Brooks-Gunn J, Gross R T, Kraemer H C, Spiker D, Shapiro S
Teachers College, Columbia University, New York, NY 10027.
Pediatrics. 1992 Jun;89(6 Pt 2):1209-15.
The Infant Health and Development Program is a national collaborative study to test the efficacy of combining early child development and family support services with pediatric follow-up to reduce the incidence of health and developmental problems among low birth weight, preterm infants in eight medical school sites. Its efficacy in enhancing intellectual outcomes at age 3 in more and less environmentally vulnerable, low birth weight, preterm children, as defined by maternal education (high school completion or less vs some college) and race (black vs white/other), is explored. Children whose mothers had a high school education or less benefited from the intervention. This was true for both the black and white samples. Children whose mothers had attended college did not exhibit significant enhancement in IQ scores at 3 years. Birth weight affected the response to treatment for one of the four subgroups: Among white mothers with some college, the lighter (less than 2000 g) low birth weight, preterm children were less influenced by the intervention than were the corresponding heavier children. Implications for targeting certain subgroups of low birth weight, preterm children for services are considered.
婴儿健康与发展项目是一项全国性合作研究，旨在测试将儿童早期发展和家庭支持服务与儿科随访相结合，以降低八个医学院校所在地低体重早产儿健康和发育问题发生率的效果。该研究探讨了该项目在改善不同环境脆弱程度、低体重早产儿3岁时智力成果方面的效果，这些儿童根据母亲教育程度（高中及以下学历与上过大学）和种族（黑人与白人/其他种族）进行界定。母亲受教育程度为高中及以下的儿童从干预中受益。黑人和白人样本均是如此。母亲上过大学的儿童在3岁时智商得分并未显著提高。出生体重对四个亚组之一的治疗反应有影响：在母亲上过大学的白人亚组中，体重较轻（低于2000克）的低体重早产儿受干预的影响小于相应体重较重的儿童。文中考虑了针对某些低体重早产儿亚组提供服务的意义。
