title: Early Childhood Screen Time and Parental Attitudes Toward Child Television Viewing in a Low-Income Latino Population Attending the Special Supplemental Nutrition Program for Women, Infants, and Children.
abstract: BACKGROUND
  Early childhood media exposure is associated with obesity and multiple adverse health conditions. The aims of this study were to assess parental attitudes toward childhood television (TV) viewing in a low-income population and examine the extent to which child BMI, child/parent demographics, and household media environment are associated with adherence to American Academy of Pediatrics (AAP) guidelines for screen time.
  
  
  METHODS
  This was a cross-sectional survey study of 314 parents of children ages 0-5 years surveyed in English or Spanish by self-administered questionnaire at a Special Supplemental Nutrition Program for Women, Infants and Children (WIC) clinic in Oregon.
  
  
  RESULTS
  In this majority Latino sample (73%), half (53%) of the children met AAP guidelines on screen time limits, 56% met AAP guidelines for no TV in the child's bedroom, and 29% met both. Children were more likely to meet AAP guidelines when there were <2 TVs in the home, there was no TV during dinner, or their parents spent less time viewing electronic media. Parents who spent less time viewing electronic media were more likely to report believing that TV provides little value or usefulness.
  
  
  CONCLUSIONS
  In this low-income, predominantly Latino population attending WIC, parent media-viewing and household media environment are strongly associated with child screen time. Programs aimed at reducing child screen time may benefit from interventions that address parental viewing habits.
authors.affiliation: 1 School of Medicine, Oregon Health & Science University , Portland, OR.
authors.forename: Karin M
authors.initials: KM
authors.lastname: Asplund
authors.affiliation: 2 Stead Family Department of Pediatrics, University of Iowa , Carver College of Medicine, Iowa City, IA.
authors.forename: Laura R
authors.initials: LR
authors.lastname: Kair
authors.affiliation: 3 Department of Pediatrics, Lucile Packard Children's Hospital at Stanford , Palo Alto, CA.
authors.forename: Yassar H
authors.initials: YH
authors.lastname: Arain
authors.affiliation: 4 Division of General Pediatrics, Doernbecher Children's Hospital, Oregon Health & Science University , Portland, OR.
authors.forename: Marlene
authors.initials: M
authors.lastname: Cervantes
authors.affiliation: 5 Departments of Pediatrics and Internal Medicine, Massachusetts General Hospital , Boston, MA.|6 Department of Pediatrics, Harvard Medical School , Boston MA.
authors.forename: Nicolas M
authors.initials: NM
authors.lastname: Oreskovic
authors.affiliation: 4 Division of General Pediatrics, Doernbecher Children's Hospital, Oregon Health & Science University , Portland, OR.
authors.forename: Katharine E
authors.initials: KE
authors.lastname: Zuckerman
mesh_terms: D000328:Adult; D002652:Child Behavior / Q000523:psychology*; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D007223:Infant; D008297:Male; D018673:Nutrition Policy; D009922:Oregon / Q000453:epidemiology; D010287:Parent-Child Relations; D016487:Parenting / Q000208:ethnology / Q000523:psychology* / Q000639:trends; D010290:Parents / Q000523:psychology*; D011203:Poverty; D057185:Sedentary Behavior; D012931:Social Environment; D013690:Television