高风险社区和极度早产的儿童的行为结果
Ogochukwu Y Nwanne1,2,3, Michelle L Rogers4, Elisabeth C McGowan1,2
1Division of Neonatal Medicine, Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Acta paediatrica (Oslo, Norway : 1992)
|April 10, 2024
概括
高风险社区的极端早产儿表现出增加的行为问题. 认知迟缓也是一种危险因素,但母乳可能会提供保护.
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:
- 极度早产 (EPT) 儿童面临的发展挑战.
- 邻居社会经济因素可以影响儿童的发展和行为.
- 了解这些影响对于有针对性的干预至关重要.
研究的目的:
- 调查EPT儿童邻居风险和行为结果之间的关联.
- 为了确定生活在高风险社区是否会增加30-36个月纠正年龄的行为问题的可能性.
主要方法:
- 对2005-2016年间出生的739名EPT的儿童行为检查清单 (CBCL) 评分进行了回顾性分析.
- 地址的地理编码,以根据人口普查区组分类社区为高风险或低风险.
- 回归分析评估邻里风险对行为结果的影响,控制其他因素.
主要成果:
- 高风险社区的孩子 (39%) 的临床范围行为问题几率明显更高,包括情绪反应,体质投诉,退缩,侵略行为,内化和总分.
- 认知延迟在高风险社区更为普遍,并且与注意力问题独立相关.
- 出院时母乳养显示出对情绪反应和睡眠问题的保护作用.
结论:
- 邻居风险是EPT儿童不良行为结果的独立贡献者.
- 认知延迟代表了行为问题的一个额外的,独立的风险因素.
- 出院时的母乳摄入表明具有保护作用,强调了它对EPT儿童发育的重要性.
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