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社会人口统计学因素对 18 个月龄婴儿神经发育的影响:希腊克里特岛的母婴队列(Rhea 研究)。

Socio-demographic determinants of infant neurodevelopment at 18 months of age: Mother-Child Cohort (Rhea Study) in Crete, Greece.

机构信息

Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece.

出版信息

Infant Behav Dev. 2012 Feb;35(1):48-59. doi: 10.1016/j.infbeh.2011.09.005. Epub 2011 Oct 21.

Abstract

Studies on determinants affecting child development are still limited in Greece. The aim of the present study was to describe the socio-demographic characteristics associated with neurodevelopment in infants aged 18 months in the Mother-Child Cohort (Rhea Study) in Crete, Greece. A total of 599 (72.9%) mothers agreed to participate in the neurodevelopment protocol and 612 infants (586 singletons and 26 twins) were assessed by means of the Bayley Scales of Infant and Toddler Development (3rd edition). The present analysis includes 605 infants. Multivariable linear regression models were implemented to examine the associations between the Bayley-III standardised scores and different parental and infant characteristics, also adjusting for quality of assessment. Girls were found to have better neurodevelopmental outcomes in cognitive, receptive and expressive communication, fine motor and social-emotional development. Maternal higher education was positively associated to almost all aspects of infant neurodevelopment assessed. Increasing number of older siblings was negatively associated with cognitive development, communication skills and gross motor development. Our results, also, suggest a positive effect of maternal employment on infants' receptive and expressive communication, and gross motor scores. The results of the present study suggest that in the population on Crete social and environmental factors contributed more to infants' neurodevelopment at 18 months than biological factors.

摘要

关于影响儿童发育的决定因素的研究在希腊仍然有限。本研究的目的是描述与希腊克里特岛母婴队列(Rhea 研究)中 18 个月婴儿神经发育相关的社会人口统计学特征。共有 599 名(72.9%)母亲同意参与神经发育方案,612 名婴儿(586 名单胎和 26 名双胞胎)通过贝利婴幼儿发展量表(第 3 版)进行评估。本分析包括 605 名婴儿。实施多变量线性回归模型,以检查贝利-III 标准化评分与不同父母和婴儿特征之间的关联,同时还调整了评估质量。研究发现,女孩在认知、接受性和表达性沟通、精细运动和社会情感发展方面具有更好的神经发育结果。母亲接受更高的教育与婴儿神经发育的几乎所有方面都呈正相关。年龄较大的兄弟姐妹数量增加与认知发育、沟通技能和大运动发育呈负相关。我们的研究结果还表明,母亲就业对婴儿接受性和表达性沟通以及大运动评分有积极影响。本研究的结果表明,在克里特岛的人群中,社会和环境因素比生物因素对 18 个月婴儿的神经发育有更大的影响。

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