10Sep 2019

THE PREVALENCE AND ASSOCIATED FACTORS OF SCREEN TIME AMONG INTERMEDIATE SCHOOL STUDENTS IN MAKKAH AL-MOKARRAMAH, SAUDI ARABIA, 2019.A CROSSSECTIONAL STUDY.

  • Family medicine resident in Security forces Hospital Family medicine Program in Al-Dammam , Saudi Arabia.
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Aim of study: To assess screen-time among intermediate school students in Makkah Al-Mokarramah. Methodology: Following a cross-sectional study design in in Alawali District, Makkah City, a total of 175 intermediate school students (85 boys and 90 girls) were included in the present study. A self-administered questionnaire was used. Results: About three-fourths of students (71.4%) use electronic devices. The average duration of daily use of electronic devices was < 1 hour among 42.9% of students, 2-4 hours among 25.7% of students, while it was 4-6 hours among 1.7% and >7 hours among 1.1%. The smartphones were the most frequently used electronic devices (69.7%), followed by the television (52.6%), videogames (52%), tablets (40%), laptops/computers (32%) and the cellular phones (10.9%). Use of electronic devices increases significantly at weekends (p<0.001). Prolonged (>8 hours) physical activity was significantly more during weekends (9.1% vs. 0%, p<0.001). On the other hand, duration of sleep did not differ during weekdays and weekends. Use of electronic devices was significantly higher among male students than female students (78.8% and 64.4%, respectively, p=0.035). Students whose GPA was >95% had significantly highest use of electronic devices (85.3%, p=0.024). Use of electronic devices did not differ significantly according to care takers? personal characteristics or family characteristics. Conclusions: One-fourth intermediate school students in Makkah Al-Mokarramah, have prolonged daily screen time. The most frequently used electronic devices are mainly smartphones, TV, videogames, tablets, and laptops or computers. Use of electronic devices increases during their weekends and entertainment is the most frequent purpose for using electronic devices for more than 8 hours. Screen time is significantly higher among boys and those with higher GPA. Recommendations: Immediate and comprehensive actions are needed to diminish adolescents? screen time. TV-watching time can be minimized through school-based educational components assisted by parental involvement with students? homework. Health education of adolescents and their parents to raise their awareness regarding health risks associated with high screen time and how they can positively influence their children by enforcing family rules to limit using electronic devices.


