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[孕产妇危险行为对青少年及年轻母亲所生孩子行为的影响]

[Impact of maternal risky behaviors on the behaviors of children born to adolescent and young mothers].

作者信息

Wong S M, Tung S X, Wong Q S, Tso Y Y, Ho J R, Chow Z B, Lam L N, Chan F Y, Cheng H F, Chan G L, Ip B B

机构信息

Department of Paediatrics & Adolescent Medicine, the University of Hong Kong, Hong Kong 999077, China.

出版信息

Zhonghua Er Ke Za Zhi. 2018 Feb 2;56(2):116-121. doi: 10.3760/cma.j.issn.0578-1310.2018.02.008.

Abstract

To examine the impact of maternal risky behaviors on the behaviors of children born to adolescent and young mothers. Adolescents and young Chinese mothers were recruited from an integrated young mother supportive program in Hong Kong between January and June 2015. Eligible mothers were asked to complete a questionnaire on their sociodemographic characteristics and history of risky behavior as well as their children's behaviors. Multiple regression analyses were conducted to explore the association between maternal risky behaviors and their children's behaviors. Among 201 respondents, there were 187 (93.0%) ex-drinkers, 136 (67.7%) ex-smokers, and 83 (41.3%) ex-addicts. Compared to the reference group, children of mothers with drug use behaviors were more likely to have abnormal SDQ total difficulties scores (odds ratio 2.60, 0.01), those of ex-drinking mothers had more behavioral difficulties and more conduct problems (=3.82 and 1.37, both0.01) and those of ex-smoking mothers had more conduct problems (=0.74, 0.01) after adjustment for confounders. Children of active drug-taking mothers also had more emotional symptoms (=1.77, 0.04) and hyperactivity/inattention problems (=2.14, 0.03). The history of mother's risky behavior was significantly associated with the behavioral problems of the children.

摘要

考察母亲的危险行为对青少年及年轻母亲所生孩子行为的影响。2015年1月至6月期间,从香港一项综合的年轻母亲支持项目中招募了青少年及年轻的中国母亲。符合条件的母亲被要求填写一份关于其社会人口学特征、危险行为史以及孩子行为的问卷。进行多元回归分析以探究母亲的危险行为与其孩子行为之间的关联。在201名受访者中,有187名(93.0%)曾饮酒者,136名(67.7%)曾吸烟者,以及83名(41.3%)曾吸毒成瘾者。与参照组相比,在对混杂因素进行调整后,有吸毒行为母亲的孩子更有可能出现SDQ总困难得分异常(比值比2.60,P = 0.01),曾饮酒母亲的孩子有更多行为困难和品行问题(β = 3.82和1.37,均P < 0.01),曾吸烟母亲的孩子有更多品行问题(β = 0.74,P = 0.01)。正在吸毒母亲的孩子也有更多情绪症状(β = 1.77,P = 0.04)和多动/注意力不集中问题(β = 2.14,P = 0.03)。母亲的危险行为史与孩子的行为问题显著相关。

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