中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (4): 447-450.DOI: 10.11852/zgetbjzz2019-1431

所属专题: 儿童早期发展

• 临床研究与分析 • 上一篇    下一篇

上海城市幼儿情绪和社会性早期发展现状及影响因素分析

张媛媛1, 金星明2, 卞晓燕3, 王莎莎1, 方永双1, 陈津津1   

  1. 1 上海市儿童医院,上海交通大学附属儿童医院儿童保健科,上海 200062;
    2 上海交通大学医学院附属上海儿童医学中心发育行为儿科,上海 200127;
    3 上海市妇幼保健中心儿童保健科,上海 200062
  • 收稿日期:2019-10-19 发布日期:2020-04-10 出版日期:2020-04-10
  • 通讯作者: 金星明,E-mail:zhujing7@msn.cn
  • 作者简介:张媛媛(1983-),女,山东人,主治医师,博士学位,主要研究方向为儿童早期发展和神经发育障碍。
  • 基金资助:
    上海市卫健委科研项目(20154Y0186);上海市科委医学引导类科研项目(19411969000);上海市自然科学基金项目(19ZR1477700)

Study on Shanghai urban toddlers′ social-emotional development and related influencing factors

ZHANG Yuan-yuan1, JIN Xing-ming2, BIAN Xiao-yan3, WANG Sha-sha1, FANG Yong-shuang1, CHEN Jin-jin1   

  1. 1 Department of Child Health Care,Shanghai Children′s Hospital,Shanghai Jiao Tong University,Shanghai 200062,China;
    2 Department of Developmental and Behavioral Pediatrics,Shanghai Children′s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;
    3 Department of Child Health Care,Shanghai Center for Women and Children′s Health,Shanghai 200062,China
  • Received:2019-10-19 Online:2020-04-10 Published:2020-04-10
  • Contact: JIN Xing-ming,E-mail:zhujing7@msn.cn

摘要: 目的 了解上海城市幼儿情绪社会性早期发展现状,分析影响因素,为早期筛查和干预提供依据。方法 2017年3-9月采用分层整群抽样方法,从中等发展水平的两个区随机选择4个社区的1~3岁幼儿作为研究对象。应用中国城市幼儿社会情绪评估量表、1~3岁儿童家庭养育环境量表及自拟的社会人口学问卷,对幼儿情绪社会性发展现状及影响因素进行调查分析。结果 幼儿情绪社会性发展异常检出率为24.44%(231/945),男童外显行为异常率高于女童(11.0% vs 7.1%,χ2=4.493,P<0.05),12~18月龄能力异常检出率为15.9%,显著高于其他年龄组(3.6%~6.9%,P<0.05)。单因素分析显示,父母年龄、母亲职业和受教育程度、母亲参与养育时间、是否为独生子女、是否经历重大创伤事件、家庭养育环境对幼儿情绪社会性发展的影响具有统计学意义(P<0.05)。Logistic回归分析显示,是否独生子女、父母亲年龄、母亲职业、母亲参与养育时间、家庭养育环境对幼儿情绪社会性发展的影响具有统计学意义(P<0.05)。结论 上海城市幼儿情绪社会性发展问题发生率高,应开展早期筛查,制定家庭养育早期干预策略,促进儿童早期发展。

关键词: 情绪, 社会性, 早期发展, 养育环境, 幼儿

Abstract: Objectives To know about the status of toddler social-emotional development in urban areas of Shanghai,and to explore related influencing factors,so as to provide evidence for early screening and intervention. Methods A stratified cluster random sampling method was used to select children aged 1 to 3 from March to September 2017 in Shanghai urban areas as research objects.All toddlers′ social-emotional development status and related impact factors were investigated by Chinese Version of Urban Infant Toddler Social and Emotional Assessment (CITSEA),urban 1 to 3-year-old Children Family Nurturing Environment Scale and self-designed sociodemographic questionnaire. Results The detection rate of social-emotional development problems in urban areas of Shanghai was 24.44% (231/945).Boys demonstrated higher externalizing problem rate (11.0% vs.7.1%,χ2=4.493,P<0.05),and 12 to 18-month-old toddlers demonstrated higher competence problem rate (15.9%) than other age groups(3.6% to 6.9%)(χ2=24.840,P<0.05).Univariate analysis revealed that parents′ age,occupation and educational level,maternal nurturing time,the only child,traumatic event,family rearing environment affected toddler′s social-emotional development(P<0.05).Logistic regression analysis showed that the only child,parents′ age,parents′ age,maternal occupation,maternal nurturing time and family nurturing environment significantly affected toddler′s social-emotional development(P<0.05). Conclusionss Many social factors including family nurturing environment lead to high problem rate of toddler′s social-emotional development.Public awareness should be raised and early screening and intervention are anticipated to promote integrated early child development.

Key words: emotion, sociality, early development, nurture environment, toddler

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