辽宁省4市婴儿智力发育状况及影响因素  

Intelligence development and its influencing factors among infants in four cities of Liaoning province

作　　者：郭薇[1] 范会弟[1] 解学魁[1] 程柏[1] 

机构地区：[1]辽宁省疾病预防控制中心,沈阳110005

出　　处：《中国公共卫生》2011年第6期803-805,共3页Chinese Journal of Public Health

摘　　要：目的了解辽宁省大连、铁岭、鞍山和朝阳4市婴儿智力状况及其相关影响因素,为采取干预措施提供科学依据。方法采用方便抽样方法抽取在辽宁省大连、铁岭、鞍山和朝阳4市妇幼保健院健康体检的695名6-12月龄婴儿进行Fagan婴儿智力测验和问卷调查。结果 695名婴儿智力测试平均（57.8±6.0）分;男婴（57.6±6.0）分,女婴（58.0±5.9）分,不同性别婴儿智力差异无统计学意义;大连、铁岭、鞍山和朝阳婴儿智力分别为（59.7±5.9）、（57.8±5.6）、（58.6±6.0）和（55.3±5.5）分,不同地区婴儿智力差异有统计学意义（F=20.23,P〈0.01）;695名婴儿发育迟缓率为4.2%,发育迟缓可疑率为16.8%;男婴发育迟缓率和发育迟缓可疑率分别为4.9%和17.4%,女婴分别为3.4%和16.2%,不同性别婴儿发育迟缓率、发育迟缓可疑率间差异均无统计学意义;大连、铁岭、鞍山和朝阳发育迟缓率分别为1.2%、4.5%、2.4%和7.9%,发育迟缓可疑率分别为10.5%、14.6%、3.9%和26.2%,不同地区婴儿发育迟缓率、发育迟缓可疑率间差异均有统计学意义（P〈0.01）;多因素Logistic回归分析结果表明,人工喂养方式和婴儿母亲有不良生活习惯是婴儿智力发育的危险因素;父亲本科及以上学历是婴儿智力发育的保护因素。结论不同地区婴儿智力水平不同;喂养方式、婴儿母亲不良生活习惯和父亲学历是婴儿智力发育的主要影响因素。Objective To understand the intelligence development of infants and its influencing factors in Dalian,Tieling,Anshan,and Chaoyang city of Liaonign province and to provide the scientific basis for intervention.Methods Convenience sampling method was used to select 695 infants of 6 to 12 months old from infant physical examinees at children and women healthcare centers in the four cities of Liaoning province for a survey with Fagan Infant Intelligence Test and a self-designed questionnaire.Results The average intelligence score for the 695 in fants was 57.8±6.0,without significant difference between the male（57.6±6.0） and the female（58.0±5.9）.The average intelligence scores were 59.7±5.9,57.8±5.6,58.6±6.0,and 55.3±5.5 for the infants in Dalian,Tieling,Anshan,and Chaoyang city,respectively,with significan differences among the cities（F=20.23,P0.01）.The general prevalences of stunting and suspected stunting for the infants were 4.2% and 16.8% and there were no significant difference between the male（4.9% and 17.4%） and the female（3.4% and 16.2%）.For the infants of Dalian,Tieling,Anshan,and Chaoyang,the prevalence of stunting was 1.2%,4.5%,2.4%,and 7.9% and that of suspected stunting was 10.5%,14.6%,3.9%,and 26.2%,respectively,with significant difference in the prevalences among different cities（P0.01 for all）.Multivariate logistic regression analyses indicated that artificial feeding and unfavorable lifestyle of the parents were risk factors for intellectual development of the infants and higher education level of the father was a protective factor.Conclusion The infants of different areas have different levels of intelligence development and unfavorable lifestyle of the parents and eduacation level of the father are the main influencial factors for intelligence development of the infunts in Liaoning province.

关 键 词：智力发育 影响因素 婴儿 Fagan婴儿智力测验 

分 类 号：R174[医药卫生—妇幼卫生保健]