Association between environmental factors during the COVID-19 pandemic and functioning of infants with biological risk in the first year of life: Cross-sectional exploratory study

IF 2.2 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Early human development Pub Date : 2024-03-19 DOI:10.1016/j.earlhumdev.2024.105987

Raissa Wanderley Ferraz de Abreu , Camila Resende Gâmbaro Lima , Bruna Nayara Verdério , Mariana Martins dos Santos , Adriana Neves dos Santos , Beatriz Helena Brugnaro , Nelci Adriana Cicuto Ferreira Rocha

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引用次数: 0

Abstract

Background

Child development can be influenced by family and environmental factors, which changed during the COVID-19 pandemic. Thus, it is important to explore how these factors are associated with the functioning of infants with biological risk in the first year of life.

Objective

This study aimed to investigate associations between family factors, home opportunities, caregiver perception of environmental support and barriers at home and environmental factors during the COVID-19 pandemic and gross motor skills and home participation in infants with biological risk in the first year of life.

Methods

Fifty-six infants aged two to 12 months (M = 5.80 months; ±2.44) and their mothers performed remote assessments of gross motor skills using the Alberta Infant Motor Scale (AIMS); participation and environment (phone call) by the Young Children's Participation and Environment Measure (YC-PEM); family factors (income, age and maternal education), home opportunities – The Affordances in the Home Environment for Motor Development – Infant Scale (AHEMD-IS) and environmental factors during the COVID-19 pandemic (social distancing, emotional and financial factors and physiotherapy) (online forms). Regression models were constructed, considering gross motor skills and home participation as outcome variables, with a 5 % significance level.

Results

We found that older maternal age (p = 0.001), more home opportunities (p = 0.043), and less rigorous social distancing (as opposed to total social distancing [p = 0.045]) were significantly associated with better gross motor skills; and higher maternal education (p = 0.050) was associated with more involvement in home activities.

Conclusion

Family factors, home opportunities and social distancing were differently associated with the gross motor skills and home participation of infants with biological risk in the first year of life.

查看原文本刊更多论文

COVID-19 大流行期间的环境因素与有生理风险的婴儿在出生后第一年的功能之间的关系：横断面探索性研究

儿童的成长会受到家庭和环境因素的影响，而这些因素在 COVID-19 大流行期间发生了变化。因此，探讨这些因素与有生理风险的婴儿在出生后第一年的功能是如何相关的非常重要。本研究旨在调查有生理风险的婴儿出生后第一年的家庭因素、家庭机会、照顾者对家庭环境支持和障碍的感知以及 COVID-19 大流行期间的环境因素与大运动技能和家庭参与之间的关系。56名2至12个月大的婴儿（M = 5.80个月；±2.44）及其母亲使用阿尔伯塔婴儿运动量表（AIMS）对大运动技能进行了远程评估；使用幼儿参与和环境测量（YC-PEM）对参与和环境（电话）进行了远程评估；对家庭因素（收入、年龄和母亲教育程度）、家庭机会--促进运动发展的家庭环境条件--婴儿量表（AHEMD-IS）和 COVID-19 大流行期间的环境因素（社会疏远、情感和经济因素以及物理治疗）进行了远程评估（在线表格）。将粗大运动技能和家庭参与作为结果变量，建立了回归模型，显著性水平为 5%。我们发现，母亲年龄越大 ( = 0.001)、家庭机会越多 ( = 0.043)、社会疏离程度越小（相对于总的社会疏离程度 [ = 0.045]），与大运动技能越好有显著关系；母亲受教育程度越高 ( = 0.050)，与参与家庭活动越多有显著关系。家庭因素、家庭机会和社会疏远与有生理风险的婴儿出生后第一年的大运动技能和家庭参与有不同的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early human development 医学-妇产科学

CiteScore

4.40

自引率

4.00%

发文量

100

审稿时长

46 days

期刊介绍： Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival. The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas: Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.