出生时基于地点的儿童机会和从婴儿期到4岁的儿童发展
Diane L Putnick1, Erin M Bell2, Jordan Tyris3
1Epidemiology Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.
The Journal of pediatrics
|January 14, 2024
概括
更高的社区机会与更好的儿童发展结果有关. 改善社区资源可能会降低幼儿发育迟缓的风险,帮助早期干预工作.
科学领域:
- 儿科健康 儿科健康
- 健康的社会决定因素
- 儿童发展 儿童发展
背景情况:
- 社区质量是健康的关键基于地点的社会决定因素.
- 了解其对早期儿童发育的影响对于公共卫生倡议至关重要.
研究的目的:
- 调查儿童社区质量与4岁以下发育迟缓之间的关联.
- 评估4岁时邻居机会和发展表现之间的关系.
主要方法:
- 利用了来自北方州KIDS研究的数据,这是一个超过5700名儿童的纵向队列.
- 将儿童机会指数2.0与参与者的出生人口普查卷联系起来.
- 使用年龄和阶段调查问卷评估发育迟缓,使用Battelle发育清单评估发育表现.
主要成果:
- 更高的邻居机会与较低的发育迟缓几率有关,特别是在个人-社会领域.
- 改善邻里质量与4岁时在运动,个人-社会和适应性领域的更好的发育表现相关.
- 在调整了家庭层面的混变量后,这些关联仍然存在.
结论:
- 社区层面的机会对儿童入学前的发展方面有很大影响.
- 社区质量可以作为一个有价值的指标,为儿科提供者指导有针对性的发育查.
- 通过考虑社区特征等社会决定因素,可以提高对发育迟缓的早期识别和干预.
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