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在巴西半干旱地区对 24 个月以下儿童进行神经心理运动和社会情感发展筛查。

SCREENING FOR NEUROPSYCHOMOTOR AND SOCIAL-EMOTIONAL DEVELOPMENT IN CHILDREN UNDER 24 MONTHS OF AGE IN THE BRAZILIAN SEMI-ARID REGION.

机构信息

Universidade Federal do Piauí, Campus Senador Helvídio Nunes de Barros, Picos, PI, Brazil.

School of Public Health, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Paul Pediatr. 2021 May 26;40:e2020172. doi: 10.1590/1984-0462/2022/40/2020172. eCollection 2021.

Abstract

OBJECTIVE

To screen children under 24 months of age for neuropsychomotor and social-emotional development in a municipality of the Brazilian semi-arid region, using the Survey of Well-Being of Young Children (SWYC) scale.

METHODS

This is a quantitative cross-sectional study with a non-probabilistic sample, involving children aged 1 to 24 months and their respective mothers, recruited from primary care services in the municipality of Picos, Piauí, Northeastern Brazil. The screening for neuropsychomotor and social-emotional development using the SWYC scale also provided information about the family context. In addition, we administered a questionnaire to assess the children's demographic and socioeconomic factors. Descriptive data analysis was performed.

RESULTS

The sample consisted mostly of adult mothers (84.0%), with more than 8 years of schooling (83.3%), belonging to the C, D, and E socioeconomic classes (75.3%). The prevalence of suspected cases of delayed neuropsychomotor development and social-emotional changes was 12.7 and 42.2%, respectively.

CONCLUSIONS

The results point to the existence of children at risk of delayed development, particularly in the social-emotional domain, reaffirming the need to adopt child development screening as a health service routine, with the implementation of appropriate intervention programs.

摘要

目的

在巴西半干旱地区的一个市,使用儿童健康调查(SWYC)量表,对 24 个月以下儿童进行神经心理运动和社会情感发育筛查。

方法

这是一项采用非概率抽样的定量横断面研究,涉及来自巴西东北部皮奥伊州皮库斯市初级保健服务的 1 至 24 个月龄儿童及其母亲。使用 SWYC 量表进行神经心理运动和社会情感发育筛查,同时提供有关家庭环境的信息。此外,我们还采用问卷调查评估儿童的人口统计学和社会经济因素。对描述性数据进行分析。

结果

样本主要由成年母亲(84.0%)组成,她们受教育时间超过 8 年(83.3%),社会经济阶层为 C、D 和 E 阶层(75.3%)。疑似神经心理运动发育迟缓的病例和社会情感变化的患病率分别为 12.7%和 42.2%。

结论

结果表明存在发育迟缓风险的儿童,特别是在社会情感领域,再次证实了将儿童发育筛查作为卫生服务常规的必要性,并实施适当的干预计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08a0/8240621/a1460cbc47b8/1984-0462-rpp-40-e2020172-gf1.jpg

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