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十岁儿童的智力发育迟缓与母亲孕期工作的关系。

Mental retardation in ten-year-old children in relation to their mothers' employment during pregnancy.

作者信息

Decouflé P, Murphy C C, Drews C D, Yeargin-Allsopp M

机构信息

Division of Birth Defects and Developmental Disabilities, Centers for Disease Control, Atlanta, GA.

出版信息

Am J Ind Med. 1993 Nov;24(5):567-86. doi: 10.1002/ajim.4700240507.

Abstract

We conducted a case-control study to examine relationships between potential risk factors in women's prenatal occupational histories and subsequent mental retardation in their 10-year-old children. Children with mental retardation (intelligence quotient less than 71) were identified from special education records maintained by the public school systems in the metropolitan Atlanta area and from records of various medical and social service agencies serving children with special needs. Control children were chosen from the rosters of 10-year-olds who were enrolled in regular education classes in the local public school systems. To obtain occupational histories, sociodemographic data, and other information, we interviewed 352 natural mothers (67%) of 525 case children and 408 natural mothers (64%) of 636 control children. We computed odds ratios for each of 25 selected occupation, industry, and agent categories controlling for maternal education, birth order, and race. Most comparisons yielded odds ratios that were not indicative of unusual risks, but we did find lower than expected risks among children of teachers and health-care professionals. We also found a strong, positive association between mental retardation and maternal employment in the textile and apparel industries. The findings are useful for planning the direction of future studies of childhood cognitive ability to focus on specific parental occupations or industries.

摘要

我们开展了一项病例对照研究,以探讨女性产前职业经历中的潜在风险因素与她们10岁孩子随后出现智力发育迟缓之间的关系。智力发育迟缓儿童(智商低于71)是从大亚特兰大地区公立学校系统保存的特殊教育记录以及为有特殊需求儿童服务的各种医疗和社会服务机构的记录中确定的。对照儿童是从当地公立学校系统普通教育班级中注册的10岁儿童名单中挑选出来的。为了获取职业经历、社会人口统计学数据和其他信息,我们采访了525名病例儿童的352名亲生母亲(67%)和636名对照儿童的408名亲生母亲(64%)。我们计算了25个选定的职业、行业和接触因素类别中每一个的比值比,并对母亲的教育程度、出生顺序和种族进行了控制。大多数比较得出的比值比并不表明存在异常风险,但我们确实发现教师和医疗保健专业人员的孩子的风险低于预期。我们还发现智力发育迟缓与母亲在纺织和服装行业的就业之间存在强烈的正相关。这些发现有助于规划未来儿童认知能力研究的方向,以便关注特定的父母职业或行业。

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