{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:47:12Z","timestamp":1760237232214,"version":"build-2065373602"},"reference-count":26,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2020,3,13]],"date-time":"2020-03-13T00:00:00Z","timestamp":1584057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Children\u2019s screen-viewing behavior is influenced by parents\u2019 own screen-viewing hours and the parental rules set for screen-viewing time. However, whether childhood obesity is associated with these three factors has not been widely investigated in Chinese populations. We examined the relationships between parental rules, parental screen-viewing, child screen-viewing and child overweight. Questionnaires were distributed to 1300 parents who had children studying in two elementary schools in an eastern Taiwanese City (Yi-Lan). We collected the data (the final response rate was 77.7%) on children\u2019s health states, the length of screen-viewing time, and whether parental rules of screen-viewing time have been set (n = 1005). Models using structural equation modeling, with controlling of age, gender, and physical activity of the participants, were carried out, to examine the mediated effect of child screen-viewing. The results of model testing showed that child screen-viewing could be a mediator in the associations between parental rule and child overweight (parental rule: coefficient = \u22120.18, p &lt; 0.001); and between parent screen-viewing and child overweight (parent screen-viewing: coefficient = 0.072, p &lt; 0.001). These findings suggested that parental factors (rules and little screen viewing time) effectively decreased the level of children\u2019s screen-viewing time, and the child screen-viewing time could mediate the association between parental factors and child overweight in the Chinese population.<\/jats:p>","DOI":"10.3390\/ijerph17061878","type":"journal-article","created":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T08:20:44Z","timestamp":1584519644000},"page":"1878","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Exploring Mediation Roles of Child Screen-Viewing between Parental Factors and Child Overweight in Taiwan"],"prefix":"10.3390","volume":"17","author":[{"given":"Yi-Ching","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Early Childhood and Family Education, College of Education, National Taipei University of Education, Taipei 10671, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1057-3315","authenticated-orcid":false,"given":"Meng-Che","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2934-5382","authenticated-orcid":false,"given":"Carol","family":"Strong","sequence":"additional","affiliation":[{"name":"Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8218-2228","authenticated-orcid":false,"given":"Yi-Ping","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Social Work, College of Nursing and Professional Disciplines, University of North Dakota, Grand Forks, ND 58202, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2129-4242","authenticated-orcid":false,"given":"Chung-Ying","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7056-4862","authenticated-orcid":false,"given":"Clara S. C.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,3,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e89","DOI":"10.1542\/peds.2009-3374","article-title":"Influence of limit-setting and participation in physical activity on youth screen time","volume":"126","author":"Carlson","year":"2010","journal-title":"Pediatrics"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1001\/2013.jamapediatrics.122","article-title":"Physical activity and screen-time viewing among elementary school\u2013aged children in the United States from 2009 to 2010","volume":"167","author":"Fakhouri","year":"2013","journal-title":"JAMA Pediatrics"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1186\/1471-2458-12-104","article-title":"Stability and change in screen-based sedentary behaviours and associated factors among Norwegian children in the transition between childhood and adolescence","volume":"12","author":"Gebremariam","year":"2012","journal-title":"BMC Public Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e193","DOI":"10.1542\/peds.2010-2353","article-title":"A meta-analysis of interventions that target children\u2019s screen time for reduction","volume":"128","author":"Maniccia","year":"2011","journal-title":"Pediatrics"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1089\/chi.2013.0043","article-title":"The family context of low-income parents who restrict child screen time","volume":"9","author":"Lampard","year":"2013","journal-title":"Child. Obes."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1046\/j.1467-789x.2001.00036.x","article-title":"Childhood overweight: A contextual model and recommendations for future research","volume":"2","author":"Davison","year":"2001","journal-title":"Obes. Rev."