-Sectional Study.JMIR pediatrics and parenting · 2026Article
- Questionnaires Used to Explore the Perspectives of Parents and Health Professionals on Young Children's Use of Technology: Systematic Review.JMIR pediatrics and parenting · 2026Review
- Excessive screen time and its associated factors among under-5 children in Woliso City Administration, Central Ethiopia: a community-based cross-sectional study.BMJ paediatrics open · 2026Article
- Prevalence of Myopia in Children and Adolescents: A Systematic Review of Malaysian Prevalence Studies.The Malaysian journal of medical sciences : MJMS · 2026Review
- Parental behavior and near screen use in childhood: a route to reduce screen induced myopia.Frontiers in public health · 2025Article
- Lifestyle Behaviors of Childhood and Adolescence: Contributing Factors, Health Consequences, and Potential Interventions.American journal of lifestyle medicine · 2024Review
- Children's Attraction to Physical Activity and Its Relation to Physical Activity Level.The Malaysian journal of medical sciences : MJMS · 2023Article
- A Scoping Review of Digital Well-Being in Early Childhood: Definitions, Measurements, Contributors, and Interventions.International journal of environmental research and public health · 2023Article
- Influence of Family Environment on the Scientific Fitness Literacy of Preschool and School Children in China: A National Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- ABCs or Attack-Boom-Crash? A longitudinal analysis of associations between media content and the development of problematic media use in early childhood.Technology, mind, and behavior · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Excessive screen time interferes with the health and development of children. However, the screen time situation among Malaysian children remains poorly understood. This study aims to identify the prevalence and determinants of excessive screen time among children under five years in Selangor, Malaysia, using the latest World Health Organization guidelines. In this cross-sectional study, 489 parent−child dyads were randomly selected from nine government health clinics in Petaling district, Selangor. Total screen time and factors were assessed using validated self-administered questionnaires and analysed using multiple logistic regression. The overall prevalence of excessive screen time was 91.4% with a median of 3.00 h. The majority of children utilized television (66%), followed by handheld devices (30%) and computers (4%). Determinants of screen time identified were Malay ethnicity, (aOR 3.56, 95% CI 1.65−7.68), parental age of ≥30 years (aOR 3.12, 95% CI 1.58−6.16), parental screen time >2 h a day (aOR 2.42, 95% CI 1.24−4.73), moderate self-efficacy to influence a child’s physical activity (aOR 2.29, 95% CI 1.01−5.20) and the positive perception on the influence of screen time on a child’s cognitive wellbeing (aOR 1.15, 95% CI 1.01−1.32). Parents play an important role in determining their child’s screen time. Future interventions should focus on addressing parental determinants to ensure age-appropriate screen time.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.