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孕期早期母亲使用手机与孩子3岁和5岁时的语言、沟通及运动技能:挪威母婴队列研究(MoBa)

Maternal cell phone use in early pregnancy and child's language, communication and motor skills at 3 and 5 years: the Norwegian mother and child cohort study (MoBa).

作者信息

Papadopoulou Eleni, Haugen Margaretha, Schjølberg Synnve, Magnus Per, Brunborg Gunnar, Vrijheid Martine, Alexander Jan

机构信息

Department of Environmental Exposures and Epidemiology, Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, PO Box 4404, 0403, Oslo, Norway.

Department of Child Development, Division of Mental Health, Norwegian Institute of Public Health, PO Box 4404, 0403, Oslo, Norway.

出版信息

BMC Public Health. 2017 Sep 5;17(1):685. doi: 10.1186/s12889-017-4672-2.

Abstract

BACKGROUND

Cell phone use during pregnancy is a public health concern. We investigated the association between maternal cell phone use in pregnancy and child's language, communication and motor skills at 3 and 5 years.

METHODS

This prospective study includes 45,389 mother-child pairs, participants of the MoBa, recruited at mid-pregnancy from 1999 to 2008. Maternal frequency of cell phone use in early pregnancy and child language, communication and motor skills at 3 and 5 years, were assessed by questionnaires. Logistic regression was used to estimate the associations.

RESULTS

No cell phone use in early pregnancy was reported by 9.8% of women, while 39%, 46.9% and 4.3% of the women were categorized as low, medium and high cell phone users. Children of cell phone user mothers had 17% (OR = 0.83, 95% CI: 0.77, 0.89) lower adjusted risk of having low sentence complexity at 3 years, compared to children of non-users. The risk was 13%, 22% and 29% lower by low, medium and high maternal cell phone use. Additionally, children of cell phone users had lower risk of low motor skills score at 3 years, compared to children of non-users, but this association was not found at 5 years. We found no association between maternal cell phone use and low communication skills.

CONCLUSIONS

We reported a decreased risk of low language and motor skills at three years in relation to prenatal cell phone use, which might be explained by enhanced maternal-child interaction among cell phone users. No evidence of adverse neurodevelopmental effects of prenatal cell phone use was reported.

摘要

背景

孕期使用手机是一个公共卫生问题。我们调查了孕期母亲使用手机与孩子3岁和5岁时的语言、沟通及运动技能之间的关联。

方法

这项前瞻性研究纳入了45389对母婴,他们是挪威母亲与儿童队列研究(MoBa)的参与者,于1999年至2008年孕中期招募。通过问卷调查评估孕早期母亲使用手机的频率以及孩子3岁和5岁时的语言、沟通及运动技能。采用逻辑回归来估计关联。

结果

9.8%的女性报告在孕早期未使用手机,而39%、46.9%和4.3%的女性被归类为低、中、高手机使用者。与未使用者的孩子相比,使用手机母亲的孩子在3岁时句子复杂度低的调整风险降低了17%(比值比[OR]=0.83,95%置信区间[CI]:0.77,0.89)。母亲低、中、高手机使用情况对应的风险分别降低了13%、22%和29%。此外,与未使用者的孩子相比,使用手机母亲的孩子在3岁时运动技能得分低的风险较低,但在5岁时未发现这种关联。我们未发现母亲使用手机与沟通技能低之间存在关联。

结论

我们报告了产前使用手机与3岁时语言和运动技能低的风险降低有关,这可能是由于手机使用者中母婴互动增强所致。未报告产前使用手机对神经发育有不良影响的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ed/5584361/9ee675feb53c/12889_2017_4672_Fig1_HTML.jpg

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