Smartphone use by children in fast food restaurants in Barcelona (Spain): a direct observation study.

Autor:	de Paz-Cantos S; Group of Evaluation of Health Determinants and Health Policies, Department of Basic Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain; Centro de estudios del uso saludable de pantallas durante la Infancia (Kenko Lab), Spain., González-Marrón A; Group of Evaluation of Health Determinants and Health Policies, Department of Basic Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain; Centro de estudios del uso saludable de pantallas durante la Infancia (Kenko Lab), Spain; Department of Health Technology Assessment and Health Economics, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina. Electronic address: agonzalezm@uic.es., Lidón-Moyano C; Group of Evaluation of Health Determinants and Health Policies, Department of Basic Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain; Centro de estudios del uso saludable de pantallas durante la Infancia (Kenko Lab), Spain., Cabriada Í; Group of Evaluation of Health Determinants and Health Policies, Department of Basic Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain., Cerrato-Lara M; Universidad Internacional de La Rioja, Logroño, Spain; Universidad Isabel I, Burgos, Spain., Gómez-Galán R; Group of Evaluation of Health Determinants and Health Policies, Centro Universitario de Mérida, Universidad de Extremadura, Badajoz, Spain., Martínez-Sánchez JM; Group of Evaluation of Health Determinants and Health Policies, Department of Basic Sciences, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain; Centro de estudios del uso saludable de pantallas durante la Infancia (Kenko Lab), Spain; Group of Evaluation of Health Determinants and Health Policies, Centro Universitario de Mérida, Universidad de Extremadura, Badajoz, Spain.
Jazyk:	angličtina
Zdroj:	Gaceta sanitaria [Gac Sanit] 2024; Vol. 38, pp. 102421. Date of Electronic Publication: 2024 Oct 01.
DOI:	10.1016/j.gaceta.2024.102421
Abstrakt:	Objective: To explore the use of smartphones at mealtimes by children in fast food restaurants in the city of Barcelona and to assess the variables associated with this use. Method: A cross-sectional study was carried out. Data from 1616 children of estimated ages between 4 to 10 years were collected in fast-food restaurants in the ten districts of Barcelona between October 2021 and July 2022. The percentage of smartphone use, overall and according to covariates, were calculated. Chi-squared and Fisher's exact tests, and crude and adjusted Poisson regression models with robust variance, were carried out to assess the association between use and covariates. Results: Direct observation revealed that in 28.1% of meals with children at fast food restaurants, children used smartphones. Smartphone use was significantly higher in older children if their caregivers were younger than 30 years and when there was no caregiver-child interaction. In the adjusted model, higher patterns of smartphone use were associated with older children (aPR [95% CI]: 1.36[1.20-1.55]) and younger parents (aPR [95% CI]: 1.38[1.09-1.73]). Conclusions: Almost one in three meals with children at fast-food restaurants in Barcelona involves smartphone use. This finding underlines the importance of raising awareness of responsible screen use and promoting healthier environments for children at mealtimes. (Copyright © 2024 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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