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台湾油症儿童行为与活动障碍的6年随访

A 6-year follow-up of behavior and activity disorders in the Taiwan Yu-cheng children.

作者信息

Chen Y C, Yu M L, Rogan W J, Gladen B C, Hsu C C

机构信息

Department of Psychiatry, National Cheng Kung University Medical College, Tainan, Taiwan.

出版信息

Am J Public Health. 1994 Mar;84(3):415-21. doi: 10.2105/ajph.84.3.415.

Abstract

OBJECTIVES

The relationship of behavior and activity levels to the interval between outbreak and year of birth and to age of children is explored in Taiwanese children exposed in utero to heat-degraded polychlorinated biphenyls (PCBs)--the Yu-cheng children. Additionally, the relationship of the scores to chemical, physical, and cognitive findings is described.

METHODS

With Rutter's Child Behavior Scale A and a modified Werry-Weiss-Peters Activity Scale, 118 Yu-chen children and matched controls were followed biannually from 1985 to 1991.

RESULTS

At each year, the Yu-cheng children scored 7% to 43% worse (mean = 23%) than control children on the Rutter scale. At any fixed age, the Yu-cheng children scored 11% to 63% (mean = 28%) worse. The effect for children born later did not differ from that for those born earlier; neither was there any improvement as the children aged. A similar but weaker picture was seen for the activity score. These behavioral findings were not related to physical or cognitive findings or to serum PCB levels.

CONCLUSIONS

In utero exposure to heat-degraded PCBs appears to cause mildly disordered behavior and increased activity level; the effect persists over time and is similar in children born up to 6 years after the mothers were exposed.

摘要

目的

在子宫内暴露于热降解多氯联苯(PCBs)的台湾儿童(即“油症”儿童)中,探讨行为和活动水平与疾病爆发至出生年份的间隔以及儿童年龄之间的关系。此外,还描述了这些得分与化学、身体和认知方面检查结果的关系。

方法

采用Rutter儿童行为量表A和改良的韦里-魏斯-彼得斯活动量表,从1985年至1991年每半年对118名“油症”儿童及其匹配的对照组儿童进行随访。

结果

在每年的评估中,“油症”儿童在Rutter量表上的得分比对照组儿童差7%至43%(平均为23%)。在任何固定年龄,“油症”儿童的得分要差11%至63%(平均为28%)。出生较晚的儿童与出生较早的儿童相比,其影响并无差异;随着儿童年龄增长也没有任何改善。活动得分方面也呈现出类似但较弱的情况。这些行为学发现与身体或认知方面的检查结果以及血清PCB水平无关。

结论

子宫内暴露于热降解PCBs似乎会导致轻度行为紊乱和活动水平增加;这种影响会随着时间持续存在,并且在母亲暴露后6年内出生的儿童中情况相似。

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