父亲分居作为中国农村留守儿童易肠综合征的独立风险因素:一个多中心横截面研究
Zhongcao Wei1,2,3,4, Yu Zhang5, Shaoxian Xu5
1Department of Gastroenterology, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.
与父亲分离显著增加了中国留下的孩子 (LBC) 易怒肠综合征 (IBS) 的风险. 风险在8岁时最高,与年龄有非线性关系.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童心理学 儿童心理学
- 公共卫生 公共卫生
背景情况:
- 刺激性肠综合征 (IBS) 是一种常见的功能性胃肠疾病.
- 父母分居对儿童健康的影响,特别是IBS,仍未得到充分研究.
- 中国留守儿童 (LBC) 代表了一个面临独特心理社会压力因素的弱势群体.
研究的目的:
- 调查父母分居因素与中国留守儿童 (LBC) 中IBS患病率之间的关联.
- 确定特定的分离场景,这些场景在这个人群中构成IBS发展的更高风险.
主要方法:
- 一项涉及中国中小学的一项基于学校的研究.
- 使用罗马四号标准来诊断IBS.
- 经过区域社会经济差异调整;个人收入数据没有提供.
主要成果:
- 总共有7,704名儿童 (349名IBS患者) 进行了分析;21.13%是LBC.
- 与父母分离 (OR=2.2) 和仅与父亲分离 (OR=2.1) 与IBS风险增加有显著的关联.
- 只有与母亲分离,与IBS没有显著的关联.
- 在LBC中IBS风险与年龄呈现非线性关系,在8岁时达到峰值.
结论:
- 父母分居,特别是与父亲分居,是中国LBC中IBS的重要风险因素.
- 非线性年龄依赖风险突出了干预的关键发育窗口.
- 进一步研究父母分居与儿科IBS之间的联系机制是有必要的.
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