COVID-19 流行病与儿童早期发展之间的关联
Koryu Sato1,2, Taiyo Fukai3,4, Keiko K Fujisawa4,5
1Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
JAMA pediatrics
|July 10, 2023
概括
COVID-19大流行与5岁的早期儿童发育延迟有关,在此期间观察到更广泛的发育变异. 识别和支持受影响的儿童对于他们的福祉至关重要.
科学领域:
- 儿童发展 儿童发展
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 虽然COVID-19大流行对学业成绩的影响已有记录,但其对幼儿发展的影响仍然不太清楚.
- 这项研究解决了关于大流行与幼儿发育轨迹相关的知识差距.
研究的目的:
- 调查COVID-19流行病与儿童早期发育之间的关联.
- 为了比较在随访期间暴露于流行病的儿童的发育结果与未暴露的队列.
主要方法:
- 在日本的托儿所中进行了一项队列研究,对1岁和3岁的孩子进行了两年的跟踪.
- 由幼儿园教师使用儿童婴儿发育量表 (KIDS) 评估发育年龄.
- 儿童根据随访期间的流行病暴露情况进行分组.
主要成果:
- 暴露于大流行病的儿童在5岁时 (落后4.39个月) 显示出发育延迟,但在3岁时没有.
- 在大流行期间,所有儿童的发育变化都增加了,不论年龄.
- 托儿所护理的质量在疫情期间对3岁儿童的发展产生了积极的影响,而父母的抑郁症则加剧了5岁儿童的延迟.
结论:
- COVID-19大流行与5岁儿童的发育延迟有关,观察到发育变异性增加.
- 早期识别和对患有流行病相关发育迟缓的儿童提供全面支持至关重要.
- 干预措施应针对受影响儿童的学习,社会化,心理健康和家庭支持.
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