住宅社会人口评分和儿童成长
Ornit Cohen1,2, Natalya Bilenko2,3, Eytan Israel4,5
1Research and Innovation Authority, Wolfson Medical Center, Holon, Israel.
Paediatric and perinatal epidemiology
|August 2, 2025
概括
较低社会经济水平的住宅区的儿童表现出受损的成长轨迹,强调需要确定有风险的地区进行有针对性的干预,以改善儿童发展结果.
科学领域:
- 儿科健康 儿科健康
- 健康的社会经济决定因素
- 儿童发展 儿童发展
背景情况:
- 在儿童成长过程中,个别的社会经济因素得到了充分的研究.
- 住宅区的更广泛的区域级社会人口统计特征在儿童成长方面缺乏彻底的评估.
研究的目的:
- 检查住宅区的区域级社会人口统计特征与儿童成长轨迹之间的联系.
- 调查社区社会经济地位对儿童发展的影响.
主要方法:
- 基于人口的回顾性队列研究,对1,485,198名出生在以色列 (2004-2018) 的儿童进行了研究.
- 利用母亲和儿童健康诊所 (MCHC) 的数据进行产后随访和发展评估,直到6岁.
- 以色列统计局的社会人口评分与住宅区 (农村和城市微观地理区域) 有关.
- 从MCHC访问数据计算的高度与年龄 (HAZ) 和体重与年龄 (WAZ) 的z-score.
主要成果:
- 低社会经济地位 (SES) 地区的儿童与高SES地区的儿童相比,HAZ和WAZ得分始终较低.
- 在高和低SES区域 (分别为β=0.3和β=0.1) 之间观察到出生HAZ和WAZ得分的显著差异.
- 增长轨迹在较高的SES群体中显示出早期优势,随后出现平原,然后加速.
结论:
- 在较低的社会人口统计区域出现儿童生长障碍的证据支持了区域层面分析的重要性.
- 根据全球属性确定区域对于确定易患儿童生长障碍的地区至关重要,特别是在发达国家.
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