• Henish Shakya, Sharda Acharya, Shikhar Pradhan, and Divya Kc.
• Department of Pediatrics, KIST Medical College and Teaching Hospital, Mahalaxmi, Lalitpur, Nepal.
• JNMA J Nepal Med Assoc. 2023 Dec 1; 61 (268): 927930927-930.

IntroductionThe effects of problematic screen exposure in the early years have adverse effects on cognition, reasoning, executive, and social skills, and physical health. The study aimed to assess the prevalence of problematic screen exposure in children between 2 to 5 years of age visiting the Department of Paediatrics of a tertiary care centre.MethodsA descriptive cross-sectional study was conducted among caregivers of children aged 2 to 5 years of age in a tertiary care centre from 16 July 2023 to 30 September 2023 after an ethical clearance from the Institutional Review Committee. This study excluded children with chronic disease and behavioural disorders. The problematic screen exposure was assessed using the Problematic Screen Exposure Score. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.ResultsAmong 310 respondents, 216 (69.67%) (64.55-74.79, 95% Confidence Interval) children had a high problematic screen exposure score. The mean age of children was 3.46±1.033 with 89 (41.20%) children having their first exposure before 12 months of age, 131 (60.64%) exceeding daily usage of >2 hr, and 198 (91.66%) children viewing age-inappropriate media content.ConclusionsThe prevalence of high problematic screen exposure was comparable to that of the prevalence found in studies done in similar settings.Keywordschildren; preschool; screen time.

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