中国循证儿科杂志2011，Vol.6Issue(6)：425-430,6.DOI:10.3969/j.issn.1673-5501.2011.06.005
年龄与发育进程问卷(中文版)评估上海市3～66月龄儿童神经精神发育春夏秋季的差异
Study on the neuropsychological development differences in the Ages and Stages Questionnaires (Chinese version) of Shanghai children aged 3 to 66 months in seasons of spring, summer and autumn
魏梅 1徐素香 2SQUIRES Jane 3宋魏 4喻茜 2姚国英 1卞晓燕 1张莉 1郑小斐 1CHEN Ching-I3
作者信息
- 1. 上海市儿童医院,上海交通大学附属儿童医院,儿童保健所,上海,200040
- 2. 江苏省昆山市妇幼保健所,昆山,215300
- 3. 美国俄勒冈大学人类发育中心早期干预研究所,美国俄勒冈,97403-5253
- 4. 上海市嘉定区妇幼保健院,上海,201800
- 折叠
摘要
Abstract
Objective To investigate the influences of the three seasons ( I. E. , spring, summer and autumn ) on the neuropsychological development of children aged 3-66 months living in Shanghai, using the developmental screening scales, the standard Chinese translated Ages & Stages Questionnaires( ASQ-C ): A Parent-Completed Child Monitoring System. Methods During the three seasons, using a stratified clustering, random sampling method, children aged 3-66 months were recruited. Parents/caregivers of a total of 8 472 children completed age-appropriate ASQ-C. The statistical software of SPSS 13.0 was used for data analysis. Means and standard deviations of the children's ASQ-C total and domain scores including communication( CM ), gross motion( GM ), fine motion( FM ), problem solving( CG ), and personal-social ( PS ), by seasons were calculated. One-way ANOVA was chosen for multiple comparisons of sample means. The SNK method was used for pairwise comparison and a differencewas deemed statistically significant when P <0. 05. Multiple linear regression was used to control for confounders. Results The children's total ASQ-C scores varied significantly by season ( P <0. 01 ) in the sequence of autumn, summer and spring. The pairwise comparison showed that the children had higher ASQ scores in autumn than in both summer and spring ( P <0. 05 ) with non-significant difference between the scores in summer and spring. The total scores in each of the five developmental areas also varied significantly by season ( P <0. 01 or 0. 05 ). Scores were the highest in autumn for all areas. For the CM area, children' scores were the highest in autumn, followed by spring and summer, while for the other four developmental areas, the sequence of seasons was autumn, summer and spring. The pairwise comparisons showed that children in autumn had much higher CM scores than in summer with no significant difference in CM scores between summer and spring, or between spring and summer. While for all the other four areas (I.e., GM, FM, CG and PS ), scores in autumn were higher than in summer and spring( P < 0. 05 ). Moreover, GM scores in summer were much higher than those in spring ( P <0.05 ). Conclusions Seasons had an influence on the assessment on young children's development. Reasonable design for further studies on the relations between seasons or climate and the development of children is needed. It is suggested that seasonal influence should be considered when children' s developmental scale is researched.关键词
季节/影响因素/问卷调查/智力测验/儿童发育/年龄与发育进程问卷Key words
Season/ Influent factor/ Questionnaires/ Intelligence tests/ Children development/ Ages and stages questionnaires引用本文复制引用
魏梅,徐素香,SQUIRES Jane,宋魏,喻茜,姚国英,卞晓燕,张莉,郑小斐,CHEN Ching-I..年龄与发育进程问卷(中文版)评估上海市3～66月龄儿童神经精神发育春夏秋季的差异[J].中国循证儿科杂志,2011,6(6):425-430,6.
