Objective To analyze the status and its influencing factors of home nurture environment (HNE) for children aged 5 - 6 and 11 - 12 months in Minhang district, Shanghai, in order to provide evidence for formulating targeted intervention strategies. Methods From June to October 2021, caregivers of children aged 5 - 6 and 11 - 12 months in the clinic of child health care were asked to conduct a questionnaire survey on their basic social demography and parenting behavior, and the 0 - 6 Years Child Home Nurture Environment Questionnaire(CHNEQ) for children aged 0 - 1 year was used to evaluate the parenting environment. The results of CHNEQ were compared in different age groups. The influencing factors of the CHNEQ were analyzed by ordered Logistic regression. Results A total of 1 152 children were included, including 573 (49.74%) boys and 579 (50.26%) girls, 589 (51.13%) infants aged 5 - 6 months and 563 (48.87%) infants aged 5 - 6 months. The detection rates of poor nurture environment in CHNEQ and its four dimensions, including perception/cognition, emotional warmth, neglect/restriction, interpersonal interaction/feeding were 3.47%, 4.60%, 6.42%, 8.07% and 7.20%, respectively. The detection rate of good nurture environment in neglect/restriction dimension was higher in 5- to 6-month-old infants than that in 11- to 12-month-old infants and moderate detection ratewas lower than that in11- to 12-month-old infants(χ2= 11.17, P=0.004), but the differences in other dimensions between 5- to 6-month-old infants and 11- to 12-month-old infants were not significant(P＞0.05). Children with per capita living area ＜30.58m2 (the per capita level of urban households in Shanghai in 2020) and per capita monthly income ＜10 000RMB,poor family relations, screen exposure, parent-child interaction time ＜2h/d and physical activity restriction ＞1h/time in the past month, had a higher risk of poor HNE (OR=1.51, 1.55, 2.68, 1.42, 1.35, 2.25, P＜0.05). Conclusions In Minhang district, the detection rate of poor HNE in children aged 5 - 6 months and 11 - 12 months is generally low. The detection rate of poor nurture environment in infants varies in different age groups, and the home nurture environment in 11- to 12-month-old infants is poor. In a word, HNE is affected by many risk factors, so targeted intervention strategies should be adopted to improve parents′ parenting skills, avoid risk factors, create a good environment, and promote healthy development in early childhood.
Key words
5-6 months old /
11-12 months old /
home nurture environment
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