Overs B J, Woolfenden S, Williams K, Jalaludin B, Axelsson E L, Dissanayake C, Descallar J, Harvey S, Beasley D, Murphy E, Eapen V
University of New South Wales, Sydney, NSW, Australia.
Sydney Children's Hospitals Network, Sydney, NSW, Australia.
Child Care Health Dev. 2017 Mar;43(2):307-315. doi: 10.1111/cch.12425. Epub 2016 Dec 1.
While developmental surveillance programs promote early identification of child developmental problems, evidence has indicated suboptimal uptake. This study aimed to identify predictors of developmental surveillance completion at 6 months postpartum.
Questionnaires were administered to the parents of 510 infants who were born in south western Sydney, Australia over a 22-month period. Attendance for developmental screening and completion of the Parents' Evaluation of Developmental Status (PEDS) at 6 months postpartum were modelled separately using multivariable logistic regression.
Developmental surveillance attendance was predicted by higher levels of maternal education, annual income and being informed about checks. PEDS completion at 6 months of age was predicted by higher income and being informed, as well as being married, employed, speaking English at home, full-term birth and the professional status of the practitioner completing the check.
Barriers to developmental surveillance included low socioeconomic status, linguistic diversity and possible gaps in parental knowledge and professional education. Developmental surveillance rates may be increased by the addition of targeted parental and professional support within current universal frameworks.
虽然发育监测项目有助于早期识别儿童发育问题，但证据表明其接受程度并不理想。本研究旨在确定产后6个月时发育监测完成情况的预测因素。
在22个月的时间里，对澳大利亚悉尼西南部出生的510名婴儿的父母进行了问卷调查。分别使用多变量逻辑回归模型对产后6个月时发育筛查的参与情况以及《父母发育状况评估量表》（PEDS）的完成情况进行分析。
母亲受教育程度较高、年收入较高以及知晓相关检查可预测发育监测的参与情况。收入较高、知晓相关检查、已婚、就业、在家说英语、足月出生以及进行检查的从业者的职业地位可预测6个月大时PEDS的完成情况。
发育监测的障碍包括社会经济地位低、语言多样性以及父母知识和专业教育方面可能存在的差距。在当前的通用框架内增加有针对性的父母和专业支持，可能会提高发育监测率。
