Parsons Allison A, Ollberding Nicholas J, Copeland Kristen A, Phelan Kieran J
Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center (CCHMC), 3333 Burnet Ave, Cincinnati, OH, 45229, USA.
Division of Biostatistics and Epidemiology, CCHMC, 3333 Burnet Ave, Cincinnati, OH, 45229, USA.
J Prim Prev. 2021 Apr;42(2):125-141. doi: 10.1007/s10935-021-00625-4. Epub 2021 Mar 2.
Residential relocation (RR) is associated with behavior problems and cognitive delays in school-age children. Little is known regarding effects of RR on early childhood development. The data from this study were collected from 2011 to 2016 through the Cincinnati Home Injury Prevention and Literacy Promotion Trial. The purpose of the current study was to identify factors associated with RR and determine effects of RR on early childhood development in a cohort of mother/child dyads (n = 424). High RR was relocating ≥ 3 times over the 24-month study period. Differences in baseline characteristics and early childhood development, measured by the Ages and Stages Questionnaire (ASQ) and MacArthur Bates Communicative Development Inventory, according to relocations, were estimated by negative binomial regression and logistic regression, respectively. Participants moved on average 1.46 times over 24 months. Relocations decreased by 0.05 for each year of increasing maternal age. Mothers with college degrees moved 0.72 fewer times than those with a high school diploma or less. Mothers living alone moved 0.47 fewer times than their counterparts. Mothers who could not count on someone to loan them $1000 and those with food insecurity more (0.41) than their counterparts (0.50). Odds of scoring in the bottom-tertile for the communication domain of the ASQ was significantly higher in those relocating ≥ 3 times. High RR was associated with concern for delayed language development at 24-month follow-up in some, but not all models. Early intervention may be more successful if primary care physicians and community health professionals collaborate to link families at risk of high RR to relevant community based resources.
家庭搬迁（RR）与学龄儿童的行为问题和认知延迟有关。关于RR对幼儿发育的影响知之甚少。本研究的数据是通过辛辛那提家庭伤害预防与识字促进试验于2011年至2016年收集的。本研究的目的是确定与RR相关的因素，并确定RR对一组母婴二元组（n = 424）幼儿发育的影响。高RR是指在24个月的研究期间搬迁≥3次。分别通过负二项回归和逻辑回归估计根据搬迁情况，由年龄与阶段问卷（ASQ）和麦克阿瑟·贝茨沟通发展量表测量的基线特征和幼儿发育的差异。参与者在24个月内平均搬迁1.46次。母亲年龄每增加一岁，搬迁次数减少0.05次。拥有大学学位的母亲比拥有高中文凭或更低学历的母亲少搬迁0.72次。独居母亲比非独居母亲少搬迁0.47次。无法指望有人借给她们1000美元的母亲以及粮食不安全程度更高（0.41）的母亲比其他母亲（0.50）搬迁次数更多。在ASQ沟通领域得分处于最低三分位数的几率在搬迁≥3次的人群中显著更高。在一些但并非所有模型中，高RR与24个月随访时对语言发育延迟的担忧有关。如果初级保健医生和社区卫生专业人员合作，将有高RR风险的家庭与相关社区资源联系起来，早期干预可能会更成功。
