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三种积极育儿方式及其与儿童发育、社交或行为迟缓风险的相关性:对全国儿童健康调查的分析

Three Positive Parenting Practices and Their Correlation with Risk of Childhood Developmental, Social, or Behavioral Delays: An Analysis of the National Survey of Children's Health.

作者信息

Cprek Sarah E, Williams Corrine M, Asaolu Ibitola, Alexander Linda A, Vanderpool Robin C

机构信息

Department of Health Behavior, University of Kentucky College of Public Health, Bowman Hall Room 336, Lexington, KY, 40506-0059, USA.

出版信息

Matern Child Health J. 2015 Nov;19(11):2403-11. doi: 10.1007/s10995-015-1759-1.

Abstract

OBJECTIVES

(1) Investigate the relationship between three specific positive parenting practices (PPP)-reading to children, engaging in storytelling or singing, and eating meals together as a family-and parent-reported risk of developmental, behavioral, or social delays among children between the ages of 1-5 years in the US. (2) Determine if a combination of these parenting practices has an effect on the outcome.

METHODS

Chi square and multiple logistic regression analyses were used to analyze cross-sectional data from the National Survey of Children's Health 2011/2012 in regards to the relationship between each of the three individual PPP as well as a total PPP score and the child's risk of being developmentally, socially, or behaviorally delayed (N = 21,527). Risk of delay was calculated using the Parents' Evaluation of Developmental Status Questionnaire, which is a parental self-report measure that has been correlated with diagnosed child delays. These analyses controlled for poverty and parental education. All analyses were completed using SAS Version 9.3.

RESULTS

A strong correlation was found between each of the three PPP as well as the total PPP score and the child's risk of developmental, social, or behavioral delays (p < 0.05 for each test). These associations were found to have a dose-response relationship (p < 0.05 in all but one analysis).

CONCLUSIONS

Daily engagement in PPP could possibly reduce children's risk of delay, and specifically engaging in all three PPP may have greater benefit.

摘要

目标

(1)调查三种特定的积极育儿方式——给孩子读书、讲故事或唱歌以及全家一起用餐——与美国1至5岁儿童家长报告的发育、行为或社交延迟风险之间的关系。(2)确定这些育儿方式的组合是否对结果有影响。

方法

使用卡方检验和多元逻辑回归分析,分析2011/2012年全国儿童健康调查的横断面数据,以研究三种个体积极育儿方式中的每一种以及积极育儿方式总分与儿童发育、社交或行为延迟风险之间的关系(N = 21,527)。延迟风险使用《父母对发育状况的评估问卷》进行计算,这是一种家长自我报告测量方法,已与诊断出的儿童延迟相关联。这些分析对贫困和父母教育程度进行了控制。所有分析均使用SAS 9.3版本完成。

结果

发现三种积极育儿方式中的每一种以及积极育儿方式总分与儿童发育、社交或行为延迟风险之间存在强相关性(每次检验p < 0.05)。这些关联呈现剂量反应关系(除一项分析外,所有分析中p < 0.05)。

结论

日常采用积极育儿方式可能会降低儿童的延迟风险,特别是同时采用所有三种积极育儿方式可能会有更大益处。

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