在寄养护理的患者中,产前物质暴露和积极的发育迟缓查
Lauren Q Malthaner1,2, Jill D McLeigh3, Gregory Knell4
1Department of Epidemiology, University of Texas Health Science Center School of Public Health, Dallas, TX.
概括
在寄养家庭接受产前物质暴露 (PSE) 的儿童面临更高的发育延迟风险. 那些患有PSE和早产的人面临最大的风险,突出了针对性查的必要性.
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:
- 产前物质暴露 (PSE) 与不利的出生和神经发育结果有关.
- 寄养儿童的PSE和发育迟缓率高于一般人群.
研究的目的:
- 为了调查发育迟缓查在寄养儿童与没有PSE的差异.
- 确定与PSE相互作用的特定风险因素,包括早产.
主要方法:
- 对975名寄养儿童 (2018-2021) 的医疗记录进行了回顾性分析.
- 考克斯比例危险回归用于发育迟缓查分析.
- 对性别,种族,种族,早产和护理人员类型进行了控制;检查了PSE相互作用.
主要成果:
- 60.4%的儿童患有PSE; 62.6%的儿童接受了发育迟缓查,结果呈阳性.
- 没有早产的PSE增加了延迟查危险的1.14倍.
- 随着早产的PSE,延迟查的危险增加了2.01倍.
结论:
- 寄养儿童患有PSE有增加发育迟缓的风险.
- PSE和早产的结合显著增加了这种风险.
- 考虑PSE和早产的相互作用对于有效的发育迟缓查至关重要.
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