上海市闵行区5～6月龄及11～12月龄儿童家庭养育环境现状及其影响因素

doi:10.11852/zgetbjzz2022-1111

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (10): 1151-1155.DOI: 10.11852/zgetbjzz2022-1111

上海市闵行区5～6月龄及11～12月龄儿童家庭养育环境现状及其影响因素

姜春花^1*, 危沐鑫^2,3*, 黄俊¹, 李云¹, 张莺¹, 蒋泓², 徐晓玺⁴

1.上海市闵行区妇幼保健院儿童保健科,上海 201102;
2.复旦大学公共卫生学院,上海 200032;
3.上海市闵行区马桥社区卫生服务中心,上海 201111;
4.上海市闵行区古美社区卫生服务中心

收稿日期:2022-09-13 修回日期:2023-02-06 发布日期:2023-10-23 出版日期:2023-10-10
通讯作者: 蒋泓,E-mail:h_jiang@fudan.edu.cn
作者简介:姜春花(1983-),女,主治医师,硕士学位,主要研究方向为儿童保健;危沐鑫(1994-),女,在职硕士研究生,主要研究方向为公共卫生。^*共同第一作者。
基金资助:
复旦-闵行健康联合体合作项目(2020FM04);上海市闵行区公共卫生优秀青年人才培养项目(2020FM29);上海市闵行区科委:闵行区自然科学研究课题(2021MHZ011)

Status quo and risk factors of infant home nurture environment for children aged 5 - 6 and 11 - 12 months in Minhang district, Shanghai

JIANG Chunhua^1*, WEI Muxin^2,3*, HUANG Jun¹, LI Yun¹, ZHANG Ying¹, JIANG Hong², XU Xiaoxi⁴

1. Department of Child Healthcare, Shanghai Minhang Maternal and Child Health Care Hospital, Shanghai 201102, China;
2. School of Public Health, Fudan University,Shanghai 200032,China;
3. Shanghai Minhang Maqiao Community Health Service Center,Shanghai 201111,China;
4. Shanghai Minhang Gumei Community Health Service Center

Received:2022-09-13 Revised:2023-02-06 Online:2023-10-10 Published:2023-10-23
Contact: JIANG Hong, E-mail:h_jiang@fudan.edu.cn

摘要/Abstract

摘要： 目的了解上海市闵行区5～6及11～12月龄儿童家庭养育环境的现况及其影响因素,为制定有针对性的婴幼儿家庭养育环境干预策略和指导服务提供依据。方法 2021年6—10月,在闵行区所有13家社区儿童保健门诊中,使用分层随机抽样方法选取5~6和11~12月龄儿童为研究对象,基于《0～6岁儿童家庭养育环境量表》了解其家庭养育环境,描述量表评价结果(良好、中等及不良的检出率)的分布及其在不同月龄的组间差异,采用有序Logistic回归分析家庭养育环境的影响因素。结果共纳入1 152例儿童,其中男女分别为573例(49.74%)和579例(50.26%),5～6和11～12月龄分别为589例(51.13%)和563例(48.87%);家庭养育环境量表的总体及4个维度(感知／认知、情感温暖、忽视／限制、人际互动／喂养)的不良检出率分别为3.47%、4.60%、6.42%、8.07%、7.20%。“忽视／限制”维度5～6月龄良好检出率高于11～12月龄、中等检出率低于11~12月龄(χ²=11.17,P=0.004),其余量表评价结果在不同月龄组间差异均无统计学意义(P＞0.05)。家庭人均居住面积＜30.58m²(2020年上海城市家庭人均水平)、人均月收入＜1万元、家庭总体关系不良、有屏幕暴露、过去1个月每日亲子互动时间＜2h、过去1个月儿童存在身体活动受限＞1h/次是家庭总体养育环境的危险因素(OR分别为1.51、1.55、2.68、1.42、1.35、2.25)。结论闵行区5～6及11～12月龄儿童家庭养育环境的不良检出率总体较低,不同月龄组间存在差异,以11～12月龄的“忽视／限制”维度较为欠佳;针对多种危险因素,应制定有效的干预策略,营造良好的养育环境,助力儿童早期健康发展。

