Abstract：Objective To explore the factors affecting language development delay among children aged <3 years, so as to provide a basis for the prevention and early intervention of children's language development problems. Methods Eighty-one children aged <3 years with language development delay who visited the children's language development clinic of Shaoxing Maternal and Child Health Hospital from January to December 2024 as the case group. Meanwhile, 118 children who underwent routine physical examinations at the children's health clinic during the same period, had normal language development were randomly selected as the control group. Data on children's basic information, parenting environment, and screen exposure were collected through questionnaire surveys. Language development delay was assessed using the Early Language Milestone Scale and the Gesell Developmental Diagnosis Scale. The factors for language development delay were analyzed using a multivariable logistic regression model. Results The case group comprised 81 children, including 56 boys (69.14%) and 25 girls (30.86%), with a mean age of (23.14±4.84) months. The control group consisted of 118 children, including 81 boys (68.64%) and 37 girls (31.36%), with a mean age of (23.81±4.60) months. Multivariable logistic regression analysis showed that daily parental companionship time of ≥2 hours (OR=0.121, 95%CI: 0.040-0.367), attending childcare institutions (OR=0.103, 95%CI: 0.030-0.352), the average daily screen exposure time <1 hour (OR=0.614, 95%CI: 0.400-0.942), interactive parental accompaniment during screen exposure (OR=0.350, 95%CI: 0.157-0.779), and restricting screen exposure time (OR=0.162, 95%CI: 0.056-0.470) were associated with a lower risk of language development delay among children aged <3 years. Conclusion Daily paternal companionship of 2 hours or more, attending childcare institutions, daily screen exposure time of less than 1 hour, interactive parental companionship during screen time, and limiting screen exposure time can reduce the risk of language developmental delay among children aged under 3 years.
[1] 鲍秀兰. 婴幼儿养育和早期干预实用手册(高危儿卷)[M].北京:中国妇女出版社,2020. BAO X L.Practical manual of infant nurturing and early intervention(high-risk infants volume)[M].Beijing:China Women Publishing House,2020.(in Chinese) [2] NUDEL R,CHRISTENSEN RV,KALNAK N,et al.Developmental language disorder-a comprehensive study of more than 46 000 individuals[J/OL].Psychiatry Res,2023[2025-10-07] .https://doi.org/10.1016/j.psychres.2023.115171. [3] 罗函渝,于利,何春,等.123例语言发育迟缓儿童的发育特征及影响因素分析[J].国际医药卫生导报,2021,27(16):2565-2568. LUO H Y,YU L,HE C,et al.Analysis of developmental characteristics and influencing factors of 123 children with language retardation[J].Int Med Health Guid News,2021,27(16):2565-2568.(in Chinese) [4] DOOVE B M,FERON F J M,VAN OS J,et al.Preschool communication:early identification of concerns about preschool language development and social participation[J/OL].Front Public Health,2020,8[2025-10-07] .https://doi.org/10.3389/fpubh.2020.546536. [5] 周瑛,王晨.幼儿语言发育迟缓的家庭环境危险因素[J].中国儿童保健杂志,2021,29(12):1368-1371. ZHOU Y,WANG C.Analysis of the home environmental risk factors associated with language development delay in toddlers[J].Chin J Child Health Care,2021,29(12):1368-1371.(in Chinese) [6] 徐明玉,任芳,沈理笑,等.屏幕暴露对0~3岁婴幼儿语言发育的影响[J].临床儿科杂志,2019,37(2):97-101. XU M Y,REN F,SHEN L X,et al.Influence of the screen exposure on language development in children under 3 years old in Shanghai[J].J Clin Pediatr,2019,37(2):97-101.(in Chinese) [7] 杨玉凤. 儿童发育行为心理评定量表[M].北京:人民卫生出版社,2019:70-126. YANG Y F.Child developmental behavioral psychological assessment scales[M].Beijing:People's Medical Publishing House,2019.(in Chinese) [8] VANDERLOO L M.Screen-viewing among preschoolers in childcare:a systematic review[J/OL].BMC Pediatr,2014,14[2025-10-07] .https://doi.org/10.1186/1471-2431-14-205. [9] 吴淑贤,黄玉,王磊,等.浙江省儿童青少年屏幕暴露时间及其影响因素[J].中国健康教育,2024,40(9):773-776,783. WU S X,HUANG Y,WANG L,et al.Study on screen exposure and its risk factors among children and adolescents in Zhejiang Province[J].Chin J Health Educ,2024,40(9):773-776,783.(in Chinese) [10] TAMIS-LEMONDA C S,SHANNON J D,CABRERA N J,et al.Fathers and mothers at play with their 2-and 3-year-olds:contributions to language and cognitive development[J].Child Dev,2004,75(6):1806-1820. [11] 郭妮娅,赵云,韦芳.语言发育迟缓儿童发育特征及影响因素分析[J].中国儿童保健杂志,2024,32(12):1354-1358,1363. GUO N Y,ZHAO Y,WEI F.Developmental characteristics and risk factors in children with delayed language development[J].Chin J Child Health Care,2024,32(12):1354-1358,1363.(in Chinese) [12] SUN L,LIANG J J,YUAN X L,et al.Study on correlation between language retardation and screen exposure in children[J].Minerva Med,2023,114(1):100-101. [13] LIN L Y,CHERNG R J,CHEN Y J,et al.Effects of television exposure on developmental skills among young children[J].Infant Behav Dev,2015,38:20-26. [14] RIBNER A,FITZPATRICK C,BLAIR C.Family socioeconomic status moderates associations between television viewing and school readiness skills[J].J Dev Behav Pediatr,2017,38(3):233-239. [15] 范莉,杨小云,朱艺文.婴幼儿语言发育迟缓发病危险因素及与屏幕暴露的关系[J].山东医药,2023,63(12):88-91. FAN L,YANG X Y,ZHU Y W.Risk factors of language retardation in infants and their relationship with screen exposure[J].Shandong Med J,2023,63(12):88-91.(in Chinese) [16] ZIMMERMAN F J,CHRISTAKIS D A,MELTZOFF A N.Television and DVD/video viewing in children younger than 2 years[J].Arch Pediatr Adolesc Med,2007,161(5):473-479. [17] GURAM S,HEINZ P.Media use in children:American Academy of Pediatrics recommendations 2016[J].Arch Dis Child Educ Pract Ed,2018,103(2):99-101. [18] MADIGAN S,BROWNE D,RACINE N,et al.Association between screen time and children's performance on a developmental screening test[J].JAMA Pediatr,2019,173(3):244-250. [19] DUCH H,FISHER E M,ENSARI I,et al.Screen time use in children under 3 years old:a systematic review of correlates[J/OL].Int J Behav Nutr Phys Act,2013,10(1)[2025-10-07] .https://doi.org/10.1186/1479-5868-10-102.
