中国医学科学院学报2026，Vol.48Issue(4)：640-646,7.DOI:10.3881/j.issn.1000-503X.17041
家庭照护质量对0～3岁弱势儿童心理行为发育的影响
Effects of Home Caregiving Quality on the Psychological and Behavioral Development of Vulnerable Children Aged 0-3 Years
摘要
Abstract
Objective To explore the short-term and long-term effects of caregiving quality on the psy-chological and behavioral development among children aged 0-3 years.Methods A prospective study design was adopted,and 220 vulnerable children aged 0-3 years and their primary caregivers were recruited from child care facilities and community healthcare service centers in two districts of Shanghai by stratified cluster sam-pling.Baseline and one-year follow-up surveys were conducted.Chi-square tests and multivariate Logistic regres-sion analyses were conducted to examine the effects of responsive caregiving and parenting behaviors on the psy-chological and behavioral development of children.Results Children whose caregivers with poorer respect for children's autonomy(OR=0.869,95%CI=0.583-0.920,P=0.031)and poorer caregiving support(OR=0.779,95%CI=0.464-0.912,P=0.020)at baseline had a higher risk of developmental delay in the prob-lem-solving domain.In addition,reduced social stimulation in caregiving was linked to a higher risk of develop-mental delay in the communication domain(OR=0.885,95%CI=0.852-0.963,P=0.032).Insufficient car-egiving support received by parents increased the risk of fine-motor developmental delay in children(OR=0.794,95%CI=0.653-0.952,P=0.043).Children who already exhibited developmental delay in communi-cation,fine motor,problem-solving,or personal-social domain at baseline were more likely to experience delay in the same domain at the one-year follow-up(communication:OR=5.988,95%CI=2.344-14.502,P<0.001;fine motor:OR=5.618,95%CI=1.690-22.241,P<0.01;problem-solving:OR=15.152,95%CI=1.854-44.841,P=0.004;personal-social:OR=2.525,95%CI=1.041-6.340,P=0.041).In con-trast,children with normal development at baseline demonstrated substantially lower risks of subsequent develop-mental delay.Conclusion Early caregiving quality has an immediate effect on children's psychological and be-havioral development,and it continues to influence later development through affecting developmental outcomes.关键词
回应性照护/照护质量/弱势儿童/发育迟缓/婴幼儿Key words
responsive caregiving/caregiving quality/vulnerable children/developmental delay/infants and toddlers分类
医药卫生引用本文复制引用
王懿凡,刘婉晴,童连..家庭照护质量对0～3岁弱势儿童心理行为发育的影响[J].中国医学科学院学报,2026,48(4):640-646,7.基金项目
国家社会科学基金(20BRK048) （20BRK048）
