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萧山区0~36月龄婴幼儿发育状况分析

Development status among infants at ages of 0 to 36 months in Xiaoshan District

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目的 了解杭州市萧山区0~36月龄婴幼儿发育状况及影响因素,为促进婴幼儿健康发育提供依据.方法 选择2022年1月1日—12月31日萧山区社区卫生服务中心儿童保健门诊健康体检的0~36月龄婴幼儿为调查对象,采用问卷收集婴幼儿及其母亲的基本资料,采用年龄与发育进程问卷-第三版(ASQ-3)筛查婴幼儿发育状况;采用多因素logis-tic回归模型分析婴幼儿发育状况的影响因素.结果 调查0~36月龄婴幼儿2 519人,其中男婴1 339人,占53.16%;女婴1 180人,占46.84%.沟通(CM)、粗大动作(GM)、精细动作(FM)、解决问题(CG)和个人-社会(PS)5个能区有至少1个能区发育异常608例,异常率为24.14%;各能区异常率分别为9.77%、6.59%、7.98%、6.39%和9.33%.多因素logistic回归分析结果显示,性别(男,OR=1.563,95%CI:1.191~2.052)、母亲生育年龄(≥35岁,OR=1.411,95%CI:1.001~1.988)和母亲文化程度(大专以下,OR=1.460,95%CI:1.116~1.912)是婴幼儿CM能区发育异常的影响因素;早产(OR=2.323,95%CI:1.315~4.103)是婴幼儿GM能区发育异常的影响因素;性别(男,OR=1.654,95%CI:1.225~2.232)是婴幼儿FM能区发育异常的影响因素;性别(男,OR=1.511,95%CI:1.086~2.102)、分娩方式(剖宫产,OR=1.460,95%CI:1.060~2.010)是婴幼儿CG能区发育异常的影响因素;性别(男,OR=1.340,95%CI:1.019~1.763)、出生体重(低出生体重,OR=1.985,95%CI:1.149~3.432)是婴幼儿PS能区发育异常的影响因素.结论 萧山区0~36月龄婴幼儿发育异常率为24.14%,性别、早产、分娩方式、出生体重、母亲生育年龄和母亲文化程度可影响婴幼儿发育状况.
Objective To learn the status and influencing factors of development among infants at ages of 0 to 36 months in Xiaoshan District,Hangzhou City,so as to provide the reference for promoting healthy development of in-fants.Methods Infants at ages of 0-36 months who underwent physical examination in Child Health Clinic of Xiaoshan District Community Health Service Center were selected in 2022.General data of infants and their mothers were collected through questionnaires,and the development status of infants was screened by Age and Stages Question-naire(third edition).Factors affecting the development status were identified using a multivariable logistic regression model.Results A total of 2 519 infants were investigated,including 1 339 males(53.16%)and 1 180 females(46.84%).There were 608 infants with abnormal development of at least one functional area of communication(CM),gross motor(GM),fine motor(FM),problems solving(CG)and personal-social(PS).The abnormal rate was 24.14%,and the abnormal rates of the above functional areas were 9.77%,6.59%,7.98%,6.39%and 9.33%,respectively.Multivari-able logistic regression analysis showed that gender(male,OR=1.563,95%CI:1.191-2.052),mother's childbearing age(≥35 years,OR=1.411,95%CI:1.001-1.988),mother's educational level(lower than junior college,OR=1.460,95%CI:1.116-1.912)were factors affecting abnormal development of CM;preterm birth(OR=2.323,95%CI:1.315-4.103)was factors affecting abnormal development of GM;gender(male,OR=1.654,95%CI:1.225-2.232)was factors affecting ab-normal development of FM;gender(male,OR=1.511,95%CI:1.086-2.102)and mode of delivery(cesarean section,OR= 1.460,95%CI:1.060-2.010)were factors affecting abnormal development of CG;gender(male,OR=1.340,95%CI:1.019-1.763)and birth weight(low birth weight,OR=1.985,95%CI:1.149-3.432)were factors affecting abnormal devel-opment of PS.Conclusions The rate of abnormal development among infants at ages of 0 to 36 months in Xiaoshan District is 24.14%.Gender,preterm birth,mode of delivery,birth weight,mother's childbearing age and mother's educa-tional level could affect the development status of infants.

infantsdevelopmentAges and Stages Questionnaireinfluencing factor

李清、钟碧华、孙嘉瑞、戴锋坡、丁艺娜、缪湘卿、傅亚仙、屠玉燕、谈文娟、俞银飞

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萧山区妇女儿童健康服务中心,浙江 杭州 311203

婴幼儿 发育 年龄与发育进程问卷 影响因素

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(3)
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