Lejarraga Horacio, Berardi Clemente, Ortale Susana, Contreras María Magdalena, Sanjurjo Adriana, Lejarraga Celina, Martínez Cáceres María José, Rodríguez Lilian
Servicio de Crecimiento y Desarrollo, Hospital Nacional de Pediatría Prof. Dr. Juan P. Garrahan.
Arch Argent Pediatr. 2011 Dec;109(6):485-91. doi: 10.5546/aap.2011.485.
Prisons are considered a very high risk environment, but there is very scarce scientific information on the growth and development of children who live there.
With the purpose of evaluating growth and development of children living with their mothers in prison, a cross sectional survey was performed in 68 children aged 0-3 years in Unit 31, a prison for mothers with children located at 30 km from Buenos Aires.
Weight, supine length, and developmental quotient (Cats Clams) was measured, PRUNAPE, and SQE-SE test were administered (screening tests for detecting developmental and emotional disorders, respectively). Mothers' child rearing practices were assessed with a previously standardized questionnaire.
Age range of mothers was 18-46 years, median 23.5 yr. Duration of stay in prison of children was 0.05-35 months. Mean ± standard error of "Z" score for height was -0.30 ± 0.12, weight 0.40 ± 0.12; body mass index 0.91 ± 0.18; head circumference 0.19 ± 0.14; and developmental quotient 92.4 ± 1.7. There were only 7 children out of 67 who failed the PRUNAPE. Mean Cats Clams developmental score was 91.3. ASQ-SE test showed high prevalence (39%) of emotional and social integration problems. Mothers' knowledge about child rearing practices was poorer than that found in a normal urban local population. There were no trends for results to be related to the length of stay in prison.
Children are shorter and with higher BMI than reference. Emotional disorders are frequent (39%). Mothers' knowledge about child care was poorer than that found in a near population. A program for longitudinal surveillance for all prisons in the country was proposed to the authorities.
监狱被认为是一个风险极高的环境,但关于生活在那里的儿童的生长发育的科学信息非常稀缺。
为了评估与母亲一同生活在监狱中的儿童的生长发育情况,对位于距布宜诺斯艾利斯30公里处的一所收留带孩子母亲的监狱(31号单元)中的68名0至3岁儿童进行了横断面调查。
测量了体重、仰卧身长和发育商(猫抓板测试),进行了PRUNAPE测试和SQE - SE测试(分别为检测发育和情绪障碍的筛查测试)。使用一份先前标准化的问卷评估母亲的育儿方式。
母亲的年龄范围为18至46岁,中位数为23.5岁。儿童在监狱中的停留时间为0.05至35个月。身高“Z”评分的平均值±标准误为 - 0.30±0.12,体重为0.40±0.12;体重指数为0.91±0.18;头围为0.19±0.14;发育商为92.4±1.7。67名儿童中只有7名PRUNAPE测试未通过。猫抓板测试的平均发育得分为91.3。ASQ - SE测试显示情绪和社会融合问题的患病率很高(39%)。母亲对育儿方式的了解比正常城市当地人群中的情况要差。结果与在监狱中的停留时间没有相关趋势。
儿童比参考标准更矮且体重指数更高。情绪障碍很常见(39%)。母亲对儿童护理的了解比附近人群中的情况要差。已向当局提议为该国所有监狱制定一项纵向监测计划。