与怀疑泰国儿童发育迟缓相关的因素 泰国儿童出生时体重低或窒息
Duangkamol Tangviriyapaiboon1,2, Vallop Thaineua3, Samai Sirithongthaworn2
1Rajanagarindra Institute of Child Development, Chiang Mai, Thailand.
Maternal and child health journal
|November 8, 2023
概括
泰国的高风险儿童出生体重低或出生窒息,面临更高风险的怀疑发育迟缓 (SDD). 早期监测和干预对于这些弱势群体至关重要.
科学领域:
- 儿童发展 儿童发展
- 公共卫生 公共卫生
- 新生儿护理 新生儿护理
背景情况:
- 发育迟缓 (DD) 对儿童和医疗保健系统构成重大挑战.
- 识别高风险人群对于早期干预和改善结果至关重要.
- 泰国需要了解和解决导致儿童发育迟缓的因素.
研究的目的:
- 确定与泰国高风险儿童怀疑发育迟缓 (SDD) 风险相关的关键因素.
- 为脆弱婴儿提供有针对性的查和干预策略的信息.
- 为了减少未被发现的发育迟缓的长期影响.
主要方法:
- 利用泰国Rajanagarindra儿童发展研究所的数据进行发育迟缓 (DD) 查.
- 包括14,314名5岁以下的儿童,患有出生体重低 (<2500克) 和/或出生窒息等危险因素.
- 在2013年8月至2019年11月期间使用开发评估干预手册 (DAIM) 进行评估.
主要成果:
- 过早出生 (怀孕<37周) 的儿童患SDD的风险增加 (aOR=1.54).
- 低出生体重 (<2500克) 与较高的SDD风险相关 (aOR=1.22).
- 母亲因素,包括教育程度较低,营养状况不佳,生活在高海拔地区也增加了SDD风险.
结论:
- 低出生体重和出生窒息是儿童发育迟缓的重要危险因素.
- 建议对社区卫生工作者进行监测和推广战略,特别是在服务不足的地区.
- 政策制定和早期干预对于缓解迟到DD检测所产生的问题至关重要.
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