摘要
目的比较中国和美国新版儿童发育里程碑,为发育监测和筛查提供基本参考。方法对2018年3月—2021年11月在医院儿童保健科接受常规体检的437671名1~36个月的儿童,应用婴幼儿生长发育筛查测试(infant and toddler growth development screening test,ITGDST)工具对儿童的发育状况进行评估。采用75%的临界值计算相应发育项目的合格率。对中国和美国新版儿童发育里程碑进行比较。结果在美国2~36个月的10个月龄检查表中共有126个里程碑,其中有35个(27.8%)与ITGDST的项目完全匹配。在这些匹配项目中,有33个项目(94.3%)的通过率高于75%,而其他2个项目(5.7%)的通过率低于但接近75%。项目占比从高到低依次为运动领域(16项,45.7%)、语言(8项,22.9%)、认知(6项,17.1%)和社会交往(5项,14.3%)。中国儿童的发育里程碑有6项比美国儿童提前1~2个月达到。结论在匹配项目中,中国和美国2~36个月儿童发育里程碑的一致性较高。美国儿童发育里程碑的修订版可能也适用于发展中国家,纳入更多的月龄发育检查表可能有助于早期预警和早期干预。
Objective To compare children’s development milestones between China and the United States of America,and provide basic reference for development surveillance and screening.Methods From March 2018 to November 2021,437671 children,aged 1-36 months,who received routine physical examination in the Department of Child Health of hospitals in China were enrolled in this study.Their development status was evaluated with infant and toddler growth development screening test(ITGDST).The pass rates of corresponding development items were calculated by using 75%cut-off values.The children’s developmental milestones were compared between China and the United States of America.Results There were 126 milestones in 10 checklists for children aged 2-36 months in the United States of America,35(27.8%)of which completely matched items in ITGDST.Among the 35 matched items,the pass rates of 33 items(94.3%)were higher than 75%,while the pass rates of the other 2 items(5.7%)were lower than but close to 75%.Motor domain accounted for the most with 16 items(45.7%),followed by language with 8 items(22.9%),cognition with 6 items(17.1%),and social interaction with 5 items(14.3%).There were six developmental milestones that Chinese children reached 1-2 months earlier than American children.Conclusion The consistency of developmental milestones among the matched items was high for the children aged 2-36 months of China and the United States of America.The revision of development milestones for children of the United States of America may also be applicable to developing countries.Incorporating more monthly developmental checklists may facilitate early warnings and early interventions.
作者
杨友
石磊
金星明
童世庐
YANG You;SHI Lei;JIN Xingming;TONG Shilu(Department of Developmental and Behavioral Pediatrics,Shanghai Children’s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Department of Pediatrics,Shanghai Fengxian District Hospital of Traditional Chinese Medicine,Shanghai 201400,China;Department of Clinical Epidemiology and Biostatistics,Shanghai Children’s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;Institute of Environment and Population Health,School of Public Health,Anhui Medical University,Hefei 230032,Anhui Province,China;Center for Global Health,School of Public Health,Nanjing Medical University,Nanjing 211166,Jiangsu Province,China;School of Public Health and Social Work,Queensland University of Technology,Brisbane 4001,Australia)
出处
《教育生物学杂志》
2023年第6期451-455,共5页
Journal of Bio-education
基金
上海市儿童健康服务能力建设专项规划(GDEK201708)。
关键词
发育里程碑
中国
美国
儿童
development milestones
China
the United States of America
children
