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TV, computer, tablet and smartphone use and autism spectrum disorder risk in early childhood: a nationally-representative study

Abstract : Background: Screen media use in early childhood has largely increased in recent years, even more so during the COVID-19 epidemic, and there is much discussion regarding its influence on neurodevelopment, including Autism Spectrum Disorder (ASD). Methods: We examined the relationship between use of TV, computer, tablet and smartphone at age 2 years and risk of ASD assessed in telephone-based questionnaires among 12,950 children participating in the nationally representative ELFE ('Etude Longitudinale Française sur les Enfants') birth cohort study in France. Results: In inverse-probability weighted (IPW) multinomial regression analyses, children's weekly or daily screen media use was associated with an increased likelihood of an intermediate risk of ASD (IPW-controlled OR for weekly use:1.07, 95% CI 1.02-1.12; IPW-controlled OR for daily use:1.05, 95% CI 1.02-1.08) but inversely associated with a high risk (IPW-controlled OR for weekly use: 0.60, 95% CI 0.50-0.73; IPW-controlled OR for daily use: 0.75, 95% CI 0.62-0.91), as ascertained by the M-CHAT. This was confirmed when studying TV as well as computer/tablet exposure separately. Conclusions: Overall, our nationally-representative study conducted among a large sample of 2-year-old children, indicates a complex relationship between screen exposure and ASD risk.
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https://www.hal.inserm.fr/inserm-03693169
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Submitted on : Friday, June 10, 2022 - 11:52:28 AM
Last modification on : Tuesday, June 28, 2022 - 10:19:25 AM

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Maria Melchior, Katharine Barry, David Cohen, Sabine Plancoulaine, Jonathan Bernard, et al.. TV, computer, tablet and smartphone use and autism spectrum disorder risk in early childhood: a nationally-representative study. BMC Public Health, BioMed Central, 2022, 22 (1), pp.865. ⟨10.1186/s12889-022-13296-5⟩. ⟨inserm-03693169⟩

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