童年不良经历和美国幼儿的发育迟缓
Carleigh Nivens1, Eleanor Bimla Schwarz2, Rosa Rodriguez3
1Pediatric Residency Program, University of California San Francisco Benioff Oakland Children's Hospital, Oakland, CA, USA.
Maternal and child health journal
|December 23, 2023
概括
童年不良经历 (ACE) 增加了幼儿发育迟缓的风险. 建议对ACE和发育迟缓进行早期查,以支持脆弱儿童.
科学领域:
- 儿科健康 儿科健康
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 童年不良经历 (ACE) 是普遍存在的,并且与不良的发育结果有关.
- 早期的生活逆境可能会对儿童发育产生负面影响,需要进一步调查具体的风险和保护因素.
研究的目的:
- 检查早期ACE暴露与幼儿发育迟缓诊断之间的关联.
- 研究促进健康的行为,如母乳养和日常阅读,对这些关系的影响.
- 评估与ACE相关的发育迟缓服务的接收情况.
主要方法:
- 来自2017-2018年全国儿童健康调查的全国代表性数据的横截面分析.
- 涉及7837名年龄在3-5岁的儿童.
- 使用多变量逻辑回归来分析ACE,母乳养,每日读数和发育迟缓之间的关系,并对共变量进行调整.
主要成果:
- 在ACE和发育延迟诊断之间观察到剂量依赖的关系.
- 与没有ACE的儿童相比,一个ACE (aOR=2.03) 或两个或更多ACE (aOR=2.34) 的儿童患发育迟缓的可能性更高.
- 无论是母乳养还是每日阅读都没有显示出与发育迟缓的发生率有显著的关联,也没有基于ACE状态的服务接收有显著差异.
结论:
- 非常早期接触ACE会增加儿童发育迟缓诊断的风险.
- 实施ACE和发育迟缓的早期查对于减轻风险儿童潜在的负面发育影响至关重要.
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