在ECHO计划中接触COVID-19流行病和幼儿行为健康
Anahid Akbaryan1, Marie L Churchill2, Monica McGrath2
1Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, New York.
JAMA network open
|September 3, 2025
概括
在出生前或出生后接触COVID-19的小孩表现出较少的内化和外化行为问题. 这表明可能存在潜在的保护因素,需要进一步调查大流行对儿童发育的影响.
科学领域:
- 儿童心理学
- 儿童发育医学
- 流行病学
背景情况:
- 关于COVID-19大流行对幼儿行为和情绪健康的影响的证据有限.
- 研究表明,在疫情期间出生的婴儿可能会出现发育问题.
研究的目的:
- 调查与COVID-19大流行有关的出生时间和幼儿内化和外化问题之间的联系.
- 为了比较疫情前,疫情期间或疫情期间出生的幼儿的行为结果.
主要方法:
- 使用环境影响儿童健康结果 (ECHO) 数据的回顾性队列研究 (2009-2023年).
- 将3438名儿童分为流行病前,流行病评估和流行病出生组.
- 使用家长报告的学龄前儿童行为检查表 (CBCL 11⁄2-5) 评估18-39个月的内化和外化症状.
主要成果:
- 与流行病前组相比,接触流行病的幼儿 (流行病评估和流行病出生组) 的内化和外化问题水平明显较低.
- 经过调整后的分析证实了这些发现,表明与流行病暴露相关的保护作用.
结论:
- 产前和/或产后暴露于COVID-19流行病的幼儿表现出较少的行为问题,而不是在流行病前出生和评估的幼儿.
- 需要进一步的研究来确定可能减轻大流行病对儿童行为影响的保护因素.
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