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[南里奥格兰德州卡诺阿斯市儿童样本中神经心理运动发育的环境和生物学决定因素]

[Environmental and biological determinants of neuropsychomotor development in a sample of children in Canoas/RS].

作者信息

Pilz Elsa Maria Luz, Schermann Lígia Braun

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Universidade Luterana do Brasil, Canoas, RS.

出版信息

Cien Saude Colet. 2007 Jan-Mar;12(1):181-90. doi: 10.1590/s1413-81232007000100021.

Abstract

The object of this study is to determine the prevalence of potential delays in neuropsychomotor development and their possible association with, on one hand, environmental and biological factors, and maternal competence on the other, in a sample of children up to six years old living in Canoas, in Rio Grande do Sul state. A questionnaire was submitted to mothers including questions on social, economic and reproduction factors; child's conditions at birth; child's pathologies; family structure; child care and elements on maternal competence. The potential for neuropsychomotor development delay was assessed by the Denver II Test. Forty clusters were visited in Canoas, a city in Rio Grande do Sul state, in accordance with the cluster probabilistic sampling process. From 197 children assessed by this analytical cross-section study, there was a 27% (n=53) prevalence of potential delay in neuropsychomotor development. The multivariate analysis showed that factors associated with potential development delays were: low income (or = 9,3); mothers with less than 18-month intervals between pregnancies (or=3,9) ; and lack of support from child's father (or=7,0). These results support the importance of implementing income generating programs, health education, and family planning in order to prevent child development delays.

摘要

本研究的目的是确定南里奥格兰德州卡诺阿斯市6岁以下儿童样本中神经心理运动发育潜在延迟的患病率,以及一方面与环境和生物学因素,另一方面与母亲能力之间的可能关联。向母亲们发放了一份问卷,内容包括社会、经济和生殖因素、孩子的出生情况、孩子的病症、家庭结构、儿童保育以及母亲能力方面的要素。通过丹佛发育筛查测验第二版评估神经心理运动发育延迟的可能性。按照整群概率抽样程序,对南里奥格兰德州卡诺阿斯市的40个社区进行了走访。在这项横断面分析研究评估的197名儿童中,神经心理运动发育潜在延迟的患病率为27%(n = 53)。多变量分析表明,与潜在发育延迟相关的因素有:低收入(比值比[OR]=9.3);怀孕间隔时间少于18个月的母亲(OR = 3.9);以及孩子的父亲缺乏支持(OR = 7.0)。这些结果支持了实施创收项目、健康教育和计划生育以预防儿童发育延迟的重要性。

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