安徽省学龄前儿童多动行为筛查及影响因素分析

黄永玲; 程进; 吴曙东; 方亮; 谢瑞瑾

doi:10.16835/j.cnki.1000-9817.2021.12.023

安徽省学龄前儿童多动行为筛查及影响因素分析

doi: 10.16835/j.cnki.1000-9817.2021.12.023

1.
安徽省妇女儿童保健中心, 合肥 230061
2.
安徽卫生健康职业学院医疗卫生技术系

基金项目: 2019年安徽省两纲卫生健康领域指标研究项目

详细信息

作者简介:
黄永玲(1980-), 女, 安徽六安人, 硕士, 副主任医师, 主要研究方向为儿童早期发展

通讯作者:
程进, E-mail: 30731964@qq.com

中图分类号: R179 R744.94
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- 文章访问数: 626
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- 被引次数: 0
出版历程
- 收稿日期: 2021-07-29
- 修回日期: 2021-08-09
- 网络出版日期: 2021-12-23
- 刊出日期: 2021-12-25

Screening and associated factors of hyperactivity behavior in preschool children in Anhui Province/

1.
Anhui Provincial Woman and Child Health Care Center, Hefei(230061), China

摘要

摘要: 目的了解安徽省学龄前儿童多动行为检出情况及其相关影响因素, 为儿童行为问题早期干预提供参考。方法采用多阶段分层随机整群抽样方法, 于2020年6—7月选取安徽省5个地市30所幼儿园, 使用Conners父母症状量表(PSQ)和相关因素调查表对7 982名3~6岁在园儿童家长进行调查。结果共检出多动行为儿童126名, 检出率为1.6%。男童检出率(2.2%)高于女童(0.8%), 差异有统计学意义(χ²=26.51, P < 0.01)。在126名多动行为儿童中, 40名(31.7%)共患1种行为问题, 82名(65.1%)共患至少2种行为问题。多因素Logistic回归分析显示, 男童(OR=2.85, 95%CI=1.88~4.30)、睡眠时间不足(OR=1.87, 95%CI=1.31~2.68)和母亲职业为农民或其他(OR=1.81, 95%CI=1.11~2.94)的学龄前儿童多动行为检出率较高, 近半年主要抚养人为父母(OR=0.61, 95%CI=0.40~0.92)的儿童多动行为检出率较低(P值均 < 0.05)。结论学龄前儿童行为问题早期干预应重点关注男童, 保持合理睡眠时间, 增加父母代养。
- 注意力缺陷障碍伴多动 /
- 精神卫生 /
- 回归分析 /
- 儿童, 学龄前
Abstract: Objective To investigate the prevalence of hyperactive behavior and risk factors among preschool children, and to provide a reference for early intervention of problem behavior. Methods A total of 7 982 children aged 3-6 were selected from 30 kindergartens by multi-stage stratified cluster random sampling in 5 areas, Anhui Province, and their parents were surveyed with Conners Parent Rating Scales(PSQ) and Related factors questionnaire from June to July 2020. Results A tollay of 126 children were detected with hyperactivity behaviors, with a detection rate of 1.6%. The detection rate of boys (2.2%) was higher than that of girls (0.8%). The difference was statistically significant (χ²=26.51, P < 0.01). Among 126 hyperactive children, 40(31.7%)had another type of behavior problem, and 82(65.1%)had two or more additional behavior problems. The results of Logistic regression analysis showed that boy(OR=2.85, 95%CI=1.88-4.30), sleep deprivation(OR=1.87, 95%CI=1.31-2.68), occupation of mother being farmer or otherwise(OR=1.81, 95%CI=1.11-2.94) were associated with more hyperactivity behavior. While, living with parents in the past six months (OR=0.61, 95%CI=0.40-0.92) was associated with less hyperactivity behavior(P < 0.05). Conclusion Early intervention of preschool children's behavior problems should focus on boys, maintain reasonable sleep time and increase parental care.
- Attention deficit disorder with hyperactivity /
- Mental health /
- Regression analysis /
- Child, preschool

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表 1 学龄前儿童多动行为检出率单因素分析

Table 1. Univariate factor analysis of the prevalence of hyperactive behavior in preschool children

