北京市朝阳区0~3岁儿童心理行为预警征筛查现状及影响因素分析  

Analysis on the Status and Influencing Factors of Early Warning Signs of Psychological Behavior in Children Aged 0-3 Years in Chaoyang District of Beijing

作　　者：马艳艳 张悦[2] MA Yan-yan;ZHANG Yue

机构地区：[1]北京市朝阳区妇幼保健院,北京100012 [2]中国疾病预防控制中心妇幼保健中心,北京100081

出　　处：《中国听力语言康复科学杂志》2022年第5期328-331,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的 了解北京市朝阳区0~3岁儿童心理行为预警征筛查现状及影响因素,为提高儿童心理保健服务水平提供依据。方法 分层随机抽取朝阳区15所社区卫生服务中心2020年9月1日~2021年8月31日进行儿童心理行为发育预警征筛查婴幼儿,描述预警征筛查阳性的发生情况。按1:1配对原则,将预警征筛查阳性儿童作为病例组,同机构相同年龄预警征筛查阴性儿童作为对照组,各519名,采用单因素和多因素条件Logistic回归分析其影响因素。结果 北京朝阳区0~3岁儿童预警征筛查阳性率约为0.81%。不同月龄儿童预警征阳性指标所属能区不同,3月龄和6月龄儿童运动方面指标阳性者分别占88.46%和75.00%;8月龄儿童体现在精细动作(36.84%)和大运动(50.00%)方面;12月龄体现在个人社交(40.48%)、精细动作(23.81%)和大运动(26.19%)方面;18月龄~3岁儿童语言指标阳性者均超过50.00%。多因素分析结果显示,男童、年龄别体重较低、父亲文化程度本科以下及剖宫产儿童中预警征阳性比例更高。结论 有必要对不同年龄段儿童进行有针对性地重点筛查和指导,尤其应关注男童、父亲文化程度较低、年龄别体重中等以下及剖宫产分娩儿童的发育状况。Objective To understand the status of screening for psychological and behavioral early warning signs in children aged 0-3 years in Chaoyang District, Beijing, to understand the developmental differences between different genders and analyze the related influencing factors. Methods Fifteen community health service centers in Chaoyang District, Beijing,were selected by stratified random sampling, and children who underwent physical examination and screening for early warning signs of children’s psychological behavior in the above institutions from September 1, 2020 to August 31, 2021 were selected as the research objects to describe the occurrence of warning sign screening. According to the 1:1 matching principle,the children with positive warning signs were selected as the case group, and children of the same age and examined in the same institution with negative warning signs were selected as the control group, with 519 cases in each group. Univariate and multivariate conditional logistic regression was used for analysis. Results The proportion of children with positive warning signs was 0.81%. Among children with positive results, the gross motor skill was the main delayed domain in the children aged 3-month-old and 6-month-old, accounting for 88.46% and 75.00% respectively;the 8-month-old children were mostly reflected in fine motor and major sports;the 12-month-old children were mostly reflected in social interaction, fine motor and major sports;18-month-old to 3-year-old children’s development delay was mainly reflected in language(all >50.00%). The results of multivariate analysis showed that boys, those with lower weight-for-age, those whose father’s education level below bachelor’s degree, and those born by cesarean section had a higher proportion of positive early warning signs. Conclusion Targeted screening and guidance should be carried out for children of different ages, and particular attention should be paid to the boys, children whose fathers with low education levels, those with weight-for-

关 键 词：婴幼儿 心理行为发育 预警征 现状 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]