关键词: 精细动作, 可疑发育迟缓, 早产, 年龄与发育进程问卷

Abstract: Objective To understand the prevalence of suspected developmental delay in fine motor among children aged 1~59 months in 8 counties of central and western China,and to explore its correlation with preterm. Methods A cross-sectional study with probability proportional to size sampling method was conducted in 8 counties of central and western China.A total of 1 927 children aged 1~59 months and their caregivers were investigated.Ages and Stages Questionnaires (ASQ) were used to detect the suspected developmental delay in fine motor.Multivariate Logistic regression model was applied to estimate the odds ratios and 95% confidence intervals (CI) after adjustment for potential confounding variables. Results The prevalence of suspected developmental delay in fine motor was 9.8%(95%CI:8.4%~11.1%).Preterm,family income below the poverty line and third or late parity were risk factors for suspected developmental delay in fine motor after adjusted by children's gender,months of age,nationality and caregiver's education,and the corresponding odds ratios were 2.69(95%CI:1.37~5.29),1.87(95%CI:1.24~2.83) and 1.74(95%CI:1.05~2.90) respectively. Conclusion Suspected developmental delay in fine motor among children in the surveyed areas deserves further attention,and preterm is a risk factor for suspected developmental delay in fine motor.

Key words: fine motor, suspected developmental delay, preterm, Ages and Stages Questionnaires