婴幼儿家庭养育压力与照护行为的潜在类别分析:X市托班的一年追踪研究  

Parenting stress and the patterns of parenting behaviors in families with toddlers:a latent class analysis for an one-year longitudinal study in daycare centers of city X

作　　者：朱珠 李响 ZHU Zhu;LI Xiang(School of Public Health and Nursing,Hangzhou Normal University,Hangzhou 311121,China;College of Child Development and Education,Zhejiang Normal University,Hangzhou 311231,China)

机构地区：[1]杭州师范大学公共卫生与护理学院,浙江杭州311121 [2]浙江师范大学儿童发展与教育学院,浙江杭州311231

出　　处：《健康研究》2025年第2期192-197,共6页Health Research

基　　金：浙江省教育厅一般项目(Y202456044);浙江省教育科学规划课题(2025SCG012);浙江省教育科学规划课题(2025SCG353)。

摘　　要：目的描述婴幼儿家庭照护行为的潜在类别,验证养育压力对家庭照护行为潜在类别的影响,为针对性指导家庭照护提供科学依据。方法收集282名托班婴幼儿家庭的人口学信息;在基线时和随访1年后,了解婴幼儿家庭的养育压力,应用家庭养育照护评价指标(index of child care environment,ICCE)测量婴幼儿家庭照护行为。运用潜在类别分析模型探索婴幼儿家庭照护行为的潜在类别,使用逻辑回归模型验证养育压力对家庭照护行为潜在类别的影响。结果报告家庭养育压力高的父/母69名、低的213名,根据ICCE测量结果,家庭照护行为可分为高回应组(232人;82.3%)与低回应组(50人;17.7%)。相比于低压力组,高压力组的父母更有可能拥有低回应类别的家庭照护行为(OR=0.37,95%CI=0.19~0.72,P=0.003)。结论家庭照护行为可分为高回应性和低回应性,高养育压力的父母使用低回应性照护行为的风险较高。建议高度重视与积极促进高压力父母为婴幼儿提供高质量的回应性照护。Objective To describe the potential categories of family caregiving behaviors of infants and toddlers,to verify the effects of parenting stress on the potential categories of family caregiving behaviors,and to provide a scientific basis for targeted guidance of family caregiving.Methods Demographic information of 282 families with infants and toddlers in nursery class was collected;parenting stress of families with infants and toddlers was understood at baseline and after 1 year of follow-up,and the index of child care environment(ICCE)was applied to measure infant and toddler family caregiving behaviors.A latent category analysis model was used to explore the latent categories of infant and toddler family caregiving behaviors,and a logistic regression model was used to verify the effect of parenting stress on the latent categories of family caregiving behaviors.Results Sixty-nine parents who reported high family parenting stress and 213 who reported low family parenting stress,and family caregiving behaviors could be categorized into a high-response group(232;82.3%)versus a low-response group(50;17.7%)based on the ICCE measurements.Parents in the high stress group were more likely to have family caregiving behaviors in the low response category compared to the low stress group(OR=0.37,95%CI=0.19-0.72,P=0.003).Conclusions Family caregiving behaviors can be categorized as highly responsive and low responsive,and parents with high parenting stress are at higher risk of using low responsive caregiving behaviors.It is recommended that a high priority be placed on providing high-quality responsive care for infants and toddlers with active promotion of high-stress parents.

关 键 词：家庭照护行为 潜在类别 养育压力 托班 婴幼儿 

分 类 号：R174[医药卫生—妇幼卫生保健]