揭示五岁以下儿童发育迟缓的预测因素：一项社区研究的见解
Unveiling predictors of developmental delay among under-fives: Insights from a community study.
作者信息
Kiran Kumari A, Kumar Dewesh, Anand Prerna, Choudhary Jaideep K, Kujur Manisha, Sahu Surendra, Tanu Tanya, Rajnish Sahil N, Sagar Vidya, Hembrom Shailesh S, Raj Mayank
机构信息
Department of Community Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Department of Community Medicine, Medinirai Medical College, Palamu, Jharkhand, India.
出版信息
J Family Med Prim Care. 2024 Nov;13(11):4979-4984. doi: 10.4103/jfmpc.jfmpc_793_24. Epub 2024 Nov 18.
INTRODUCTION
The development of a child is a crucial factor that ultimately affects the quality of life of children. Developmental delay can be prevented if it is identified early and adequate attention is given from the start.
METHODOLOGY
A cross-sectional analytical study was conducted between December and November 2022 on 450 children by multistage cluster sampling in the Ormanjhi block of Ranchi, Jharkhand. Development was assessed by using the Denver II developmental screening test. The Chi-square test and logistic regression were applied to predict associations.
RESULTS
Among 450, 4.9% were found to be developmentally delayed in one or more domains (viz., gross motor, fine motor, language and social domains). The strongest association was seen with the mother's education and the presence of past illness in the child.
CONCLUSION
The study concludes that developmental delay can go unnoticed in our society, but it is very important to identify this early in their lives as it can affect their productivity.
引言
儿童的发育是一个关键因素，最终会影响儿童的生活质量。如果能早期识别并从一开始就给予足够关注，发育迟缓是可以预防的。
方法
2022年12月至11月期间，在贾坎德邦兰契的奥尔曼吉街区，通过多阶段整群抽样对450名儿童进行了横断面分析研究。使用丹佛发育筛查测验第二版评估发育情况。应用卡方检验和逻辑回归来预测关联。
结果
在450名儿童中，发现4.9%在一个或多个领域（即大运动、精细运动、语言和社交领域）存在发育迟缓。与母亲的教育程度和孩子过去患病情况的关联最为显著。
结论
该研究得出结论，发育迟缓在我们的社会中可能未被注意到，但在儿童生命早期识别这一点非常重要，因为这会影响他们的生产力。
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