Background Children and adolescents with chronic physical conditions have an increased probability of mental health problems,which may be partly attributed to the variations in play behavior.This study explores the as...Background Children and adolescents with chronic physical conditions have an increased probability of mental health problems,which may be partly attributed to the variations in play behavior.This study explores the associations between having a chronic physical condition,play behavior,and having mental health problems.Methods Data from the Generation R Study were analyzed,a population-based,prospective cohort in the Netherlands.Chronic physical conditions were typically identified before six years of age.Play behavior was assessed at ages 6 and 10.Mental health problems were measured with the Child Behavior Checklist at 14 years of age.Logistic,ranked-order,and linear regression analyses were used to examine direct associations,and mediation analyses were used to investigate indirect paths.P values were false discovery rate adjusted.Results Of the 4043 included participants,691(17%)had a chronic physical condition.Having a chronic physical condition was associated with more mental health problems and limited activity at the age of six years.Playing sports and engaging in social interactions at age 10 were related to fewer mental health problems at age 14.Limited activity mediated the relationship between having a chronic physical condition and mental health problems(social:mediated_(proportion)=8.33%,95%CI=2.02%;15.7%,P_(adj)<0.001;physical:mediated_(proportion)=7.72%,95%CI=1.73%;19.1%,P_(adj)=0.040).Conclusions Health-related limitations in social and physical activities mediate the relationship between having a chronic physical condition and mental health problems in children.Participation in social and physical activities early in life may be crucial for the mental well-being of children with a chronic physical condition.展开更多
Background Few studies have investigated which factors were related to adolescents'social media use.This study aimed to evaluate which factors were associated with heavy social media use on weekdays and weekends a...Background Few studies have investigated which factors were related to adolescents'social media use.This study aimed to evaluate which factors were associated with heavy social media use on weekdays and weekends among 13-year-old adolescents.Methods We analyzed data from 3727 children from the Generation R Study,a population-based cohort study in the Neth-erlands.Associations of demographic factors(child age,sex,ethnic background,and family situation),socioeconomic posi-tion(parental educational level,parental employment status,and net household income),screen-based behaviors(computer playing and TV viewing),and the home environment(communication,supervision,and restriction)with adolescents'heavy social media use(≥2 hours/day)were assessed separately on weekdays and weekends.Multivariate logistic regression analysis was applied.Results The prevalence of heavy social media use was 37.7%on a weekday and 59.6%on a weekend day.Being a girl,liv-ing in a one-parent family,and more time spent playing on the computer were associated with heavy social media use on weekdays and weekends(all P<0.05).Low socioeconomic position adolescents(low parental educational level and low household income)were more likely to show heavy social media use only on weekends(all P<0.05).Children whose social media use was restricted by parents on weekdays or children whose social media use was supervised by parents on weekends had lower odds of heavy social media use(all P<0.05).Conclusions Being a girl,living in a one-parent family,or having a longer computer playing time were associated with heavy social media use on weekdays and weekends.More studies are needed to understand the factors associated with heavy social media use and the impact of heavy social media use on child health.展开更多
基金supporting the well-being of chronically ill children’project of the eHealth Junior consortium[NWA.1292.19.226]of the NWA research program'Research on Routes by Consortia(ORC)'funded by the Netherlands Organization for Scientific Research(NWO)+2 种基金funded by the European Union's Horizon 2020 research and innovation programme(EUCAN-Connect grant agreement No 824989ATHLETE,grant agreement No 874583ENDOMIX grant agreement No 101136566).
文摘Background Children and adolescents with chronic physical conditions have an increased probability of mental health problems,which may be partly attributed to the variations in play behavior.This study explores the associations between having a chronic physical condition,play behavior,and having mental health problems.Methods Data from the Generation R Study were analyzed,a population-based,prospective cohort in the Netherlands.Chronic physical conditions were typically identified before six years of age.Play behavior was assessed at ages 6 and 10.Mental health problems were measured with the Child Behavior Checklist at 14 years of age.Logistic,ranked-order,and linear regression analyses were used to examine direct associations,and mediation analyses were used to investigate indirect paths.P values were false discovery rate adjusted.Results Of the 4043 included participants,691(17%)had a chronic physical condition.Having a chronic physical condition was associated with more mental health problems and limited activity at the age of six years.Playing sports and engaging in social interactions at age 10 were related to fewer mental health problems at age 14.Limited activity mediated the relationship between having a chronic physical condition and mental health problems(social:mediated_(proportion)=8.33%,95%CI=2.02%;15.7%,P_(adj)<0.001;physical:mediated_(proportion)=7.72%,95%CI=1.73%;19.1%,P_(adj)=0.040).Conclusions Health-related limitations in social and physical activities mediate the relationship between having a chronic physical condition and mental health problems in children.Participation in social and physical activities early in life may be crucial for the mental well-being of children with a chronic physical condition.
文摘Background Few studies have investigated which factors were related to adolescents'social media use.This study aimed to evaluate which factors were associated with heavy social media use on weekdays and weekends among 13-year-old adolescents.Methods We analyzed data from 3727 children from the Generation R Study,a population-based cohort study in the Neth-erlands.Associations of demographic factors(child age,sex,ethnic background,and family situation),socioeconomic posi-tion(parental educational level,parental employment status,and net household income),screen-based behaviors(computer playing and TV viewing),and the home environment(communication,supervision,and restriction)with adolescents'heavy social media use(≥2 hours/day)were assessed separately on weekdays and weekends.Multivariate logistic regression analysis was applied.Results The prevalence of heavy social media use was 37.7%on a weekday and 59.6%on a weekend day.Being a girl,liv-ing in a one-parent family,and more time spent playing on the computer were associated with heavy social media use on weekdays and weekends(all P<0.05).Low socioeconomic position adolescents(low parental educational level and low household income)were more likely to show heavy social media use only on weekends(all P<0.05).Children whose social media use was restricted by parents on weekdays or children whose social media use was supervised by parents on weekends had lower odds of heavy social media use(all P<0.05).Conclusions Being a girl,living in a one-parent family,or having a longer computer playing time were associated with heavy social media use on weekdays and weekends.More studies are needed to understand the factors associated with heavy social media use and the impact of heavy social media use on child health.
