早产儿所获得的学校支持的神经发育和社会决定因素
Anna-Veera Seppänen1, Véronique Pierrat2,3, Laetitia Marchand-Martin2
1Université Paris Cité, INSERM UMR 1153, Centre for Research in Epidemiology and Statistics (CRESS), Obstetric, Perinatal, Paediatric Life Course Epidemiology Research Team (OPPaLE), Paris, France. anna-veera.seppanen@inserm.fr.
Pediatric research
|August 5, 2025
概括
神经发育障碍显著影响法国对早产儿的学校支持. 然而,许多儿童,尤其是中度到重度障碍儿童,没有得到足够的支持,这表明潜在的未满足需求.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 教育心理学教育心理学
背景情况:
- 过早分娩增加神经发育障碍的风险,可能会影响学业成绩.
- 社会脆弱性可能会加剧这些挑战在学龄儿童.
- 了解学校支持的获取对于这一群体至关重要.
研究的目的:
- 描述法国早产儿的学校支持拨款.
- 确定影响学校获得支持的关键决定因素.
- 评估这个弱势群体在支持服务中的潜在缺口.
主要方法:
- 法国基于人口的EPIPAGE-2队列的分析.
- 包括35周怀孕前的分娩.
- 统计建模以确定与神经发育,社会人口统计和地区相关的风险.
主要成果:
- 在3007名早产儿中,有9%在5岁时获得了学校支持.
- 支持在男孩和极度早产婴儿 (怀孕24-27周) 中更为常见.
- 中度至严重的神经发育障碍 (MSNDI) 与获得支持有很强的关联 (aRR=17.25).
结论:
- 神经发育障碍是获得学校支持的主要因素.
- 很大一部分患有MSNDI的儿童没有得到支持,这表明有未满足的需求.
- 需要进一步研究支持分配及其对儿童的影响.
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