Silva Ângela Cristina Dornelas da, Engstron Elyne Montenegro, Miranda Cláudio Torres de
Universidade Federal da Paraíba, João Pessoa, Brasil.
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2015 Sep;31(9):1881-93. doi: 10.1590/0102-311X00104814.
This study aimed to determine the prevalence of altered neurodevelopment in children in public daycare centers in João Pessoa, Paraíba State, Brazil, and to analyze factors associated with child development. A cross-sectional study was conducted in a sample of children 6 to 18 months of age enrolled in daycare. Child development was assessed by the Denver II Screening Test. Biological, riables were studied with a questionnaire and form. Associations were adjusted using logistic regression. Altered development was present in 52.7% of the children and was associated with age > 12 months (OR = 4.3), vaginal delivery (OR = 4.4), neonatal phototherapy (OR = 7.9), and daycare centers not supported by the Family Health Strategy (OR = 2.9). The findings suggest that child development reflects the family's conditions and the care received from educational and healthcare services.
本研究旨在确定巴西帕拉伊巴州若昂佩索阿市公立日托中心儿童神经发育改变的患病率,并分析与儿童发育相关的因素。对一组6至18个月大入托的儿童进行了横断面研究。采用丹佛发育筛查测验第二版评估儿童发育情况。通过问卷和表格研究生物学变量。使用逻辑回归对关联进行校正。52.7%的儿童存在发育改变,且与年龄>12个月(比值比=4.3)、阴道分娩(比值比=4.4)、新生儿光疗(比值比=7.9)以及未得到家庭健康战略支持的日托中心(比值比=2.9)相关。研究结果表明,儿童发育反映了家庭状况以及从教育和医疗服务中获得的照料。