Abstract: Objective To understand the social-emotional development of children under 3 years old in Kunshan,and to analyze the influence of family environment on social emotional development.Methods Infants and toddlers who took physical examination in 6 community health service centers from September 2018 to August 2019 were enrolled in this study.The age and Development Progress Questionnaire-social Emotion Scale was used for screening.The family environment information of infants and toddlers was collected,and the influence of family environment on the emotional and social development of them was analyzed by multivariate logistic regression.Results The total detection rate of social emotional problems was 24.56%. The detection rate of high-risk children was 33.0%,significantly higher than that of normal children(χ²=16.608,P＜0.01).The detection rate of social emotional problems was 24.71% for boys and 24.39% for girls,and the difference was not significant(χ²=0.014,P>0.05).With the increase of age,the detection rate of social and emotional problems increased(χ²=28.89,P＜0.01).Logistic regression analysis showed that higher maternal education (OR=0.547,95%CI:0.338-0.886) and the higher-income family (OR=0.714,95%CI:0.593-0.921) were protective factors for social emotional problems of infants and toddlers.Conclusions The rate of social emotional problems of infants in Kunshan region is high.Maternal education and family income have important effects on early social and emotional development in infants.

Key words: family nurture environment, infants and young children, emotion, sociality

摘要： 目的 了解昆山市3岁以下儿童早期情绪和社会性发展状况,分析家庭环境对社交情绪发展的影响。方法 2018年9月-2019年8月分层随机选取在6个社区卫生服务中心儿保门诊体检的婴幼儿,采用年龄与发育进程问卷-社交情绪量表进行筛查,并收集筛查对象家庭环境情况,采用多因素Logistic回归分析家庭环境对婴幼儿情绪和社会性发展的影响。结果 婴幼儿社交情绪问题检出率为24.56%,高危儿检出率为33.0%,明显高于正常儿(χ²=16.608,P＜0.01)。男女童社交情绪问题检出率分别为24.71%、24.39%,差异无统计学意义(χ²=0.014,P＞0.05)。随儿童月龄增加,情绪和社会问题异常检出率增加(χ²=28.89,P＜0.01)。Logistic回归分析显示,母亲学历高(OR=0.547,95%CI:0.338～0.886)和家庭经济收入高(OR=0.714,95%CI:0.593～0.921)是婴幼儿社交情绪发展的保护因素。结论 昆山市婴幼儿社交情绪问题处于较高检出率水平。母亲学历和家庭收入高对婴幼儿早期社交和情绪发展有重要促进作用。

关键词: 家庭养育环境, 婴幼儿, 情绪, 社会性