中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (4): 362-365.DOI: 10.11852/zgetbjzz2018-1442

所属专题: 儿童早期发展

• 科研论著 • 上一篇    下一篇

中国八省市城乡婴幼儿早期发展现状研究

单文婕1, 张云婷1, 林青敏2, 姜艳蕊2, 朱绮2, 江帆2   

  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 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
  • 收稿日期:2018-10-15 修回日期:2018-12-10 发布日期:2019-04-20 出版日期:2019-04-20
  • 通讯作者: 江帆,E-mail:fanjiang@shsonu.edu.cn;张云婷,E-mail:edwinazhang@hotmail.com
  • 作者简介:单文婕(1989-),女,上海人,回族,博士研究生在读,主要研究方向为儿童早期发展。
  • 基金资助:
    国家自然科学基金(81773443,81728017); 科技部重点专项(2016YFC1305203); 上海市科委优秀学术带头人计划(17XD1402800); 上海市科委国内合作项目(18695840200); 上海市卫计委重要薄弱学科建设项目(2016ZB0104); 上海交通大学“医工交叉研究基金”重点项目(YG2016ZD04); 贝因美食品研究院基金项目(RD04614026C)

Study on the status quo of early child development in eight provinces of China

SHAN Wen-jie1, ZHANG Yun-ting1, LIN Qing-min2, JIANG Yan-rui2, ZHU Qi2, JIANG Fan2   

  1. 1 Child Health Advocacy Institute, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127,China;
    2 Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200127,China
  • Received:2018-10-15 Revised:2018-12-10 Online:2019-04-20 Published:2019-04-20
  • Contact: JIANG Fan, E-mail:fanjiang@shsmu.edu.cn;ZHANG Yun-ting, E-mail:edwinazhang@hotmail.com

摘要: 目的 评估我国婴幼儿认知和运动发展水平,了解我国儿童早期发展现状。方法 于2012年10月-2013年3月抽取全国8个省市1 026名2~30月龄足月、健康婴幼儿作为研究对象。通过问卷调查获得人口学及社会经济水平等因素,采用贝利婴幼儿发展量表第1版对婴幼儿进行发育评估。使用多元回归分析,探索婴幼儿认知发育及运动发育的影响因素。结果 我国2~30月龄婴幼儿平均认知发展指数102.38±17.58,平均运动发展指数为101.39±16.38。认知发育迟缓发生率为7.70%,运动发育迟缓发生率8.28%。控制混杂因素后,发现相较于母亲教育程度为大专及以上的人群,母亲受教育程度为初中及以下学历人群的认知发展指数和运动发展指数降低显著(β=-8.51,95%CI:-11.23~-5.78;β=-4.17,95%,CI:-6.79~-1.55)。结论 我国城乡地区婴幼儿早期发展水平较20年前有上升,母亲受教育程度对婴幼儿认知、运动发育有重要影响。

关键词: 婴幼儿, 认知发育, 运动发育, 早期发展

Abstract: Objective To assess the cognitive and motor development of young children in China, and to evaluate the status quo of early childhood development in China. Methods A total of 1 026 full-term healthy children at the age of 2-30 months old were selected by convenience sampling from 8 provinces in China from October 2012 to March 2013.Demographic and social economic status data were investigated by parent report questionnaire.Bayley Scales of Infant Development were used to assess the development of young children.Multiple regression analysis was conducted to explore risk factors of cognitive development and motor development in young children. Results The average cognitive development index of infants aged 2-30 months in China was 102.38±17.58,and the average motor development index was 101.39±16.38.Cognitive retardation rate was 7.70%, and motor development retardation rate was 8.28%.After adjusting for confounders, compared with those with maternal education higher than junior college, children with maternal education under middle school appeared to have significantly lower cognitive development index (β=-8.51, 95%CI:-11.23--5.78) and motor development index (β=-4.17, 95%CI:-6.79--1.55). Conclusions Early child development in China has improved since 20 years ago.Maternal education is significantly associated with young child's cognition and motor development.

Key words: infants, cognition development, motor development, early development

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