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围产期发病率和环境因素对12岁早产儿健康状况的影响。

The effects of perinatal morbidity and environmental factors on health status of preterm children at age 12.

作者信息

Miller Robin June, Sullivan Mary C, Hawes Katheleen, Marks Amy Kerivan

机构信息

University of Rhode Island, College of Nursing, Kingston, RI, USA.

出版信息

J Pediatr Nurs. 2009 Apr;24(2):101-14. doi: 10.1016/j.pedn.2008.02.031. Epub 2008 Sep 4.

Abstract

Children born prematurely have later morbidity, yet little is known about their health in adolescence. This study examined multiple dimensions of health at age 12 and the predictors of biological, behavioral, social, and physical environmental factors. Analysis of variance and logistic regression models were tested. Perinatal morbidity predicted health at age 12. Preterm status increases the risk of later alterations in health. Bronchopulmonary dysplasia, necrotizing enterocolitis, intraventricular hemorrhage, small-for-gestational age, parental perception of child health, and parental psychological distress affect later health. Prematurity and perinatal morbidity continue to impact child health 12 years after birth.

摘要

早产出生的儿童日后会出现发病情况,但对于他们在青春期的健康状况却知之甚少。本研究调查了12岁时健康的多个维度以及生物、行为、社会和物理环境因素的预测指标。对方差分析和逻辑回归模型进行了检验。围产期发病情况可预测12岁时的健康状况。早产状态会增加日后健康出现改变的风险。支气管肺发育不良、坏死性小肠结肠炎、脑室内出血、小于胎龄儿、父母对孩子健康的认知以及父母的心理困扰都会影响日后的健康。早产和围产期发病情况在出生12年后仍会继续影响儿童健康。

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