一项回顾性队列研究分析了COVID-19大流行期间早期儿童发育的变化
Sahar Romem1, Maja Katusic2, Chung-Il Wi3
1Division of Pediatric Hospital Medicine; Mayo Clinic, 200 First St SW, Rochester, MN, 55905, United States of America.
Early human development
|March 29, 2024
概括
在COVID-19大流行期间,儿童早期发育 (ECD) 结果总体保持稳定. 然而,某些高危子组,包括男性和西班牙裔儿童,表现出发育里程碑成就的下降,可能会加剧现有的不平等.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 儿童早期发展 (ECD) 对长期结果至关重要.
- COVID-19大流行给家庭和医疗保健系统带来了前所未有的挑战.
- 了解大流行对ECD的影响对于有针对性的干预至关重要.
研究的目的:
- 在COVID-19大流行之前和期间,检查不同小组的早期儿童发展 (ECD) 结果.
- 为了确定特定的人群不成比例地受到流行病相关的发育变化影响.
- 用幼儿福利调查 (SWYC) 来评估发展里程碑成就的变化.
主要方法:
- 追溯队列研究分析了3-58个月龄的儿童的SWYC数据.
- 数据分为大流行前 (2018年9月至2020年2月) 和大流行期间 (2020年9月至2022年2月) 的阶段.
- 逻辑回归与重复测量用于比较阶段和子组之间的发展里程碑分数.
主要成果:
- 在大流行前和大流行期间 (OR 0.99) 之间没有观察到总体发育里程碑成就的显著差异.
- 遇到发展里程碑的几率下降的子组包括男性,西班牙裔/拉丁裔种族,特定年龄组 (24,30,36个月),医疗补助受益者和需要口译者的人.
- 确定的其他风险群体是单亲家庭,年轻的孕产妇年龄,孕产妇吸毒以及特定的种族/族裔少数群体.
结论:
- 虽然整体ECD结果稳定,但大流行加剧了脆弱子组的发展不平等.
- 针对高风险人群提供有针对性的支持是必要的,以减轻与流行病相关的儿童发育差异.
- 调查结果突出显示,不理想的发育结果分布不均,强调需要解决影响儿童发育的系统因素.
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