检查家庭逆境和污染之间的因果关系:一项前性队列研究
Kimberley Burrows1, Jon Heron2,3, Davina Richardson4
1Centre for Academic Child Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK kimberley.burrows@bristol.ac.uk.
婴儿时期的家庭逆境增加了儿童白天脏和便秘的风险. 早期的生活挑战与以后的污染有关,便秘起着重要作用.
科学领域:
- 儿科健康 儿科健康
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 婴儿时期的家庭逆境是儿童健康问题的潜在危险因素.
- 了解将早期逆境与以后的健康结果联系在一起的途径对于干预至关重要.
研究的目的:
- 调查婴儿时期家庭逆境与小学年龄儿童白天污染之间的联系.
- 探索情感/行为问题和便秘在这种关系中的调解作用.
主要方法:
- 来自家长和孩子的艾文纵向研究的10,033名儿童的前性队列研究.
- 收集的数据是家庭逆境指数 (出生至2岁),白天污染 (7.5岁),情绪/行为问题 (4岁) 和便秘 (6岁) 的数据.
- 为混因素调整的统计分析,检查直接和介导效应.
主要成果:
- 婴儿家庭的逆境与7.5岁时白天污染的几率增加有关 (或1.12).
- 家庭逆境也预测了情绪/行为问题和便秘.
- 6岁时便秘强烈预测了7.5岁时脏 (OR 3.34).
结论:
- 早期家庭逆境是儿童晚期便秘和白天污染的重要危险因素.
- 医疗保健提供者在评估儿童有污染或便秘时,应该考虑早期的逆境.
- 情绪/行为问题和便秘可能部分介于早期逆境和污染之间的联系.
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