关键词: 5～6月龄, 11～12月龄, 家庭养育环境

Abstract: Objective To analyze the status and its influencing factors of home nurture environment (HNE) for children aged 5 - 6 and 11 - 12 months in Minhang district, Shanghai, in order to provide evidence for formulating targeted intervention strategies. Methods From June to October 2021, caregivers of children aged 5 - 6 and 11 - 12 months in the clinic of child health care were asked to conduct a questionnaire survey on their basic social demography and parenting behavior, and the 0 - 6 Years Child Home Nurture Environment Questionnaire(CHNEQ) for children aged 0 - 1 year was used to evaluate the parenting environment. The results of CHNEQ were compared in different age groups. The influencing factors of the CHNEQ were analyzed by ordered Logistic regression. Results A total of 1 152 children were included, including 573 (49.74%) boys and 579 (50.26%) girls, 589 (51.13%) infants aged 5 - 6 months and 563 (48.87%) infants aged 5 - 6 months. The detection rates of poor nurture environment in CHNEQ and its four dimensions, including perception/cognition, emotional warmth, neglect/restriction, interpersonal interaction/feeding were 3.47%, 4.60%, 6.42%, 8.07% and 7.20%, respectively. The detection rate of good nurture environment in neglect/restriction dimension was higher in 5- to 6-month-old infants than that in 11- to 12-month-old infants and moderate detection ratewas lower than that in11- to 12-month-old infants(χ²= 11.17, P=0.004), but the differences in other dimensions between 5- to 6-month-old infants and 11- to 12-month-old infants were not significant(P＞0.05). Children with per capita living area ＜30.58m² (the per capita level of urban households in Shanghai in 2020) and per capita monthly income ＜10 000RMB,poor family relations, screen exposure, parent-child interaction time ＜2h/d and physical activity restriction ＞1h/time in the past month, had a higher risk of poor HNE (OR=1.51, 1.55, 2.68, 1.42, 1.35, 2.25, P＜0.05). Conclusions In Minhang district, the detection rate of poor HNE in children aged 5 - 6 months and 11 - 12 months is generally low. The detection rate of poor nurture environment in infants varies in different age groups, and the home nurture environment in 11- to 12-month-old infants is poor. In a word, HNE is affected by many risk factors, so targeted intervention strategies should be adopted to improve parents′ parenting skills, avoid risk factors, create a good environment, and promote healthy development in early childhood.

Key words: 5-6 months old, 11-12 months old, home nurture environment

中图分类号:

R179

姜春花, 危沐鑫, 黄俊, 李云, 张莺, 蒋泓, 徐晓玺. 上海市闵行区5～6月龄及11～12月龄儿童家庭养育环境现状及其影响因素[J]. 中国儿童保健杂志, 2023, 31(10): 1151-1155.

JIANG Chunhua, WEI Muxin, HUANG Jun, LI Yun, ZHANG Ying, JIANG Hong, XU Xiaoxi. Status quo and risk factors of infant home nurture environment for children aged 5 - 6 and 11 - 12 months in Minhang district, Shanghai[J]. Chinese Journal of Child Health Care, 2023, 31(10): 1151-1155.

