Current situationand influencing factors of screening for early warning signs of mental and behavioral development in preschool children in Guiyang City

QIN Huiling; LUO Yan; ZHU Yan; SHEN Chengwei; ZHANG Jiacai; ZHOU Xin; JIN Lifang; ZHANG Fan

doi:10.11852/zgetbjzz2024-0973

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Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (4) : 383-389. DOI: 10.11852/zgetbjzz2024-0973

Current situationand influencing factors of screening for early warning signs of mental and behavioral development in preschool children in Guiyang City

QIN Huiling¹, LUO Yan^1,2, ZHU Yan¹, SHEN Chengwei², ZHANG Jiacai¹, ZHOU Xin¹, JIN Lifang³, ZHANG Fan³

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Abstract

Objective To investigate the current status of early warning signs screening for psychobehavioral development among preschool children in Guiyang and its influencing factors, in order to provide a basis for promoting healthy child development and formulating preventive and control measures. Methods From May to July 2024, a stratified cluster random sampling method was used to investigate 1 668 children aged 3 to 6 years and their primary caregivers in 11 community health service centers/township hospitals in three districts and counties of Guiyang. The primary caregivers completed questionnaires on general information, the Chinese version of the Parent-Child Interaction Questionnaire, the Parenting and Family Adaptation Scale, and the Home Nurture Environment Scale for Children aged 3 - 6. Children were screened for psychobehavioral development problems using early warning signs. The χ² test and Wilcoxon rank-sum test were used for comparison of differences, and multivariate analysis was conducted using logistic regression analysis. Results The positive detection rate of early warning signs among children aged 3 to 6 years was 5.6%, with fine motor development issues being prominent, accounting for 6.2%, 3.5%, 2.5%, and 1.7% at 3、4、5、6 age groups, respectively. Age (χ²=13.675), maternal education level (χ²=6.743), parenting skills (Z=2.266), encouraging parenting (Z=2.171), parental adaptation (Z=2.690), neglect/punishment/interference (Z=-2.322) were associated with the positive detection rate of early warning signs in children (P<0.05). Multivariate analysis showed that being 3 years old (OR=3.441) and 4 years old (OR=2.362), maternal education(high school or college OR=3.113, junior high school education or below OR=2.623), and premature (OR=2.241) were positively correlated with positive early warning signs in children (P<0.05). High and medium levels of parenting skills (OR=0.515, 0.537) were negatively correlated with positive early warning signs in children (P<0.05). Conclusions The issue of psychobehavioral development among preschool children in Guiyang still requires attention. Child health professionals should provide targeted health education to caregivers based on the characteristics of each age group and enhance their parenting skills, thereby improving the family rearing environment and promoting healthy child development.

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preschooler / psychological and behavioral development / early warning signs / developmental screening

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QIN Huiling, LUO Yan, ZHU Yan, SHEN Chengwei, ZHANG Jiacai, ZHOU Xin, JIN Lifang, ZHANG Fan. Current situationand influencing factors of screening for early warning signs of mental and behavioral development in preschool children in Guiyang City[J]. Chinese Journal of Child Health Care. 2025, 33(4): 383-389 https://doi.org/10.11852/zgetbjzz2024-0973

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