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Pediatrics. 2011 Jul;128(1):29-35. doi: 10.1542/peds.2010-3304. Epub 2011 Jun 27.

Media use and child sleep: the impact of content, timing, and environment.

Author information

1
Seattle Children's Research Institute, Center for Child Health, Behavior and Development, PO Box 5371, Seattle, WA 98145, USA. michelle.garrison@seattlechildrens.org

Abstract

BACKGROUND:

Media use has been shown to negatively affect a child's sleep, especially in the context of evening use or with a television in the child's bedroom. However, little is known about how content choices and adult co-use affect this relationship.

OBJECTIVE:

To describe the impact of media content, timing, and use behaviors on child sleep.

METHODS:

These data were collected in the baseline survey and media diary of a randomized controlled trial on media use in children aged 3 to 5 years. Sleep measures were derived from the Children's Sleep Habits Questionnaire. Media diaries captured time, content title, and co-use of television, video-game, and computer usage; titles were coded for ratings, violence, scariness, and pacing. Nested linear regression models were built to examine the impact of timing, content, and co-use on the sleep problem score.

RESULTS:

On average, children consumed 72.9 minutes of media screen time daily, with 14.1 minutes occurring after 7:00 pm. Eighteen percent of parents reported at least 1 sleep problem; children with a bedroom television consumed more media and were more likely to have a sleep problem. In regression models, each additional hour of evening media use was associated with a significant increase in the sleep problem score (0.743 [95% confidence interval: 0.373-1.114]), as was daytime use with violent content (0.398 [95% confidence interval: 0.121-0.676]). There was a trend toward greater impact of daytime violent use in the context of a bedroom television (P=.098) and in low-income children (P=.07).

CONCLUSIONS:

Violent content and evening media use were associated with increased sleep problems. However, no such effects were observed with nonviolent daytime media use.

PMID:
21708803
PMCID:
PMC3124101
DOI:
10.1542/peds.2010-3304
[Indexed for MEDLINE]
Free PMC Article

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