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父亲死亡或离家对秘鲁贫困儿童成长的影响。

Effect of father's death or departure on growth of poor children in Peru.

作者信息

Graham G G, Adrianzén B, Rabold J, Mellits E D

出版信息

Pediatrics. 1984 Sep;74(3):384-8.

PMID:6472971
Abstract

Between 1966 and 1976, heights and weights were determined yearly on all available children from 163 families who had had at least one child successfully treated for malnutrition between 1961 and 1971 and from eight families who had adopted such a child. Between 1959 and 1976, a total of 72 fathers departed from these families: 12 died, 47 deserted, six were jailed, and seven left to look for work elsewhere. Heights and weights as Z scores and the weight age/height age ratios were analyzed, when available, during four periods around the date of the event: 6 to 18 months before (period 1B), 0 to 6 months before (period 2B), 0 to 6 months after (period 3A), and 6 to 18 months after (period 4A). Mean Z scores for all children measured in the period were already low (-0.26 +/- 0.93 and -0.25 +/- 0.95) during period 1B, were higher during period 2B, (-0.15 and 0.04), lower during period 3A (-0.39 and -0.46), and similar to original levels during period 4A (-0.37 and -0.27). Mean weight age/height age was low (0.93 +/- 0.17) only during period 3A for children 2 to 18 years of age. In paired comparisons for children measured during any two periods there were significant increases in Z height and Z weight from periods 1B to 2B and from periods 1B to 4A in children less than 2 years of age and a significant decrease in the weight age/height age ratio from periods 1B to 3A in those 2 to 18 years of age. Loss of father had little or no further impact on the already poor growth of these children.

摘要

1966年至1976年期间,对163个家庭中所有可获取信息的儿童的身高和体重进行了年度测量。这些家庭中至少有一个孩子在1961年至1971年间因营养不良得到成功治疗,另外还有8个收养了此类儿童的家庭。1959年至1976年期间,共有72位父亲离开了这些家庭:12人去世,47人离家出走,6人入狱,7人外出打工。在事件发生日期前后的四个时间段内,对身高和体重的Z分数以及体重年龄/身高年龄比进行了分析(如有数据):事件发生前6至18个月(第1B期)、事件发生前0至6个月(第2B期)、事件发生后0至6个月(第3A期)以及事件发生后6至18个月(第4A期)。在第1B期,该时间段内测量的所有儿童的平均Z分数已经很低(-0.26±0.93和-0.25±0.95),在第2B期有所升高(-0.15和0.04),在第3A期降低(-0.39和-0.46),在第4A期与初始水平相似(-0.37和-0.27)。仅在第3A期,2至18岁儿童的平均体重年龄/身高年龄较低(0.93±0.17)。在对任何两个时间段内测量的儿童进行配对比较时,2岁以下儿童从第1B期到第2B期以及从第1B期到第4A期的身高Z分数和体重Z分数显著增加,而2至18岁儿童从第1B期到第3A期的体重年龄/身高年龄比显著降低。父亲的离开对这些儿童本已不佳的生长发育几乎没有进一步影响。

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