卫生卫生婴儿营养效率 (SHINE) 试验:学龄儿童后续监测协议
Joseph D Piper1,2, Clever Mazhanga2, Marian Mwapaura2
1Blizard Institute, Queen Mary University of London, London, England, UK.
Wellcome open research
|November 30, 2023
概括
这项研究跟踪从SHINE试验中的儿童进入学龄,以评估早期干预对健康和发育的长期影响. 调查结果将为未来的儿童健康战略提供信息.
科学领域:
- 全球健康 全球健康
- 发育儿科 发育儿科
- 公共卫生干预 公共卫生干预
背景情况:
- 对早期衰老干预试验的长期跟踪对于了解持续影响至关重要.
- 需要进行全面的学龄评估,以全面评估早期干预对儿童发育的影响.
- 卫生卫生婴儿营养效率 (SHINE) 试验为此类长期评估提供了一个独特的队列.
研究的目的:
- 评估参与SHINE试验的儿童的长期健康,生长,身体和认知功能结果.
- 确定改善婴儿和幼儿养 (IYCF) 和/或水,环境卫生和卫生 (WASH) 干预措施的持续影响.
- 探索早期暴露,母亲的艾滋病毒状况以及当代因素对学龄结局的影响.
主要方法:
- 在7-8岁时对来自SHINE试验的1,275名儿童的随访.
- 利用学龄健康,活动,弹性,人体测量和神经认知 (SAHARAN) 工具箱进行综合评估.
- 收集了关于人口统计,社会经济地位,逆境,抚养和粮食/水不安全的护理人员数据;每月收集的病率数据.
主要成果:
- 开发新的指标:COG-SAHARAN (认知),GROW-SAHARAN (增长) 和 SUB-SAHARAN (组合功能).
- 探索性因素分析,以简化评估指标.
- 每年使用撒哈拉以南地区工具箱进行评估,计划从8-12岁开始.
结论:
- 该研究为早期干预的长期跟踪建立了一个框架.
- 撒哈拉的工具箱和衍生指标提供了对学龄儿童评估的综合方法.
- 调查结果将为公共卫生政策和针对低资源环境中儿童发展的干预措施提供信息.
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