变量	选项	人数	多动人数	χ²值	P值
区县	区	3 926	69(1.8)	1.59	0.21
	县	4 056	57(1.4)
性别	男	4 270	96(2.2)	26.51	< 0.01
	女	3 712	30(0.8)
年龄/岁	3	1 446	21(1.5)	2.87	0.41
	4	2 358	31(1.3)
	5	2 608	43(1.6)
	6	1 570	31(2.0)
独生子女	是	3 186	48(1.5)	0.18	0.67
	否	4 796	78(1.6)
母亲高龄产妇	是	555	7(1.3)	0.39	0.53
(35岁以上)	否	7 427	119(1.6)
家庭人均月收	< 3 000	2 029	29(1.4)	2.31	0.32
入/元	3 000~4 999	2 863	40(1.4)
	≥5 000	3 090	57(1.8)
母亲文化程度	本科以下	6 358	109(1.7)	3.71	0.05
	本科及以上	1 624	17(1.0)
父亲文化程度	本科以下	6 184	105(1.7)	2.52	0.11
	本科及以上	1 798	21(1.2)
母亲职业	机关事业/科教文体工作者	1 809	22(1.2)	6.48	0.04
	商业服务人员/工人/军人	2 750	36(1.3)
	农民/其他	3 423	68(2.0)
父亲职业	机关事业/科教文体	1 813	28(1.5)	1.17	0.56
	商业服务人员/工人/军人	3 599	52(1.4)
	农民/其他	2 570	46(1.8)
近半年主要抚	父母	6 529	94(1.4)	4.45	0.04
养人	非父母	1 453	32(2.2)
近半年与父母	是	6 841	104(1.5)	2.15	0.14
双方居住	否	1 141	22(1.9)
近半年与父母	是	570	11(1.9)	0.49	0.49
一方居住	否	7 412	115(1.6)
近半年与祖辈	是	1 639	22(1.3)	0.74	0.39
居住	否	6 343	104(1.6)
睡眠时间	是	2 352	55(2.3)	12.39	< 0.01
不足	否	5 630	71(1.3)
注： ()内数字为检出率/%。

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表 2 学龄前儿童多动行为影响因素多因素Logistic回归分析(n=7 982)

Table 2. Logistic regression analysis of the influencing factors of hyperactive behavior in preschool children(n=7 982)

自变量	选项	β值	标准误	Wald χ²值	P值	OR值(OR值95%CI)
性别	男	1.05	0.21	24.64	< 0.01	2.85(1.88~4.30)
近半年主要抚养人	父母	-0.49	0.21	5.46	0.02	0.61(0.40~0.92)
睡眠时间不足	是	0.63	0.18	11.82	< 0.01	1.87(1.31~2.68)
母亲职业	商业服务人员/工人/军人	0.02	0.27	0.01	0.93	1.02(0.60~1.75)
	农民/其他	0.59	0.25	5.64	0.02	1.81(1.11~2.94)
注：性别以女性为参照，近半年主要抚养人以非父母为参照，睡眠时间不足以否为参照，母亲职业以机关事业/科教文体工作者为参照。

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参考文献(21)

