目的 分析1.5～2月龄时的早期亲子互动对6月龄和12月龄婴儿社会性反应的影响,为促进儿童早期发展提供科学指导。方法 本次研究选取截止2019年1月完成1.5～2月龄、6月龄和12月龄随访的母亲及其婴儿。在1.5～2月龄时评价亲子互动行为,6月龄和12月龄时评价婴儿的社会性反应。结果 单因素分析显示,母亲分娩年龄≥35岁、有产后抑郁、婴儿早产及低出生体重组的早期亲子互动得分显著性低。多因素Logistic回归分析发现,早期亲子互动较少是6月龄和12月龄婴儿社会性反应总体能力发育不良的危险因素,调整可能的混杂因素后各维度OR值和95%CI分别为:6月龄应人-应物1.36(1.06～1.75),游戏性反应1.39(1.08～1.78),自主运动1.49(1.12～1.99);12月龄应人-应物1.46(1.05～2.04),自主运动1.52(1.09～2.13)。结论 1.5～2月龄早期亲子互动较少会显著增加6月龄婴儿社会性反应发育不良的风险,并且会持续影响到12月龄婴儿发育。
Abstract
Objective To analyze the effects of early parent-child interaction at 1.5―2 months on the sociality performance of infants at the age of 6 and 12 months old,so as to provide scientific guidance for promoting early child development. Methods Mothers and infants who were followed up for 1.5―2 months,6 months and 12 months old till January 2019 were enrolled in this study.The parent-child interaction behavior was evaluated at the age of 1.5 to 2 months old,and the sociality performance of infants was evaluated at the age of 6 months and 12 months old. Results Univariate analysis showed that the early parent-child interaction scored lower in groups of maternal delivery age≥35 years old,postpartum depression,premature birth and low birth weight(P＜0.05).Multivariate Logistic regression analysis showed that less early parent-child interaction was a risk factor for the overall dysplasia of sociality performance in infants aged 6 months[responding to people and things(OR=1.36,95% CI:1.06―1.75),the game reaction(OR=1.39,95% CI:1.08―1.78) and autonomous movement(OR=1.49,95% CI:1.12―1.99)].Moreover,less early parent-child interaction was a risk factor for the overall dysplasia of sociality performance in infants aged 12 months[responding to people and things(OR=1.46,95% CI:1.05―2.04) and autonomous movement(OR=1.52,95% CI:1.09―2.13)]. Conclusion Less early parent-child interaction at 1.5 to 2 months old significantly increase the risk of sociality performance dysplasia in infants at the age of 6 months old,and this impact will continue to affect the development of infants at the age of 12 months old.
关键词
早期亲子互动 /
社会性反应 /
婴儿
Key words
early parent-child interaction /
sociality performance /
infant
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基金
上海市“高峰高原”计划Ⅰ类高峰学科建设计划(2015-2017);上海市地方高水平高校试点建设项目(2018-2020);上海市公共卫生重点学科建设计划项目(15GWZK0402)
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