参考文献

[1] Black MM, Walker SP, Fernald LCH, et al. Early childhood development coming of age science through the life course[J]. Lancet, 2017, 389(10064):77-90.
[2] 李佳,王雪娜,杜雯雯,等.家庭养育环境对儿童早期发展影响的研究进展[J].中国儿童保健杂志,2021,29(10):1096-1099,1104.
Li J, Wang XN, Du WW, et al. Research progress on the influence of family nurturing environment on early childhood development[J].Chin J Child Health Care,2021,29(10):1096-1099,1104.(in Chinese)
[3] 沈施芳,邵洁.家庭养育与儿童早期语言发展[J].中国儿童保健杂志,2022,30(8):865-868,873.
Shen SF, Shao J. Family parenting and early childhood language development[J].Chin J Child Health Care,2022,30(8):865-868,873.(in Chinese)
[4] World Health Organization, World Bank Group, UNICEF.Nurturing care for early childhood development[EB/OL].https://nurturing-care.org/,2021-3.
[5] 何守森. 儿童早期家庭养育环境量表编制及其信度效度研究[D].青岛:山东大学,2008.
He SS. Earlychild home nurture environment scales:development, reliability and validity [D]. Qingdao:Shandong University,2008.(in Chinese)
[6] 聂立伟.临沂地区0～1岁儿童家庭养育环境现状及对神经心理发育影响的相关分析[D].青岛:山东大学,2019.
Nie LW. The current situation of family nurture environment of children aged 0-1 in Linyi area and its related analysis on neuropsychological development[D].Qingdao:Shandong University,2019.(in Chinese)
[7] 方永双,张媛媛,石惠卿,等. 不同养育方式下上海市3～6岁儿童家庭养育环境调查[J].中国妇幼保健,2018,33(20):4727-4731.
Fang YS, Zhang YY, Shi HQ,et al. Investigation on family rearing environment of children aged 3-6 years old in Shanghai under different parenting styles[J]. Maternal and Child Health Care of China,2018,33(20):4727-4731.(in Chinese)
[8] World Health Organization. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age[EB/OL]. (2019-04-02).https:www.who.int/publications/i/item/9789241550536.
[9] 国务院第七次全国人口普查领导小组办公室. 中国人口普查年鉴-2020[M].北京:中国统计出版社,2022:218-221.
Office of the Leading Group of the State Council for the 7th National Population Census.China population census yearbook-2020[M]. Beijing:China Statistics Press, 2022:218-221.(in Chinese)
[10] Shriver AE. Bonnell LN. Camp BW. The impact of cumulative sociodemographic risk factors on the home environment and vocabulary in early childhood[J].Adv Pediatr,2017,64(1):371-380.
[11] 胡丹,倪波,苏淑阁,等.大连市0～3岁儿童养育技能相关因素分析[J].中国预防医学杂志,2021,22(8):603-607.
Hu D, Ni B, Su SG, et al.Factors associated with parenting skills for children aged 0-3 years old in Dalian[J].Chin Prev Med,2021,22(8):603-607.(in Chinese)
[12] 郑淑红,林曦,丁娜桑.温岭市1～35月龄婴幼儿家庭养育风险因素研究[J].中国预防医学杂志,2021,22(10):788-792.
Zheng SH, Lin X, Ding NS. Parenting risk factors for infants aged 1 - 35 months in Wenling[J].Chin Prev Med,2021,22(10):788-792.(in Chinese)
[13] 蒋启梦,周楠.中国隔代教养和幼儿健康关系的研究进展[J].中国学校卫生,2020,41(12):1912-1915.
Jiang QM, Zhou N. Research progress on the relationship between intergenerational upbringing and children's health in China[J].Chin J Sch Health,2020,41(12):1912-1915.(in Chinese)
[14] 朱宗涵.养育照护是促进婴幼儿健康成长的重要保障[J].中国儿童保健杂志,2020,28(9):953-954,966.
Zhu ZH. Nurturing care is an important guarantee to promote the healthy growth of infants[J].Chin J Child Health Care, 2020,28(9):953-954,966.(in Chinese)
[15] 妇幼健康研究会儿童早期发展专业委员会. 新型冠状病毒肺炎流行期间0～6岁居家儿童运动指导建议(第一版)[J]. 中国儿童保健杂志,2020,28(4):366-369.
Early childhood Development Professional Committee of Maternal and Child Health Research Association. Suggestions on sports guidance for children aged 0-6 at home during the epidemic period of novel coronavirus pneumonia (First edition)[J].Chin J Child Health Care,2020,28(4):366-369.(in Chinese)
[16] 许琪,王建红,张丽丽,等.三岁及以下儿童屏幕暴露现状及影响因素分析[J].中华儿科杂志,2021,59(10):841-846.
Xu Q, Wang JH, Zhang LL, et al.Research on the status and risk factors of screen exposure and in children under three years of age[J].Chin J Pediatr,2021,59(10):841-846.(in Chinese)

