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童年早期的不平等:儿童早期发展的风险和保护因素
Susan P Walker1, Theodore D Wachs, Sally Grantham-McGregor
1Tropical Medicine Research Institute, The University of the West Indies, Kingston, Jamaica. susan.walker@uwimona.edu.jm
Lancet (London, England)
|September 28, 2011
概括
早期的不良经历会影响儿童的大脑发育和终身不平等. 干预对于减轻风险和促进全球弱势儿童发展至关重要.
科学领域:
- 发育神经科学的发展神经科学.
- 公共卫生 公共卫生
- 儿童发展 儿童发展
背景情况:
- 早期不良经历的根源在于人口的不平等.
- 早期的生物学和心理社会因素极大地影响了大脑的发育.
- 由于关键的风险,数以百万计的幼儿无法达到他们的发展潜力.
研究的目的:
- 确定儿童早期发育的关键风险和保护因素.
- 为儿童早期发展计划和政策的优先设定提供信息.
- 为了使世界上最贫穷的儿童受益,并减少持续的不平等.
主要方法:
- 审查现有关于早期儿童发育风险和保护因素的研究.
- 强调加强已知风险因素的证据.
- 识别新出现的风险因素和保护因素.
主要成果:
- 之前确定的风险包括不充分的认知刺激,衰老,缺和缺铁性贫血.
- 确定了额外的风险:子宫内生长限制,疟疾,暴露,艾滋病毒,孕产妇抑郁症,制度化和社会暴力.
- 保护因素包括母乳养和孕产妇教育;关于产前营养,孕产妇压力和孕产妇艾滋病毒的新兴证据.
结论:
- 需要紧急干预,以减少儿童的风险暴露.
- 促进受影响儿童的发展至关重要.
- 基于证据的政策可以通过优先考虑儿童早期发展来减少不平等.
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