目的 了解中国中西部8县1~59月龄儿童精细动作可疑发育迟缓状况并探讨其与早产的关系。方法 采用横断面研究和按容量比例概率抽样法,调查中国中西部地区8个县的1 927名1~59月龄儿童及其主要看护人,使用年龄与发育进程问卷(ASQ)评价其精细动作可疑发育迟缓状况。运用多因素Logistic回归分析,计算调整混杂因素后的比值比(OR)和95%置信区间(CI)。结果 被调查地区儿童精细动作可疑发育迟缓率为9.8%(95%CI:8.4%~11.1%)。控制了儿童性别、月龄、民族、主要看护人文化程度等因素后,早产、家庭人均纯收入低于国家贫困线、孩次≥3是儿童精细动作可疑发育迟缓的危险因素,OR值分别为2.69(95%CI:1.37~5.29)、1.87(95%CI:1.24~2.83)、1.74(95%CI:1.05~2.90)。结论 被调查地区儿童精细动作可疑发育迟缓状况需要关注,早产是其危险因素。
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.
关键词
精细动作 /
可疑发育迟缓 /
早产 /
年龄与发育进程问卷
Key words
fine motor /
suspected developmental delay /
preterm /
Ages and Stages Questionnaires
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基金
联合国儿童基金会“Health,Nutrition and WASH”(501)
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