Digital Media Exposure In Young Children With Disabilities,

A Population Based Survey

Starrina Gianelloni DO2,3, Yvette Yatchmink MD PhD1,3, Siraj Amanullah MD1,2,3 PhD, Annie Gjeslvik PhD1,2, Priya Hirway ScM1,3, Pamela High MD1,3
1 Alpert Medical School of Brown University, RI, 2 Brown School of Public Health, RI, 3 Hasbro Children’s Hospital at Rhode Island Hospital, RI, USA

BACKGROUND RESULTS RESULTS

v An estimated 1:6 U.S. Children will have one or more Characteristics of U.S Children Birth to 5 Years by Developmental Status, 2016 NSCH (n = 14,222) Adjusted Odds of Exceeding <1 hr Guideline. NSCH, 2016 (n=14,222)
disabilities.1 Developmental Disability Typical Development 𝛘2
NSCH 9.6% NSCH 90.5%
Developmental Disability*
v The AAP recommends limiting digital media exposure (DME) in n=1,475 n=12,747
[1.53 (1.12, 2.09)]

children 5 and younger due to negative associations with Daily DME Female [1.06 (0.90, 1.26)]

One hour or less (4,844) 20.1% (319) 35.2% (4,525) p < 0.01 [8.16 (6.92, 9.62)]

developmental and health outcomes such as attention More than 1 hr (9,378 79.9% (1,156) 64.8% (8,222) 3 to 5 Years**

deficits, lower cognitive scores, obesity and speech delay.2,3,4 Gender Black** [2.52 (1.81, 3.51)]
Male (7,358) 63.3% (966) 49.9% (6,392) p < 0.01
Other Race [1.28 (1.01, 1.62)]
v Numerous studies have looked at DME in school age children Female (6,864) 36.7% (509) 50.1% (6,355)

with and without disabilities.5 Age

0-2 years (6,799) 27.4% (404) 51.6% (6,395) p < 0.01
Hispanic** [1.40 (1.08, 1.81)]

<200% FPL
v Little is known about DME patterns in young children with 3-5 years (7,423) 72.6% (1,071) 48.4% (6,352) [1.03 (0.84, 1.28)]

Family Structure 200 to <400% FPL

disabilities [1.19 (0.98, 1.43)]

OBJECTIVE Two Parents (12,150)

Single Parent (1,188)
71.9% (1,186)
13.6% (170)
78.5% (10,964)
11.7% (1,018)
p = 0.05
Single Parent [1.07 (0.78, 1.47)]

We aimed to determine whether young children with disabilities Caregiver Mental Health Worse Caregiver Mental Health* [1.37 (1.08, 1.73)]

were more likely to exceed current AAP DME guidelines Excellent/Very Good (11,236) 66.1% (1,051) 77.7% (10,185) p = 0.01
Caregiver Education HS or Less [0.85 (0.49, 1.46)]
Good/Fair/Poor (2,734) 30.5% (398) 19.7% (2,336)
(<1hr/day) compared to their typically developing peers.
NSCH% = weighted percentage
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10
Groups did not show statistically significant difference for: Race (p=0.26), Ethnicity (p=0.68), Poverty (p=0.21), or
Caregiver Education (p=0.71) Odds Ratios
FPL = Federal Poverty Level, *p<.05, **p<.001

Survey Weighted Percentage Adherent to AAP DME Guideline CONCLUSIONS

v Young children with disabilities exceeded AAP media use
Developmental Disability Typical Development
20%
guidelines at significantly higher rates than typically developing
35%
children.
METHODS v We must identify these children in practice and educate
v A sample of 14,222 children, 5 years and younger, was derived 80%
65%
families on healthy alternatives to DME.
Exceeding Meeting Exceeding Meeting
from the 2016 National Survey of Children’s Health (NSCH). v Further study is needed to explore why young children with
Information was obtained from parent/caregiver responses. disabilities access more DME.
NSCH% Exceeding <1hr DME Guideline by Age in Years,
v Developmental Disability was considered present if a caregiver Total Sample (n=14,222)
answered “Yes” to, “Has ___ ever received special services to
meet his or her developmental needs …?”
92%
v Total DME was defined as collective time spent with TV, 84.8% 84.7%
computers, cell phones, video games and other handheld 73.2%
devices on an average weekday doing things other than
schoolwork. Responses were collected in hours for TV and REFERENCES
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Special thanks to my family, the study team and my co-fellows!

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