2016 年至 2020 年以色列儿童未达到发育里程碑的比率增加:一份国家报告。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Irena Girshovitz, Guy Amit, Inbal Goldshtein, Deena R Zimmerman, Ravit Baruch, Pinchas Akiva, Meytal Avgil Tsadok, Yair Sadaka
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引用次数: 0

摘要

背景:幼儿时期对儿童的健康成长至关重要。虽然儿童的生长和发育速度可能各不相同,但幼儿期的明显发育迟缓可能预示着疾病或发育障碍。世界各地的医疗保健提供者、教育工作者和家长在日常接诊中都会使用发育监测来引起对儿童发育的关注。在这项工作中,我们使用了一个全国性的发育评估数据集来描述里程碑达标率的时间趋势以及里程碑达标率与各种社会人口因素之间的关联:这项研究包括 100.27 万名出生至 6 岁的儿童,在 2016 年至 2020 年期间进行了 444.1689 次发育评估。我们使用以色列发育量表来评估整个人群以及按社会人口因素分层的亚群每年未能达到语言、社交和运动里程碑的比率。此外,我们还评估了父母对儿童发育的关注率以及护士报告儿童发育与年龄不符的比率。在控制混杂因素的前提下,我们使用多变量逻辑回归分析了不同社会人口因素对未能达到里程碑几率的影响:在所考察的几年中,所有发育领域的里程碑失败率都在逐步上升,其中以语言领域最为突出。与此相反,家长对孩子发育迟缓的担忧率却保持不变。在多变量分析中发现,母亲离异、失业、移民、教育程度较低、贝都因血统或生育时年龄超过 40 岁的儿童出现里程碑达标失败的风险较高:本报告描述了全国儿童在粗大运动、精细运动、语言和社交领域的发展态势。应定期发布有关这些趋势的报告,以客观评估需要干预的亚群体,并评估干预计划的有效性,从而最大限度地发挥以色列儿童的发展潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increased rates of unattained developmental milestones among Israeli children between 2016 and 2020: a national report.

Background: The early years of children's lives are critical for their healthy development. Although children's growth and development rates may vary, a significant delay during early childhood could indicate a medical or a developmental disorder. Developmental surveillance is used worldwide by healthcare providers in routine encounters, as well as by educators and parents, to elicit concerns about child development. In this work, we used a national dataset of developmental assessments to describe temporal trends of milestone attainment rates and associations between milestone attainment and various sociodemographic factors.

Methods: The study included 1,002,700 children ages birth until 6 years with 4,441,689 developmental visits between the years 2016 and 2020. We used the Israeli developmental scale to assess the annual rates of failure to attain language, social and motoric milestones by the entire population, as well as by subgroups stratified by sociodemographic factors. In addition, we evaluated the rates of parental concern for child development and of the nurse's report of development inadequate for age. We used multivariable logistic regression to analyze the impact of different sociodemographic factors on the odds of failure to attain milestones, while controlling for confounding.

Results: Milestone failure rates progressively increased over the examined years in all developmental domains, and most prominently in the language domain. Conversely, the rates of parental concern for developmental delay remained constant. In multivariable analysis, higher risk of milestone attainment failure was observed in children whose mothers were divorced, unemployed, immigrant, had lower education, of Bedouin origin or were over 40 years old when giving birth.

Conclusions: This report describes national trends of child development in the gross motor, fine motor, language, and social domains. A periodic report of these trends should be published to objectively evaluate subgroups in need for intervention, and to assess the effectiveness of intervention programs in attempt to maximize the developmental potential of children in Israel.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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