},{"key":"ref_7","first-page":"A105","article-title":"Associations of American Indian children\u2019s screen-time behavior with parental television behavior, parental perceptions of children\u2019s screen time, and media-related resources in the home","volume":"8","author":"Fulkerson","year":"2011","journal-title":"Prev. Chronic Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1186\/1471-2458-14-1261","article-title":"How parents can affect excessive spending of time on screen-based activities","volume":"14","author":"Brindova","year":"2014","journal-title":"BMC Public Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e1303","DOI":"10.1542\/peds.2006-0732","article-title":"Reducing children\u2019s television-viewing time: A qualitative study of parents and their children","volume":"118","author":"Jordan","year":"2006","journal-title":"Pediatrics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.ypmed.2010.05.013","article-title":"Parental influences on television watching among children living on the Texas\u2013Mexico border","volume":"51","author":"Springer","year":"2010","journal-title":"Prev. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1111\/j.1467-8721.2009.01653.x","article-title":"The role of parental control in children\u2019s development in Western and East Asian countries","volume":"18","author":"Pomerantz","year":"2009","journal-title":"Curr. Dir. Psychol. Sci."},{"key":"ref_12","unstructured":"Triandis, H.C. (1994). Culture and Social Behaviour, McGraw-Hill College."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1111\/j.1467-8624.2011.01582.x","article-title":"Parents\u2019 involvement in children\u2019s learning in the United States and China: Implications for children\u2019s academic and emotional adjustment","volume":"82","author":"Cheung","year":"2011","journal-title":"Child Dev."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1525\/eth.1995.23.3.02a00030","article-title":"Chinese and European American cultural models of the self reflected in mothers\u2019 childrearing beliefs","volume":"23","author":"Chao","year":"1995","journal-title":"Ethos"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e017086","DOI":"10.1136\/bmjopen-2017-017086","article-title":"Associations of caesarean delivery and the occurrence of neurodevelopmental disorders, asthma or obesity in childhood based on Taiwan birth cohort study","volume":"7","author":"Chen","year":"2017","journal-title":"BMJ Open"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1007\/s10826-018-1247-5","article-title":"Insufficient physical activity and overweight: Does caregiver screen-viewing matter?","volume":"28","author":"Lin","year":"2019","journal-title":"J. Child Fam. Stud."},{"key":"ref_17","first-page":"601","article-title":"Prevalence of obesity and its comorbidities among schoolchildren in Taiwan","volume":"16","author":"Chu","year":"2007","journal-title":"Asia Pac. J. Clin. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1177\/0193841X8100500502","article-title":"Process analysis: Estimating mediation in treatment evaluations","volume":"5","author":"Judd","year":"1981","journal-title":"Eval. Rev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"290","DOI":"10.2307\/270723","article-title":"Asymptotic confidence intervals for indirect effects in structural equation models","volume":"13","author":"Sobel","year":"1982","journal-title":"Sociol. Methodol."},{"key":"ref_20","unstructured":"(2017, August 11). Package \u2018Lavaan\u2019. Available online: https:\/\/cran.r-project.org\/web\/packages\/lavaan\/lavaan.pdf."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"S254","DOI":"10.1542\/peds.2007-2329F","article-title":"Recommendations for treatment of child and adolescent overweight and obesity","volume":"120","author":"Spear","year":"2007","journal-title":"Pediatrics"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1111\/j.1467-789X.2012.01055.x","article-title":"Gender difference of childhood overweight and obesity in predicting the risk of incident asthma: A systematic review and meta-analysis","volume":"14","author":"Chen","year":"2013","journal-title":"Obes. Rev."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1089\/chi.2015.0001","article-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","volume":"11","author":"Asplund","year":"2015","journal-title":"Child. Obes."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Schoeppe, S., Rebar, A.L., Short, C.E., Alley, S., Van Lippevelde, W., and Vandelanotte, C. (2016). How is adults\u2019 screen time behaviour influencing their views on screen time restrictions for children? A cross-sectional study. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-2789-3"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e010355","DOI":"10.1136\/bmjopen-2015-010355","article-title":"Managing the screen-viewing behaviours of children aged 5\u20136 years: A qualitative analysis of parental strategies","volume":"6","author":"Jago","year":"2016","journal-title":"BMJ Open"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1001\/jamapediatrics.2014.146","article-title":"Protective effects of parental monitoring of children\u2019s media use: A prospective study","volume":"168","author":"Gentile","year":"2014","journal-title":"JAMA Pediatrics"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/6\/1878\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T09:06:45Z","timestamp":1760173605000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/6\/1878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,13]]},"references-count":26,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2020,3]]}},"alternative-id":["ijerph17061878"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17061878","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2020,3,13]]}}}