摘要:
了解儿童学习困难环境影响因素,为开展相应防治工作提供理论依据.方法 系统收集1986-2014年涉及儿童学习困难发病危险因素的病例对照文献,从中提取有关家庭环境影响因素的数据;按照纽卡斯-渥太华文献质量评价量表(Newcastle-Ottawa Scale,NOS)标准对纳入文献进行质量评价;采用RevMan 5.3软件对纳入文献进行Meta分析.结果 共纳入11篇文献,包括儿童学习困难病例l 852例,对照17 714例.Meta分析结果显示,男性儿童(OR=2.02,95%CI=1.79~2.28)、父亲职业为无业人员(OR=9.51,95%CI=4.68~ 19.30)、母亲职业为无业人员(OR=4.99,95%CI=2.51~9.91)、家庭经济条件差(OR=1.72,95%CI=1.45~2.04)、教育态度不一致(OR=2.60,95%CI=2.25~3.01)、偶尔讲故事(OR=4.52,95%CI=2.45~8.34)、偶尔鼓励儿童看课外书(OR=2.65,95%CI=1.53~4.60)是儿童学习困难的危险因素(P值均<0.01).结论 儿童学习困难的发生与性别、父亲职业、家庭经济条件、教育态度、偶尔讲故事、偶尔鼓励儿童看课外书相关.
关键词:
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学习障碍 /
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家庭特征 /
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精神卫生 /
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儿童
Abstract:
Objective To investigate family risk factors for learning disability and to provide a theoretical basis for future prevention and treatment of this disease.Methods A systematic search for case-control studies on family risk factors for learning disability between 1986 and 2014 was conducted,relevant family risk factors were extracted accordingly.A meta-analysis on the selected studies was analyzed using RevMan 5.3 software.Results A total of 11 studies were selected,involving 1 852 children with learning disability and 17 714 normal controls.Meta analysis indicated that boys(OR=2.02,95%CI=1.79-2.28),father's occupation(OR=9.51,95%CI=4.68-19.30),family financial crisis(OR=1.72,95%CI=1.45-2.04),inconsistent parental attitude toward academic performance of the child were inconsistent(OR=2.60,95%CI=2.25-3.01),seldom reading story with children(OR=4.52,95%CI=2.45-8.34),seldom encouraging children to read(OR=2.65,95%CI=1.53-4.60).Conclusion Boys,father's occupation,family financial difficulties,attitude of parents toward children's education were inconsistent,children whose parents had a lower rate of telling stories,once in a while parents encourage children to read reference books were associated with an increased risk for children with learning difficulty.