Digital media use among children under five: an insight into socio-demographic factors and immediate behavioural outcomes
DOI:
https://doi.org/10.18203/2320-6012.ijrms20261329Keywords:
Screen time, Sociodemographic factors, Behavioural changes, Digital media, Under five childrenAbstract
Background: With advancement and increasingly accessibility of digital technology, digital devices have become integral part in every household. Sociodemographic factors influence digital media use, yet data from tertiary care settings in India remain limited. This study provides important insights into how various sociodemographic factors influence children's screen time and its association with behavioral problems.
Methods: An observational study was conducted among under five children attending a tertiary care hospital. Parents were interviewed using a structured questionnaire about sociodemographic characteristics, availability & usage of digital devices and behavioral issues observed. Data were analyzed using SPSS.
Results: The study included 384 children aged below five years. The mean age was 29.4 months, with male predominance (57%). The median number of family members was 5, 80% of households had two or more digital devices. The mean screen-time was 72.3 minutes per day and 49.2% of children had excessive screen time while only 32.4% consumed educational content. 58.7% of parents had not set time limits for screen usage. Younger age, higher socioeconomic class, lower paternal education, early initiation of screen exposure, greater access to devices, were all significantly associated with excessive screen-time. 14.8% of all participants exhibited behavioral changes associated with screen use.
Conclusions: Excessive screen time is highly prevalent among under five children. It is strongly influenced by sociodemographic factors and is linked to behavioral problems. A balanced approach to screen time in early childhood can reduce negative outcomes.
References
Canadian Paediatric Society, Digital Health Task Force, Ottawa, Ontario. Screen time and young children: Promoting health and development in a digital world. Paediatr Child Health. 2017;22(8):461–77.
Anitha FS, Narasimhan U, Janakiraman A, Janakarajan N, Tamilselvan P. Association of digital media exposure and addiction with child development and behavior: A cross-sectional study: A cross-sectional study. Ind Psychiatry J. 2021;30(2):265–71.
Babusabgari S, Balakrishna BB. Exposure and use of digital media among under-five children. Int J Contemp Pediatr. 2021;8(9):1539.
Indian Academy of Pediatrics. Screen Time Guidelines for Parents. Indian Academy of Pediatrics. 2021. Available at: https://iapindia.org/pdf/ Screentime-Guidelines-for-Parents-Ch-005.pdf. Accessed on 21 August 2025.
American Academy of Pediatrics. AAP Council on Communications. Media: Children, adolescents and the media. Pediatrics. 2013;132:958-61.
Karia S. Electronic media device usage and screen time among children in a tertiary care hospital in Western Uttar Pradesh, India: A cross-sectional study. Sri Lanka J Child Health. 2023;52(3):329-35.
Raje A, Mohite S. To evaluate exposure and early childhood development: analyzing screen time, socio-demographic influences, and media device impact. Shodh Kosh. J Visual Perform Arts. 2024;5(6):2377–83.
Arantes MD, de-Morais EA. Exposure and use of media devices in early childhood. Residência Pediátrica. 2022;12(4):1-6.
Paulus FW, Joas J, Friedmann A, Fuschlberger T, Möhler E, Mall V. Familial context influences media usage in 0-to 4-year old children. Front Public Health. 2024;11:1256287.
Sandborg J, Markides BR, Simmons S, Downing KL, Nicholson JM, Orellana L, et al. Parental and demographic predictors of engagement in an mhealth intervention: observational study from the let's grow trial. JMIR Mhealth Uhealth. 2025;15;13:60478.
Darni M, Perdana DI. Penguatan sosiologi keluarga di dunia digital: Studi literasi pengasuhan anak usia dini berbasis keluarga. RESIPROKAL: J Riset Sosiologi Progresif Aktual. 2024;6(1):66-79.
Laws R, Walsh AD, Hesketh KD, Downing KL, Kuswara K, Campbell KJ. Differences between mothers and fathers of young children in their use of the internet to support healthy family lifestyle behaviors: cross-sectional study. J Med Internet Res. 2019;21(1):11454.
Yaman F, Dönmez O, Akbulut Y, Kabakçı Yurdakul I, Çoklar AN, Güyer T. Ebeveynlerin Dijital Ebeveynlik Yeterliklerinin Çeşitli Demografik Değişkenler Açısından İncelenmesi. 2019;44(199):149–72.
Briggs P, Nicholson J, Lukins R. Human and digital ecosystems in the modern household. Front Psychol. 2025;15:1426804.
Bano S, Anwar S, Quddoos A. Socioeconomic factors affecting the adoption of digital devices at household level in Pakistan. J Economic Impact. 2024;6(3):187-95.
Zhang X, Wang S, Li T, Sun S. Study on the impact of digital countryside construction on fostering sports industry development: based on the moderating role of market-oriented factor allocation and the mediating role of rural consumption upgrade. Front Artif Intell. 2025;8:1660947.
AC R, Kardalkar S. Digital Hygiene: Need Of The Hour In View Of Mounting Screen Time Among 0-4 Years Children. Indian J Public Health Res Development. 2024;15(4):329–34.
Torres MK, Pereira Neto GD, Cayres Vallinoto IM, Reis LO, Vallinoto AC. The impact of oncogenic viruses on cancer development: a narrative review. Biology. 2025;14(7):797.
Buchkova AI. Sociological Analysis of Digital Consumption in Childhood. Theory Practice Social Develop. 2024;12:59-65.
Shakya H, Acharya S, Pradhan S, Kc D. High Problematic Screen Exposure among Children Aged 2-5 Years Visiting the Department of Pediatrics of a Tertiary Care Centre. JNMA J Nepal Med Assoc. 2023;61(268):927-30.
Ilamparithi P, Selvakumar P. Association between screen time and behavioural health problems among urban and rural students in early and mid-adolescent age group. J Pediatr Res. 2017;4(07):453-60.
Priya PR, Kumari VM. Screentime in primary school children and its associations: a cross sectional study. Int J Contemp Pediatr 2021;8:1528-38.
Rajalakshmi M, Reenaa Mohan, Kanimozhi T, Karthika Devi D S Do children need humans or screen. Institutional-based cross-sectional study. Sri Lanka J Child Health. 2023;52(3):265-72.
Jesmine J, Sultana A, Jui FA. Effects of prolonged screen time on children aged 1-5 years – a cross-sectional study. American J Pediat. 2024;10(4):193-9.
Hartstein LE, Mathew GM, Reichenberger DA, Rodriguez I, Allen N, Chang AM, et al. The impact of screen use on sleep health across the lifespan: a national sleep foundation consensus statement. Sleep Health. 2024;10(4):373-84.
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