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(?)孩子们还好吗?婴儿发育与 COVID-19 大流行:一项横断面研究。

The Kids Are Alright (?). Infants' Development and COVID-19 Pandemic: A Cross-Sectional Study.

机构信息

Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.

Pediatric Unit, Department of Medical and Surgical Sciences for Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.

出版信息

Int J Public Health. 2022 Jun 20;67:1604804. doi: 10.3389/ijph.2022.1604804. eCollection 2022.

Abstract

The study aimed to assess and compare the global development in six-month-old infants before and during the pandemic restrictive social distancing measures. This cross-sectional nested study involved infants assessed through the Griffiths Scales of Child Development (GSCD) between September 2019 and April 2021. Infants were classified in a pre-COVID or a COVID group, considering the evaluation date and the restrictive measures in place. GSCD subscales and General Development Scores (GDS) were calculated and compared. One hundred and four healthy term-born infants were evaluated. GDS in the COVID group (n:70; median: 94; IQR: 90-100) appeared significantly lower than in the pre-COVID group (n:34; median: 98; IQR: 97-103; < 0.001). Language and personal-social-emotional subareas scores appeared the most affected. A decreasing trend of GDS along with the severity of restriction was observed. A reduction in infant development scores was observed during pandemic social distancing. Further studies are needed to systematize these findings and to address effective public health policies for infants and families during long-term forced isolation periods.

摘要

本研究旨在评估和比较大流行期间和之前限制社交距离措施下 6 个月大婴儿的全球发展情况。这项横断面嵌套研究涉及通过格里菲斯儿童发展量表(GSCD)评估的婴儿,评估时间为 2019 年 9 月至 2021 年 4 月。根据评估日期和实施的限制措施,将婴儿分为 COVID 前组或 COVID 组。计算并比较 GSCD 子量表和一般发育评分(GDS)。共评估了 104 名健康足月出生的婴儿。COVID 组(n:70;中位数:94;IQR:90-100)的 GDS 明显低于 COVID 前组(n:34;中位数:98;IQR:97-103;<0.001)。语言和个人社会情感子领域的分数受到的影响最大。随着限制的严重程度,GDS 呈下降趋势。在大流行期间实施社交隔离期间,婴儿发育评分下降。需要进一步的研究来系统地总结这些发现,并制定有效的公共卫生政策,以保护婴儿和家庭在长期被迫隔离期间的健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61c6/9252310/26f2b5cce253/ijph-67-1604804-g001.jpg

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