新生儿和婴儿的家庭与健康相关的社会需求6个月的行为功能
Chidiogo Anyigbo1,2, Chunyan Liu3, Shelley Ehrlich2,3,4
1Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
JAMA pediatrics
|December 26, 2023
概括
早期与健康相关的社会需求 (HRSN),如粮食不安全,与婴儿行为问题有关. 解决新生儿的HRSN对于促进婴儿的积极心理健康和发育至关重要.
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:
- 婴儿的行为模式可以预测后来的儿童心理健康障碍.
- 婴儿儿科症状检查清单 (BPSC) 确定了婴儿 (0-18个月) 的行为障碍指标.
- 了解早期与健康相关的社会需求 (HRSN) 和婴儿行为之间的联系对于及时干预至关重要.
研究的目的:
- 为了研究家庭HRSN在生命的前4个月和BPSC结果在6个月的年龄之间的关联.
主要方法:
- 纵向电子健康记录数据的回顾性队列分析.
- 后勤回归分析检查了HRSN域和HRSN数量与6个月BPSC结果的关联.
- 包括来自6个初级保健诊所的1541名5-8个月龄的婴儿.
主要成果:
- 26.3%的婴儿进行了BPSC临床检查;21.3%的婴儿报告至少有一种HRSN.
- 粮食不安全和福利问题是最常见的HRSNs.
- 粮食不安全与更高的不灵活性,日常生活困难和易怒性相关.
- 两个或两个以上的HRSN连续与更高的BPSC临床审查查几率有关.
结论:
- 家庭粮食不安全,福利问题和多个HRSN与6个月的BPSC结果有关.
- 紧急需要针对新生儿时期HRSN的干预措施,以防止婴儿的不良行为结果.
- 早期识别和管理HRSNs可以促进婴儿的积极心理健康.
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