中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (1): 28-32.DOI: 10.11852/zgetbjzz2020-1540

• 科研论著 • 上一篇    下一篇

上海市入园儿童心理健康状况及影响因素研究

高越1,2, 张云婷1, 赵瑾1, 单文婕1, 王雪莱1, 张子琛1, 朱绮1, 董媛媛1, 江帆1,3   

  1. 1.上海交通大学医学院附属上海儿童医学中心儿童健康管理研究所,上海 200127;
    2.新疆维吾尔自治区妇幼保健院儿童保健科;
    3.上海交通大学医学院附属新华医院,教育部环境与儿童健康重点实验室,上海 200092
  • 收稿日期:2020-08-17 修回日期:2020-09-28 出版日期:2021-01-10 发布日期:2021-01-10
  • 通讯作者: 江帆,E-mail:fanjiang@shsmu.edu.cn
  • 作者简介:高越(1976-),女,山东人,硕士生导师,副主任医师,研究生学历,主要研究方向为高危儿保健管理。
  • 基金资助:
    国家自然科学基金(81773443,81602870);上海市教育科学研究重大项目(D1502);上海交通大学医学院协同创新团队,上海市科委重大专项(2018SHZDZX05);上海市科委(18JC1420305);上海市卫计委重中之重临床重点学科(2017ZZ02026)

Study on mental health status and its influencing factors in kindergarten children in Shanghai

GAO Yue*, ZHANG Yun-ting, ZHAO Jin, SHAN Wen-jie, WANG Xue-lai, ZHANG Zi-chen, ZHU Qi, DONG Yuan-yuan, JIANG Fan   

  1. *Institute of Child Health Management,Shanghai Children's Medical Center,Medical College of Shanghai Jiaotong University,Shanghai 200127,China;
    2 Department of Child Health Care,Xinjiang Maternal and Child Health Hospital,Urumqi,Xinjiang 830000,China;
    3 Key Laboratory of Environment and Child Health of Ministry of Education,Xinhua Hospital,Medical College of Shanghai Jiaotong University,Shanghai 200092,China
  • Received:2020-08-17 Revised:2020-09-28 Online:2021-01-10 Published:2021-01-10
  • Contact: JIANG Fan,E-mail:fanjiang@shsmu.edu

摘要: 目的 研究新入园儿童心理健康状况及影响因素,为后续儿童健康干预策略规划提供理论依据。方法 采用多阶段分层整群随机抽样方法,于2017年在上海市16个区县抽取187所幼儿园共22 509名入园儿童,利用网络调查评估人口学特征、儿童养育环境(ICCE)得分及心理健康(SDQ),采用Logistic回归模型,分析各因素对儿童心理健康的影响。结果 完成调查的22 067名儿童平均43.5月龄,SDQ困难总分评定结果18.29%异常;女童、社会经济状况好、非独生子女、父母家庭完整、睡眠充足、屏幕暴露少、无早期不良经历以及早期母乳喂养的儿童SDQ得分较低;SDQ困难总分及各因子高危风险随着ICCE总分及各维度得分升高而减小,呈负相关,其中避免打骂维度比值比最低(OR值分别为0.713、0.754、0.493、0.553、0.506、0.726,P<0.001)。结论 儿童心理健康不仅与家庭社会经济因素及家庭结构有关,且与早期母乳喂养和无早期不良经历明显相关。养育环境越好,儿童发生社会心理问题的风险越小。

关键词: 养育环境, 心理健康, 儿童

Abstract: Objective To study the mental health status and its influencing factors of new children in kindergartens,so as to provide theoretical basis for the follow-up strategy planning of children's health intervention.Methods Using multi-stage stratified cluster random sampling method,a total of 22 509 children from 187 kindergartens were selected from 16 districts and counties in Shanghai in 2017.Children's demographic characteristics,rearing environment and mental health were assessed by Index of Child Rearing Environment (ICCE) and Strengths and Difficulties Questionnaire (SDQ) via an online survey.Results Totally 22 067 children completed the survey,with an average age of 43.5 months old.And 18.29% of the children were detected with abnormal SDQ results.Chidren who were girls,with better socio-economic condition,not-only child, a completed family,adequate sleep,less screen time,and had no early adverse experience breastfed early had a significantly higher score of SDQ.The total score of SDQ and the high risk of each dimension were negatively related to ICCE score,and the odds ratio of avoiding restriction was the lowest(OR=0.713,0.754,0.493,0.553,0.506,0.726,P<0.001).Conclusions Parenting environment is not only related to family socioeconomic factors and family structure,but also related to the early breastfeeding experience.The nurturing environment plays an important role in promoting children's early development.

Key words: rearing environment, early development, children

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