上海市闵行区5～6月龄及11～12月龄儿童家庭养育环境现状及其影响因素

Status quo and risk factors of infant home nurture environment for children aged 5 - 6 and 11 - 12 months in Minhang district, Shanghai

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	王艺诺, 徐玉英, 张玺, 安子芬, 余立平. 家庭养育环境对学龄前注意缺陷多动障碍儿童发展影响的研究进展[J]. 中国儿童保健杂志, 2023, 31(8): 864-867.
[2]	徐玉英, 王雪琴, 罗莎, 朱子君, 余立平, 李丹. 家庭养育环境与1~3岁儿童电子屏幕暴露的相关性分析[J]. 中国儿童保健杂志, 2023, 31(8): 884-888.
[3]	田甜, 宋佳, 李婧, 袁慧, 沈蒙蒙, 丁蓉, 朱小华, 徐鸿泽, 胡幼芳. 江苏省“二胎”学龄前儿童家庭养育环境与行为问题分析[J]. 中国儿童保健杂志, 2023, 31(6): 623-628.
[4]	孙洁, 蔡臻, 王健, 杨亮, 徐剑慧, 励晓红. 婴儿辅食添加状况与家庭养育环境的相关性[J]. 中国儿童保健杂志, 2023, 31(10): 1076-1080.
[5]	倪波, 肖绪武, 孙瑾, 姜琳, 马莉, 胡丹, 刘学梅, 刘晓婵. 家庭沙盘游戏治疗儿童分离性焦虑障碍的效果分析[J]. 中国儿童保健杂志, 2022, 30(8): 924-928.
[6]	宫艳慧, 郭玲玲, 车超, 陈坤平, 柴润玉, 曹爱华, 童连. 发育性语言障碍儿童的亲子互动特征及影响因素分析[J]. 中国儿童保健杂志, 2022, 30(3): 259-263.
[7]	谢冰洁, 吴国连, 贾雅雅, 魏晓娟, 张晋晋, 王惠梅. 学龄前儿童躯体伤害恐惧的相关因素研究[J]. 中国儿童保健杂志, 2021, 29(3): 272-276.
[8]	李佳, 王雪娜, 杜雯雯, 张萌, 余立平. 家庭养育环境对儿童早期发展影响的研究进展[J]. 中国儿童保健杂志, 2021, 29(10): 1096-1099.
[9]	卢平, 喻茜, 卞晓燕, 陈磊. 昆山市3岁以下儿童早期情绪和社会性发育及家庭环境影响因素调查[J]. 中国儿童保健杂志, 2021, 29(1): 101-105.
[10]	王莎莎, 张媛媛, 陈津津. 家庭养育环境对幼儿语言发育迟缓影响的病例对照研究[J]. 中国儿童保健杂志, 2019, 27(8): 835-838.
[11]	张晋晋, 谢冰洁, 吴国连, 石秋霞, 魏晓娟, 王惠梅. 学龄前儿童强迫症状与家庭养育环境关系的研究[J]. 中国儿童保健杂志, 2019, 27(5): 543-546.
[12]	杨静,王丹,吴萍萍,咸亚静,林素兰. 乌鲁木齐市3~6岁儿童家庭养育环境与饮食行为问题的关系研究[J]. 中国儿童保健杂志, 2019, 27(3): 251-254.
[13]	穆立娟, 吕莹, 赵静, 李贺莉, 李荣萍, 张亚亚. 3~6岁儿童行为问题与家庭养育环境的相关性研究[J]. 中国儿童保健杂志, 2018, 26(1): 63-66.
[14]	田甜, 宋佳, 秦月意, 张丹, 李婧, 胡幼芳. 江苏省学龄前儿童行为问题及其与家庭养育环境关系的研究[J]. 中国儿童保健杂志, 2017, 25(12): 1215-1217.
[15]	丁丽丽, 何守森, 周倩, 徐小娟, 唐敬海, 张艳. 家庭养育环境对儿童早期发育及情绪社会性发展的前瞻性研究[J]. 中国儿童保健杂志, 2016, 24(9): 910-912.