Association between screen time and guardian-reported vision difficulty in children and adolescents: A population-based analysis

AJO International Pub Date : 2025-09-27 DOI:10.1016/j.ajoint.2025.100177

Andrew Mihalache , Panthea Rahmdel , Ryan S. Huang , Marko M. Popovic , Behnam Rahmdel , Stacey Chong , Crystal S.Y. Cheung , Rajeev H. Muni

{"title":"Association between screen time and guardian-reported vision difficulty in children and adolescents: A population-based analysis","authors":"Andrew Mihalache , Panthea Rahmdel , Ryan S. Huang , Marko M. Popovic , Behnam Rahmdel , Stacey Chong , Crystal S.Y. Cheung , Rajeev H. Muni","doi":"10.1016/j.ajoint.2025.100177","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate associations between screen time and guardian-reported vision difficulties among paediatric populations in the United States.</div></div><div><h3>Design</h3><div>Retrospective, population-based, cross-sectional study.</div></div><div><h3>Methods</h3><div>Using data from the 2020 and 2022 National Health Interview Survey, this study included participants aged 2-17 years with complete guardian-reported data pertaining to vision status and screen time usage. We performed logistic regressions to explore associations between screen time and vision difficulties, reporting odds ratios (ORs) and 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>A total of 5,112 participants (mean age: 10.1 ± 4.7 years) were included in 2020, and 6,473 participants (mean age: 9.9 ± 4.7 years) were included in 2022. In our univariable analysis, children who had a screen time of >2 hours/day had a higher odds of guardian-reported vision difficulty in 2020 (OR=1.53, 95%CI=[1.08, 2.16], p=0.017) and in 2022 (OR=1.38, 95%CI=[1.02, 1.86], p=0.038). These findings were consistent in a subgroup of female children (p=0.002 in 2020 and p=0.014 in 2022). Our multivariable analysis of 2020 data found that the odds of guardian-reported vision difficulty among children with a screen time of >2 hours/day was significantly higher in females (OR=1.73, 95%CI=[1.02, 2.93], p=0.040) and children residing in the Midwest (OR=2.41, 95%CI=[1.11, 5.20], p=0.026). No findings were significant in our adjusted analysis of 2022 data.</div></div><div><h3>Conclusion</h3><div>Screen time was associated with guardian-reported vision difficulties in paediatric populations in the United States in our univariable analysis. However, this association was not consistently observed in adjusted models of 2020 data, and no associations remained significant in the multivariable analysis of 2022 data. Public health initiatives aimed at promoting healthy screen time habits and regular eye care among vulnerable groups of children and adolescents are encouraged.</div></div>","PeriodicalId":100071,"journal":{"name":"AJO International","volume":"2 4","pages":"Article 100177"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"AJO International","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950253525000814","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose

To investigate associations between screen time and guardian-reported vision difficulties among paediatric populations in the United States.

Design

Retrospective, population-based, cross-sectional study.

Methods

Using data from the 2020 and 2022 National Health Interview Survey, this study included participants aged 2-17 years with complete guardian-reported data pertaining to vision status and screen time usage. We performed logistic regressions to explore associations between screen time and vision difficulties, reporting odds ratios (ORs) and 95% confidence intervals (CIs).

Results

A total of 5,112 participants (mean age: 10.1 ± 4.7 years) were included in 2020, and 6,473 participants (mean age: 9.9 ± 4.7 years) were included in 2022. In our univariable analysis, children who had a screen time of >2 hours/day had a higher odds of guardian-reported vision difficulty in 2020 (OR=1.53, 95%CI=[1.08, 2.16], p=0.017) and in 2022 (OR=1.38, 95%CI=[1.02, 1.86], p=0.038). These findings were consistent in a subgroup of female children (p=0.002 in 2020 and p=0.014 in 2022). Our multivariable analysis of 2020 data found that the odds of guardian-reported vision difficulty among children with a screen time of >2 hours/day was significantly higher in females (OR=1.73, 95%CI=[1.02, 2.93], p=0.040) and children residing in the Midwest (OR=2.41, 95%CI=[1.11, 5.20], p=0.026). No findings were significant in our adjusted analysis of 2022 data.

Conclusion

Screen time was associated with guardian-reported vision difficulties in paediatric populations in the United States in our univariable analysis. However, this association was not consistently observed in adjusted models of 2020 data, and no associations remained significant in the multivariable analysis of 2022 data. Public health initiatives aimed at promoting healthy screen time habits and regular eye care among vulnerable groups of children and adolescents are encouraged.

查看原文本刊更多论文

儿童和青少年的屏幕时间与监护人报告的视力困难之间的关系：一项基于人群的分析

目的调查美国儿童人群中屏幕时间与监护人报告的视力困难之间的关系。设计：回顾性、基于人群的横断面研究。方法使用2020年和2022年全国健康访谈调查的数据，本研究纳入了2-17岁的参与者，他们的视力状况和屏幕使用时间的完整数据由监护人报告。我们进行了逻辑回归来探索屏幕时间和视力困难之间的关系，报告了优势比（ORs）和95%置信区间（ci）。结果2020年共纳入受试者5112人，平均年龄10.1±4.7岁；2022年共纳入受试者6473人，平均年龄9.9±4.7岁。在我们的单变量分析中，每天屏幕时间为2小时的儿童在2020年（OR=1.53, 95%CI=[1.08, 2.16], p=0.017）和2022年（OR=1.38, 95%CI=[1.02, 1.86], p=0.038）的监护人报告视力困难的几率更高。这些发现在女性儿童亚组中是一致的（2020年p=0.002, 2022年p=0.014）。我们对2020年数据的多变量分析发现，每天屏幕时间为2小时的儿童中，女性儿童（OR=1.73, 95%CI=[1.02, 2.93], p=0.040）和中西部儿童（OR=2.41, 95%CI=[1.11, 5.20], p=0.026）的监护人报告视力困难的几率明显更高。在我们对2022年数据的调整分析中，没有发现有意义的结果。结论：在我们的单变量分析中，屏幕时间与美国儿童人群中监护人报告的视力困难有关。然而，在2020年数据的调整模型中并没有一致地观察到这种关联，在2022年数据的多变量分析中也没有显著的关联。鼓励在弱势儿童和青少年群体中提倡健康的屏幕使用习惯和定期眼部护理的公共卫生倡议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

AJO International

自引率

0.00%

发文量