目的 了解广州市黄埔区社区婴幼儿社会认知发展状况及其影响因素。方法 本研究为横断面研究。选取广州市黄埔区3个社区卫生服务中心6~36月婴幼儿450例, 使用婴幼儿社会认知发展筛查量表(中文版)及自编影响因素问卷进行筛查, 统计和分析婴幼儿社会认知发展状况及其相关因素。结果 1)本样本筛查婴幼儿社会认知发展落后率为5.6%, 男女比例1∶1, 社会认知落后情况主要分布在运动发育、适应行为和语言发育三个领域 (P＜0.001);2)父母每天与子女相处时间少(＜4 h)、母亲孕期情绪不良和父亲性格内向为儿童社会认知发展落后的影响因素。结论 婴幼儿社会认知发展落后情况并非罕见, 在社区工作中应引起重视。同时, 分析出的影响因素可为社区卫生服务工作提供针对性建议。

Objective To learn infants social cognitive development status and its influencing factors in Huangpu District community of Guangzhou. Methods In this cross-sectional study, 450 children aged 6~36 months were selected from 3 community health service centers of Huangpu District in Guangzhou City, who were screened with the Screening Scale of Social Cognitive Development of infants and young children and the self-designed questionnaire to get the status and related factors. Result 1)The percentage of screened positive for infants social cognitive development was 5.6%.The sex ratio of male to female was 1∶1.The social cognitive backward mainly distributed in motor development, adaptive behavior and language development(P＜0.001).2) Parents little time to spend with their children every day (＜4 h), the bad mood of the mother during pregnancy and father introverted were influencing factors to social cognitive development behind in infants. Conclusions Backward situation of social cognitive development of infants is not uncommon so that we should pay attention to it in community work.At the same time, the influencing factors may provide targeted recommendations for community health services.