Abstract: Objective To examine the relationships between household income, parenting confidence, and responsive caregiving among caregivers of high-risk infants aged 0 - 3 years, in order to provide evidence to support rehabilitation interventions for this population. Methods A cross-sectional survey was conducted among 361 high-risk infants (aged 0 - 3 years) who attended the early intervention clinic at Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University between October 2023 and February 2024.Data were collected using a general information questionnaire, the Karitane Parenting Confidence Scale (KPCS), and the Infant-Toddler Responsive Caregiving Scale (IT-RCS).The relationships among household income, parenting confidence, and responsive caregiving were analyzed, and a structural equation model (SEM) was employed to test the mediating role of parenting confidence in the association between household income and responsive caregiving. Results 1) The total score for parenting confidence in high-risk children is 40.20±3.93, and the total score for responsive care is 66.56±12.33.2) Household income was significantly positively correlated with total parenting confidence scores (r=0.119, P<0.05) and total responsive caregiving scores (r=0.215, P<0.01). Parenting confidence scores was also significantly positively correlated with responsive caregiving scores (r=0.451, P<0.01).3) Household income significantly predicted responsive caregiving (β=0.398, P=0.006).Parenting confidence partially mediated the relationship between household income and responsive caregiving (β=0.154, P=0.021), accounting for 27.90% of the total effect. Conclusions Parenting confidence partially mediates the association between household income and responsive caregiving in caregivers of high-risk children aged 0 - 3 years.Healthcare professionals should focus on enhancing caregivers′ parenting confidence to improve responsive caregiving practices.

Key words: high-risk children, responsive caregiving, parenting confidence, household income, mediating effect

摘要： 目的 探讨0～3岁高危儿家庭收入、育儿信心、回应性照护之间的关系,为促进高危儿的康复干预提供参考依据。 方法 采用横断面调查,抽取2023年10月—2024年2月在南京市妇幼保健院早期干预康复门诊体检的0～3岁高危儿361例,采用一般资料调查表、卡瑞坦尼育儿信心量表和婴幼儿回应性照护量表进行问卷调查。分析家庭收入、育儿信心、回应性照护之间的关系,并采用结构方程模型检验家庭收入在育儿信心和回应性照护之间的中介效应。 结果 1)高危儿育儿信心总分为40.20±3.93,回应性照护总分为66.56±12.33;2)高危儿家庭收入与育儿信心总分(r=0.119,P＜0.05)和回应性照护总分(r=0.215,P＜0.01)均呈正相关,高危儿照护者育儿信心总分与回应性照护总分呈正相关(r=0.451,P＜0.01);3)高危儿家庭收入是回应性照护的重要预测变量(β=0.398,P=0.006),高危儿育儿信心在家庭收入和回应性照护之间起部分中介效应(β=0.154,P=0.021),中介效应占总效应的27.90%。 结论 0～3岁高危儿照护者的育儿信心在家庭收入和回应性照护水平之间发挥部分中介作用,儿童保健人员可通过加强高危儿照护者的育儿信心促进其回应性照护水平。

关键词: 高危儿, 回应性照护, 育儿信心, 家庭收入, 中介作用