关于2岁以下儿童家长对屏幕暴露看法的质性研究OA

Objective To explore the causes of excessive screen exposure in early childhood based on the Health Belief Mode,and provide scientific evidence for intervention and guidance.Methods A qualitative research design was adopted.Parents of children under 2 years old receiving routine physical examinations at the child health departments of two primary healthcare clinics in Pudong New Area,Shanghai,were recruited.In-depth interviews were conducted with 20 enrolled parents using a semi-structured interview outline developed under the Health Belief Model to explore their perceptions of screen exposure.Nvivo 14.0 software was used to code interview transcripts,and the thematic framework method was applied to analyze the causes of excessive screen exposure.Results Thirteen parents(65%)reported that family members used electronic devices in front of their children;all parents worried that excessive screen exposure might impair children's eyesight.Seventeen parents(85%)had an unclear understanding of the concept of screen exposure,and parents lacked cues to take action to regulate children's screen use.Nearly all participants had never received relevant information from official channels,and few obtained professional guidance from medical staff.Fifteen parents(75%)expressed great self-confidence in managing children's screen exposure.The causes of excessive screen exposure among children included widespread screen exposure environments at home and in society,inadequate parental awareness of children's screen exposure,and insufficient family and social support.Conclusion Enhancing parental awareness of screen exposure,lowering screen-access opportunities in family rearing environments,and strengthening family and social support are key approaches to mitigating children's screen exposure and optimizing early childhood developmental environments.