  1. Screen time | definition of screen time by Medical dictionary [Internet]. [cited 2017 Jan 1]. Available from: http://medical-dictionary. thefreedictionary.com/screen+time
  2. Strasburger VC, Jordan AB, Donnerstein E. Health effects of media on children and adolescents. Pediatrics [Internet]. 2010 Apr [cited 2016 Dec 21];125(4):756?67. Available from: http://www.ncbi.nlm.nih.gov/ pubmed/20194281
  3. American Academy of Pediatrics Announces New Recommendations for Children's Media Use [Internet]. [cited 2016 Dec 24]. Available from: https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/ American-Academy-of-Pediatrics-Announces-New-Recommendations-for-Childrens-Media-Use.aspx
  4. Gingold JA, Simon AE, Schoendorf KC. Excess Screen Time in US Children: Association With Family Rules and Alternative Activities. ClinPediatr (Phila) [Internet]. 2014 Jan 1 [cited 2017 Jan 1];53(1):41?50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23922251
  5. Sigman A. Time for a view on screen time. Arch Dis Child [Internet]. 2012 Nov [cited 2017 Jan 1];97(11):935?42. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23044213
  6. Steffen LM, Dai S, Fulton JE, Labarthe DR. Overweight in children and adolescents associated with TV viewing and parental weight: Project HeartBeat! Am J Prev Med [Internet]. 2009 Jul [cited 2017 Jan 1];37(1 Suppl):S50-5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/
  7. Primack BA, Swanier B, Georgiopoulos AM, Land SR, Fine MJ. Association between media use in adolescence and depression in young adulthood: a longitudinal study. Arch Gen Psychiatry [Internet]. 2009 Feb [cited 2017 Jan 1];66(2):181?8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19188540
  8. Alosaimi FD, Alyahya H, Alshahwan H, Al Mahyijari N, Shaik SA. Smartphone addiction among university students in Riyadh, Saudi Arabia. Saudi Med J [Internet]. 2016 Jun [cited 2017 Jan 1];37(6):675?83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27279515
  9. Al-Ghamdi S. The association between watching television and obesity in children of school-age in Saudi Arabia. J Fam Community Med [Internet]. 2013 May [cited 2017 Jan 1];20(2):83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23983559
  10. محمد عمر محمد ابوالرب - CV [Internet]. [cited 2017 Jan 2]. Available from: http://www.kau.edu.sa/CVEn.aspx?Site_ID=0060948&Lng=AR
  11. Al-Hazzaa HM, Abahussain NA, Al-Sobayel HI, Qahwaji DM, Musaiger AO. Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. Int J Behav Nutr Phys Act [Internet]. 2011 Dec 21 [cited 2017 Jan 2];8:140. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22188825
  12. Raosoft Sample Size Calculator. http://www.raosoft.com/ samplesize.html
  13. https://www.random.org/
  14. Davison KK, Marshall SJ, Birch LL. Cross-sectional and longitudinal associations between TV viewing and girls' body mass index, overweight status, and percentage of body fat. J Pediatr 2006; 149:32-7
  15. Patriarca A, Di Giuseppe G, Albano L, Marinelli P, Angelillo IF. Use of television, videogames, and computer among children and adolescents in Italy. BMC Public Health 2009, 9:139.
  16. Tsujiguchi H, Hori D, Kambayashi Y, Hamagishi T, Asakura H, Mitoma J, et al. Relationship between screen time and nutrient intake in Japanese children and adolescents: a cross-sectional observational study. Environmental Health and Preventive Medicine 2018; 23:34.
  17. Stockman JA. Association of Television Viewing During Childhood with Poor Educational Achievement. Yearbook of Pediatrics, 2007; 78?79.
  18. Jiang X, Hardy LL, Ding D, Baur LA, Shi H. Recreational Screen-Time Among Chinese Adolescents: A Cross-Sectional Study. J Epidemiol 2014; 24(5):397-403.
  19. Jordan AB, Hersey JC, McDivitt JA, Heitzler CD: Reducing children's television-viewing time: a qualitative study of parents and their children. Pediatrics 2006, 118:e1303-10.
  20. Hancox RJ, Milne BJ, Poulton R. Association of television viewing during childhood with poor educational achievement. Arch PediatrAdolesc Med 2005; 159:614-618.
  21. LeBlanc AG, Broyles ST, Chaput JP, Leduc G, Boyer C, Borghese MM, Tremblay MS. Correlates of objectively measured sedentary time and self-reported screen time in Canadian children. Journal of Behavioral Nutrition and Physical Activity 2015; 12:38.
  22. Bucksch J, Sigmundova D, Hamrik Z, Troped PJ, Melkevik O, Ahluwalia N, et al. International Trends in Adolescent Screen-Time Behaviors From 2002 to 2010. J Adolesc Health 2016;58(4):417?25.
  23. Ye S, Chen L, Wang Q, Li Q. Correlates of screen time among 8?19-year-old students in China. BMC Public Health 2018; 18:467.
  24. HoyosCillero I, Jago R. Sociodemographic and home environment predictors of screen viewing among Spanish school children. J Public Health (Oxf) 2011; 33: 392-402.
  25. Babey SH, Hastert TA, Wolstein J. Adolescents sedentary behaviors: correlates differ for television viewing and computer use. J Adolesc Health. 2013;52(1):70?6
  26. Jago R, Stamatakis E, Gama A, Carvalhal IM, Nogueira H, Rosado V, Padez C. Parent and Child Screen-Viewing Time and Home Media Environment. Am J Prev Med 2012;43(2):150-158.
  27. Kautiainen S, Koivusilta L, Lintonen T, Virtanen SM, Rimpel? A. Use of information and communication technology and prevalence of overweight and obesity among adolescents. Int J Obes (Lond) 2005; 29:925-33.

[Ebtihal Ahmad Alwadie. (2019); THE PREVALENCE AND ASSOCIATED FACTORS OF SCREEN TIME AMONG INTERMEDIATE SCHOOL STUDENTS IN MAKKAH AL-MOKARRAMAH, SAUDI ARABIA, 2019.A CROSSSECTIONAL STUDY. Int. J. of Adv. Res. 7 (Sep). 607-622] (ISSN 2320-5407). www.journalijar.com


Ebtihal Ahmad Alwadie
Dr

DOI:


Article DOI: 10.21474/IJAR01/9705      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9705