Breslau N, Chilcoat H D, Susser E S, Matte T, Liang K Y, Peterson E L
Department of Psychiatry, Henry Ford Health System, Detroit, MI 48202-3450, USA.
Am J Epidemiol. 2001 Oct 15;154(8):711-7. doi: 10.1093/aje/154.8.711.
The authors estimated the influence of familial factors and community disadvantage on changes in children's intelligence quotient (IQ) scores from age 6 years to age 11 years. Data were obtained from a longitudinal study of the neuropsychiatric sequelae of low birth weight in two socioeconomically disparate, geographically defined communities in the Detroit, Michigan, metropolitan area. Representative samples of low birth weight and normal birth weight children from the City of Detroit (urban) and nearby middle-class suburbs (suburban) were assessed at age 6 years (in 1990-1992) and age 11 years (in 1995-1997) (n = 717). Children's IQs were measured using the Wechsler Intelligence Scale for Children-Revised. The familial factors considered included maternal IQ, education, and marital status. Multiple regression analysis applying generalized estimating equations was used. The IQs of urban children, regardless of birth weight, declined from age 6 years to age 11 years. The downward shift increased by 50% the proportion of urban children scoring 1 standard deviation below the standardized IQ mean of 100. A negligible change was observed in suburban children. Maternal IQ, education, and marital status and low birth weight predicted IQ at age 6 years but were unrelated to IQ change. Growing up in a racially segregated and disadvantaged community, more than individual and familial factors, may contribute to a decline in IQ score in the early school years.
作者评估了家庭因素和社区劣势对儿童6岁至11岁智商(IQ)分数变化的影响。数据来自对密歇根州底特律市大都市区两个社会经济状况不同、地理区域明确的社区中低出生体重儿神经精神后遗症的纵向研究。从底特律市(城市)和附近中产阶级郊区(郊区)选取了低出生体重儿和正常出生体重儿的代表性样本,分别在6岁(1990 - 1992年)和11岁(1995 - 1997年)进行评估(n = 717)。使用韦氏儿童智力量表修订版测量儿童的智商。考虑的家庭因素包括母亲的智商、教育程度和婚姻状况。采用广义估计方程进行多元回归分析。无论出生体重如何,城市儿童的智商从6岁到11岁都有所下降。这种下降使城市儿童中智商得分低于标准化智商均值100一个标准差的比例增加了50%。郊区儿童的智商变化可忽略不计。母亲的智商、教育程度、婚姻状况以及低出生体重可预测6岁时的智商,但与智商变化无关。在种族隔离且处于劣势的社区中成长,可能比个体和家庭因素更能导致儿童在学年初智商得分下降。