Abstract: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 infants. 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 Questionnaire (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. Multivariable 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 abnormal 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 development 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 educational level could affect the development status of infants.
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. 萧山区0~36月龄婴幼儿发育状况分析[J]. 预防医学, 2024, 36(3): 255-259.
LI Qing, ZHONG Bihua, SUN Jiarui, DAI Fengpo, DING Yina, MIAO Xiangqing, FU Yaxian, TU Yuyan, TAN Wenjuan, YU Yinfei. Development status among infants at ages of 0 to 36 months in Xiaoshan District. Preventive Medicine, 2024, 36(3): 255-259.
[1] BLACK M M,WALKER S P,FERNALD L C H,et al.Early childhood development coming of age:science through the life course[J].Lancet,2017,389(10064):77-90. [2] LAKE A,CHAN M.Putting science into practice for early child development[J].Lancet,2015,385(9980):1816-1817. [3] GERTLER P,HECKMAN J,PINTO R,et al.Labor market returns to an early childhood stimulation intervention in Jamaica[J].Science,2014,344(6187):998-1001. [4] RICHTER L M,DAELMANS B,LOMBARDI J,et al.Investing in the foundation of sustainable development:pathways to scale up for early childhood development[J].Lancet,2017,389(10064):103-118. [5] CAMPBELL F,CONTI G,HECKMAN J J,et al.Early childhood investments substantially boost adult health[J].Science,2014,343(6178):1478-1485. [6] ROMERO OTALVARO A M,GRAÑANA N,GAETO N,et al.ASQ-3:validation of the Ages and Stages Questionnaire for the detection of neurodevelopmental disorders in Argentine children[J].Arch Argent Pediatr,2018,116(1):7-13. [7] 李一辰,陈笑征,尚晓瑞,等.北京市2 980例3月龄内婴儿发育筛查及影响因素分析[J].北京医学,2022,44(6):513-517. [8] 桑葵,刘易苏.《年龄及发育进程问卷(ASQ-3)》对儿童发育早期筛查及干预的价值分析[J].中国妇幼保健,2020,35(5):858-860. [9] 范果叶,王文瑞,张海蓉,等.呼和浩特市1 850例婴幼儿智能发育状况及影响因素分析[J].中国妇幼健康研究,2017,28(1):6-9. [10] 杨舒,张俊霞,王若思.昆明市6~36月龄婴幼儿神经心理发育现状及其影响因素研究[J].中国儿童保健杂志,2019,27(4):425-428. [11] WANG Y P,XU Q F,LI S T,et al.Gender differences in anomalous subcortical morphology for children with ADHD[J].Neurosci Lett,2018,665:176-181. [12] GOISIS A,SCHNEIDER D C,MYRSKYLÄ M.The reversing association between advanced maternal age and child cognitive ability:evidence from three UK birth cohorts[J].Int J Epidemiol,2017,46(3):850-859. [13] FALSTER K,HANLY M,BANKS E,et al.Maternal age and offspring developmental vulnerability at age five:a population-based cohort study of Australian children[J/OL].PLoS Med,2018,15(4)[2024-01-08].https://doi.org/10.1371/journal.pmed.1002558. [14] BRUCE M,MIYAZAKI Y,BELL M A.Infant attention and maternal education are associated with childhood receptive vocabulary development[J].Dev Psychol,2022,58(7):1207-1220. [15] GLEASON J L,GILMAN S E,SUNDARAM R,et al.Gestational age at term delivery and children's neurocognitive development[J].Int J Epidemiol,2022,50(6):1814-1823. [16] OUDGENOEG-PAZ O,MULDER H,JONGMANS M J,et al.The link between motor and cognitive development in children born preterm and/or with low birth weight:a review of current evidence[J].Neurosci Biobehav Rev,2017,80:382-393. [17] SANCHEZ-JOYA M,SANCHEZ-LABRACA N,ROLDAN-TAPIA M D,et al.Neuropsychological assessment and perinatal risk:a study amongst very premature born 4-and 5-year old children[J].Res Dev Disabil,2017,69:116-123. [18] SZNAJDER K K,TETI D,HACKMAN N M,et al.Cesarean section and child development at 3 years:a prospective cohort study of first births in Pennsylvania[J].Matern Child Health J,2022,26(12):2526-2535. [19] SHAO Y,FORSTER S C,TSALIKI E,et al.Stunted microbiota and opportunistic pathogen colonization in caesarean-section birth[J].Nature,2019,574(7776):117-121.