Kacenelenbogen Nadine, Dramaix-Wilmet Michèle, Schetgen M, Roland M, Godin Isabelle
Département de Médecine Générale, Université Libre de Bruxelles, Campus Facultaire Erasme, Route de Lennik 808/612, Bruxelles, 1070, Belgium.
, Avenue Molière 179, Bruxelles, 1190, Belgium.
BMC Pediatr. 2016 Jul 11;16:89. doi: 10.1186/s12887-016-0621-y.
In Western countries, about a quarter of children are affected by parental separation and a number of authors have previously investigated how familial structure impacts children's health. The purpose of the work: to analyze the psychomotor development of children aged 28 to 32 months based on family structure (parents together or separated), independently of the influence of socio-economic environment that is well documented. To analyse the psychomotor development of children younger than 3 years based on family structure (parents together or separated) independently of the influence of socio-economic environment that is well documented.
Cross-sectional study by examination of 28 871 children as part of a free preventive medicine consultation. The data came from an assessment conducted 28 to 32 months after birth during which information was collected about the psychomotor development: to perform a standing jump, dress themselves, draw a vertical line and circle, use the "I" pronoun, build a three-word sentence, and say their first name
Ten percent of the children had separated parents. Compared to parents who were together, when adjusting for the socioeconomic environment, as well as all potential confounders, the adjusted odds ratios (ORs) (95 % confidence interval [CI]) for children with separated parents, in terms of their ability to perform a standing jump, dress themselves, and draw a vertical line and circle were respectively 0.9 (0.7-1.1), 1.1 (0.9-1.2), 1.3 (1.1-1.4) and 1.2 (1.1-1.4). The adjusted ORs (95 % CI) for children's inability to say the "I" pronoun, build a three-word sentence, and say their first name were respectively 1.2 (1.1-1.3), 1.3 (1.2-1.5), and 1.2 (0.9-1.5).
After adjusting for sociocultural factors and other potential confounders, we observed that the children exhibited slower progression in psychomotor development, especially in language and graphic abilities when their parents were separated. While the implications of our study are somewhat limited, they do provide us with the necessary arguments enabling us to set up a prospective cohort study. Such a study should be able to better assess the impact of parental separation on the child's development, confirming our preliminary results.
在西方国家，约四分之一的儿童受到父母离异的影响，许多作者此前已研究家庭结构如何影响儿童健康。这项工作的目的是：基于家庭结构（父母在一起或分居）分析28至32个月大儿童的心理运动发育情况，独立于已有充分文献记载的社会经济环境的影响。基于家庭结构（父母在一起或分居）分析3岁以下儿童的心理运动发育情况，独立于已有充分文献记载的社会经济环境的影响。
作为免费预防医学咨询的一部分，对28871名儿童进行检查的横断面研究。数据来自出生后28至32个月进行的一项评估，在此期间收集了有关心理运动发育的信息：进行立定跳远、自己穿衣、画垂直线和圆圈、使用“我”这个代词、构建三个词的句子以及说出自己的名字。
10%的儿童父母离异。与父母在一起的儿童相比，在调整社会经济环境以及所有潜在混杂因素后，父母离异儿童在进行立定跳远、自己穿衣、画垂直线和圆圈方面的调整后比值比（OR）（95%置信区间[CI]）分别为0.9（0.7 - 1.1）、1.1（0.9 - 1.2）、1.3（1.1 - 1.4）和1.2（1.1 - 1.4）。父母离异儿童无法说出“我”这个代词、构建三个词的句子以及说出自己名字的调整后OR（95%CI）分别为1.2（1.1 - 1.3）、1.3（1.2 - 1.5）和1.2（0.9 - 1.5）。
在调整社会文化因素和其他潜在混杂因素后，我们观察到父母离异的儿童心理运动发育进程较慢，尤其是在语言和图形能力方面。虽然我们研究的影响有些有限，但它们确实为我们提供了必要的论据，使我们能够开展一项前瞻性队列研究。这样的研究应该能够更好地评估父母离异对儿童发育的影响，证实我们的初步结果。
