祖辈参与抚养对城市学龄前儿童健康相关行为的影响

卢一曈; 邹超逸; 姚昉; 屠文娟; 江凯华; 高月霞; 陆青云

doi:10.16835/j.cnki.1000-9817.2023.12.014

祖辈参与抚养对城市学龄前儿童健康相关行为的影响

doi: 10.16835/j.cnki.1000-9817.2023.12.014

1.
南通大学公共卫生学院儿少卫生与妇幼保健学教研室，江苏 226019
2.
南通大学附属常州儿童医院院部
3.
南通大学附属常州儿童医院儿童促进中心新生儿科

基金项目:

国家自然科学基金资助项目 81502827

2021年度江苏省妇幼健康科研项目 F2021-48

详细信息

作者简介:
卢一曈(1999-)，女，安徽阜阳人，在读硕士，主要研究方向为儿童青少年卫生

通讯作者:
高月霞，E-mail：yxgao@ntu.edu.cn

陆青云，E-mail：qingyun79@126.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G78 R179 R193
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- 被引次数: 0
出版历程
- 收稿日期: 2023-08-07
- 修回日期: 2023-10-11
- 网络出版日期: 2023-12-26
- 刊出日期: 2023-12-25

Effects of grandparent involvement in parenting on health-related behaviors among urban preschoolers

1.
Department of Maternal with Child and Adolescent Health, School of Public Health, Nantong University, Nantong (226019), Jiangsu Province, China

摘要

摘要: 目的探讨祖辈参与抚养对城市学龄前儿童健康相关行为的影响, 为不同抚养模式下学龄前儿童不良健康相关行为干预措施的制定提供依据。方法采用普查的方法, 于2022年1-10月选取常州市新北区5 431名3~6岁学龄前儿童为研究对象, 使用问卷调查家庭基本情况和儿童健康相关行为等信息, 采用χ²检验探究祖辈参与的不同抚养模式下儿童健康相关行为的差异, 建立多因素Logistic回归模型分析祖辈参与抚养对学龄前儿童健康行为方式的影响。结果学龄前儿童双亲抚养占51.2%, 祖辈共同抚养占46.1%, 完全祖辈抚养占2.7%。多因素Logistic回归分析控制了年龄、性别、家庭年收入、家庭结构后, 以双亲抚养儿童为参照, 祖辈共同抚养的儿童屏幕暴露时间>1 h/d (OR=0.79)发生风险降低; 户外活动时间 < 2 h/d (OR=1.30)、睡眠时间 < 10 h/d (OR=1.31)、睡眠困难(OR=1.39)、不良饮食行为(OR=1.20)发生风险增加; 完全祖辈抚养的儿童户外活动时间 < 2 h/d (OR=2.19)、不良饮食行为(OR=1.39)发生风险均增加(P值均 < 0.05)。结论与双亲抚养儿童相比, 祖辈与父母共同抚养和完全祖辈抚养下的儿童不良健康相关行为发生率增加。应重点关注祖辈参与抚养的学龄前儿童, 积极干预不良健康相关行为, 促进学龄前儿童身心健康。
- 祖辈 /
- 儿童抚养 /
- 健康行为 /
- 回归分析 /
- 儿童，学龄前
Abstract: Objective To explore the effects of grandparent involvement in parenting on health-related behaviors among urban preschool children, so as to provide a basis for the development of interventions for unhealthy behaviors among preschool children with different parenting pattern. Methods A total of 5 431 preschool children aged 3-6 years old in Xinbei District, Changzhou City, were selected by census method during January to October, 2022.General household characteristics and health-related behaviors of children were investigated by questionnaires, and the differences in health-related behaviors with different parenting pattern involving grandparents were explored by the χ² test.A multifactorial Logistic regression model was used to analyze the effects of grandparenting on preschool children's health behaviors. Results About 51.2% of preschoolers were raised by both parents, 46.1% were co-parented by grandparents, and 2.7% were raised by grandparents.After multifactorial Logistic regression analysis controlling for age, gender, annual household income, and family structure, children co-parented by grandparents had a reduced risk of screen exposure time>1 h/d (OR=0.79, P < 0.05), with increased risks of outdoor activity time < 2 h/d (OR=1.30, P < 0.05), sleep duration < 10 h/d (OR=1.31, P < 0.05), sleep difficulties (OR=1.39, P < 0.05) and adverse eating behaviors (OR=1.20, P < 0.05), compared with children parented by both parents.Children raised by grandparents were at increased risk for outdoor activity time < 2 h/d (OR=2.19) and unhealthy eating behaviors (OR=1.39)(P < 0.05). Conclusions Compared with children raised by both parents, the incidence of unhealthy behaviors is increased in children raised by parents and grandparents and in children raised by full grandparents.Active intervention should be focused on unhealthy behaviors of preschool children with pareting involving grandparents to promote the physical and mental health of preschool children.
- Grandparents /
- Child rearing /
- Health behavior /
- Regression analysis /
- Child, preschool
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同家庭抚养模式儿童健康相关行为构成比较

Table 1. Comparison of the composition of children's health-related behaviors across family rearing patterns

模式	人数	屏幕暴露时间>1 h/d		户外活动时间 < 2 h/d		睡眠时间 < 10 h/d		睡眠困难		饮食行为
模式	人数	否	是	是	否	是	否	是	否	正常	不良
双亲	2 781	1 809(65.0)	972(35.0)	1 163(41.8)	1 618(58.2)	2 415(86.8)	366(13.2)	1 118(40.2)	1 663(59.8)	1 529(55.0)	1 252(45.0)
祖辈共同	2 503	1 794(71.7)	709(28.3)	1 190(47.5)	1 313(52.5)	2 252(90.0)	251(10.0)	1 256(50.2)	1 247(49.8)	1 248(49.9)	1 255(50.1)
完全祖辈	147	96(65.3)	51(34.7)	89(60.5)	58(39.5)	132(89.8)	15(10.2)	70(47.6)	77(52.4)	68(46.3)	79(53.7)
χ²值		27.17		32.26		12.88		53.42		16.12
P值		< 0.01		< 0.01		< 0.01		< 0.01		< 0.01
注： ()内数字为构成比/%。

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表 2 抚养模式对学龄前儿童健康相关行为Logistic回归分析(n=5 431)

Table 2. Logistic regression analysis of parenting patterns on health-related behaviors of preschool children(n=5 431)

自变量	屏幕暴露时间>1 h/d	户外活动时间 < 2 h/d	睡眠时间 < 10 h/d	睡眠困难	饮食行为
祖辈共同抚养	0.79(0.70~0.89)^*	1.30(1.16~1.45)^*	1.31(1.10~1.55)^*	1.39(1.25~1.56)^*	1.20(1.08~1.34)^*
完全祖辈抚养	1.00(0.71~1.42)	2.19(1.56~3.07)^*	1.30(0.75~2.24)	1.31(0.93~1.83)	1.39(1.00~1.94)^*
注： *P < 0.05。

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