[1]	静进. 儿童注意缺陷多动障碍诊疗进展. 实用儿科临床杂志, 2012, 27(12): 965-970. doi: 10.3969/j.issn.1003-515X.2012.12.026 JING J. Progress of diagnosis and treatment for children with attention deficit/hyperactivity disorders. J Appl Clin Pediatr, 2012, 27(12): 965-970. doi: 10.3969/j.issn.1003-515X.2012.12.026
[2]	LIN O, HOU X Y, YIN X N, et al. Prenatal exposure to environmental tobacco tmoke and hyperactivity behavior in Chinese young children. Int J Environ Res Public Health, 2017, 14(10): 1132. doi: 10.3390/ijerph14101132
[3]	杨玉凤, 王惠珊, 洪琦, 等. 儿童发育行为心理评定量表. 北京: 人民卫生出版社, 2016: 165-167. YANG Y F, WANG H S, HONG Q, et al. Child developmental behavior psychological assessment scale. Beijing: People's Health Publishing House, 2016: 165-167.
[4]	范娟, 杜亚松, 王立伟. Conners父母用症状问卷的中国城市常模和信度研究. 上海精神医学, 2005, 17(6): 321-323. doi: 10.3969/j.issn.1002-0829.2005.06.001 FAN J, DU Y S, WANG L W. The norm and reliability of the conners parent symptom questionnaire in Chinese urban children. Shanghai Arch Psychiatry, 2005, 17(6): 321-323. doi: 10.3969/j.issn.1002-0829.2005.06.001
[5]	国家卫生和计划生育委员会. 0~5岁儿童睡眠卫生指南: WS/T 579—2017.2018-04-01. National Health and Family Planning Commission of the People's Re-public of China. Guidelines for sleep hygiene among children aged 0-5 years: WS/T 579-2017.2018-04-01.
[6]	黄永玲, 张唯敏, 方亮. 安徽省学龄前儿童行为问题现况调查. 中国妇幼保健, 2018, 33(11): 2559-2561. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201811054.htm HUANG Y L, ZHANG W M, FANG L. Investigation on behavior problems of preschool children in Anhui Province. Matern Child Health Care China, 2018, 33(11): 2559-2561. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201811054.htm
[7]	穆立娟, 吕莹, 赵静. 3~6岁儿童行为问题与家庭养育环境的相关性研究. 中国儿童保健杂志, 2018, 26(1): 63-66. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201801018.htm MU L J, LYU Y, ZHAO J. Study on correlation between family rearing environment and behavior development of 3-6 years old children. Chin J Child Health Care, 2018, 26(1): 63-66. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201801018.htm
[8]	丁俊丽, 岳瑞芝, 郝爱珍. 家庭环境对3~6岁儿童行为问题影响的研究. 中国儿童保健杂志, 2018, 26(1): 88-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201801025.htm DING J L, YUE R Z, HAO A Z. Study on the influence of family environment on behavior problems of children aged 3-6. Chin J Child Health Care, 2018, 26(1): 88-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201801025.htm
[9]	陈云晓, ERIGENE R, 伍晓艳, 等. 学龄前儿童睡眠状况与情绪和行为问题的关联性研究. 中华流行病学杂志, 2017, 38(9): 1191-1196. doi: 10.3760/cma.j.issn.0254-6450.2017.09.010 CHEN Y X, ERIGENE R, WU X Y, et al. Emotional and behavioral problems associated with sleep problems in preschool aged children. Chin J Epidemiol, 2017, 38(9): 1191-1196. doi: 10.3760/cma.j.issn.0254-6450.2017.09.010
[10]	程进, 黄锟, 魏锁. 农村学龄前留守儿童行为问题及家庭综合环境因素分析. 中国学校卫生, 2018, 39(3): 387-393. doi: 10.16835/j.cnki.1000-9817.2018.03.019 CHENG J, HUANG K, WEI S. Behavioural problems and integrated family determinants among the preschool left-behind children. Chin J Sch Health, 2018, 39(3): 387-393. doi: 10.16835/j.cnki.1000-9817.2018.03.019
[11]	LANGER J A, RAMOS J V, GHIMIRE L, et al. Gender and child behavior problems in rural nepal: differential expectations and responses. Sci Rep, 2019, 9(1): 7662. doi: 10.1038/s41598-019-43972-3
[12]	THUMANN B F, BRNHORST C, MICHELS N, et al. Cross-sectional and longitudinal associations between psychosocial well-being and sleep in European children and adolescents. J Sleep Res, 2019, 28(2): e12783. http://journals.lww.com/psychosomaticmedicine/Abstract/2020/10000/Cross_Sectional_and_Longitudinal_Associations.6.aspx
[13]	KOSTICOVA M, HUSAROVA D, DANKULINCOVA Z. Difficulties in getting to sleep and their association with emotional and behavioural problems in adolescents: does the sleeping duration influence this association?. Int J Environ Res Public Health, 2020, 17(5): 1691. doi: 10.3390/ijerph17051691
[14]	BARRIOS C S, JAY S Y, SMITH V C, et al. Stability and predictive validity of the parent-child sleep interactions scle: a longitudinal study among preschoolers. J Clin Child Adolesc Psychol, 2018, 47(3): 382-396. doi: 10.1080/15374416.2017.1357125
[15]	SANTOSIS, BASSANI D G, MATIJASEVICH A, et al. Infant sleep hygiene counseling(sleep trial): protocol of a randomized controlled trial. BMC Psychiatry, 2016, 16(1): 307. doi: 10.1186/s12888-016-1016-1
[16]	POBLANO A, DÍAZ-LEINES S, GAMA-MORENO O, et al. Psychoacoustics and neurophysiological alterations after 30-36 hours of sleep deprivation. Neuropsychobiology, 2017, 75(2): 89-95. doi: 10.1159/000481350
[17]	何淑华, 梁贤尚, 曾洁. 中山市学龄儿童行为问题及影响因素研究. 预防医学, 2019, 31(5): 449-455. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201905006.htm HE S H, LIANG X S, ZENG J. Study on behavior problems and influencing factors of school-age children in Zhongshan. Prev Med, 2019, 31(5): 449-455. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201905006.htm
[18]	TANG W J, WANG G, HU T, et al. Mental health and psychosocial problems among Chinese left-behind children: a cross-sectional comparative study. J Affect Disord, 2018, 241: 133-141. doi: 10.1016/j.jad.2018.08.017
[19]	LI B, CHENG K K. The role of grandparents in childhood obesity in China-evidence from a mixed methods study. Int J Behav Nutr Phys, 2015, 12(1): 91. doi: 10.1186/s12966-015-0251-z
[20]	王玲凤, 陈传锋. 教养方式在隔代教养与幼儿行为问题间的中介作用. 中国学校卫生, 2018, 39(8): 1192-1194. doi: 10.16835/j.cnki.1000-9817.2018.08.022 WANG L F, CHEN C F. Intermediary role of parenting style between grandparenting and preschoolers' behavior problem. Chin J Sch Health, 2018, 39(8): 1192-1194. doi: 10.16835/j.cnki.1000-9817.2018.08.022
[21]	葛国宏, 陈传锋, 杜晓凌. 隔代教养背景下幼儿亲子依恋对心理理论的影响: 一个有调节的中介模型. 中国临床心理学杂志, 2021, 29(2): 224-235. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202102002.htm GE G H, CHEN C F, DU X L. Relationship between parent child attachment and theory of mind in the background of grandparenting: a moderated mediation model. Chin J Clin Psychol, 2021, 29(2): 224-235. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202102002.htm