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中国循证儿科杂志

中国循证儿科杂志 ›› 2017, Vol. 12 ›› Issue (2): 116-120.

• 论著 • 上一篇    下一篇

基于《年龄与发育进程问卷-第3版》调查的中国大陆城乡1~66个月儿童发育状况的比较

朱锡翔1,9，刘芳2,9，SQUIRESJane3,9，岳虹霓4,9，许汝钗5,9，刘媛6,9，陈菁7,9，卞晓燕8   

  1. 1 云南省妇幼保健院保健技术指导科 昆明，650051；2 湖北省十堰市妇幼保健院儿童保健科 十堰，442000；3 美国俄勒冈大学早期干预研究所 尤金，97403；4 江苏省淮安市妇幼保健院儿童保健科 淮安，223002；5 河北省保定市妇幼保健院儿童保健科 保定，071000；6 宁夏回族自治区妇幼保健院儿童保健科 银川，750002；7 江西省鹰潭市妇幼保健院儿童保健科 鹰潭，335001；8上海市妇幼保健中心儿童保健科 上海，200062；9共同第一作者
  • 收稿日期:2017-04-25 修回日期:2017-04-25 出版日期:2017-04-25 发布日期:2017-04-25
  • 通讯作者: 卞晓燕，E-mail: xybian2000@163.com

Comparison in development of young children aged 1 to 66 Months in urban and rural areas in China based on Ages and Stages Questionnaires (the third edition)

ZHU Xi-xiang1,9, LIU Fang2,9, SQUIRES Jane3,9, YUE Hong-ni4,9, XU Ru-chai5,9, LIU Yuan6,9, CHEN Jing7,9, BIAN Xiao-yan8   

  1. 1 Department of Maternal and Child Health Technical Guidance, Yunnan Maternal and Child Health Care Hospital, Kunming 650051, China; 2 Department of Child Health Care, Shiyan Maternal and Child Health Care Hospital, Shiyan  442000, China; 3 Early Intervention Program of University of Oregon, Eugene 97403, U.S.; 4 Department of Child Health Care, Huaian Maternal and Child Health Care Hospital, Huaian 223002, China; 5 Department of Child Health Care, Baoding Maternal and Child Health Care Hospital, Baoding 071000, China; 6 Department of Child Health Care, Maternal and Child Health Care Hospital, Ningxia Hui Autonomous Region, Yinchuan 750002, China; 7 Department of Child Health Care, Yingtan Maternal and Child Health Care Hospital, Yingtan 335001, China;  8 Department of Child Health Care, Shanghai Maternal and Child Health Center, Shanghai 200062, China; 9 Co-first author
  • Received:2017-04-25 Revised:2017-04-25 Online:2017-04-25 Published:2017-04-25
  • Contact: BIAN Xiao-yan，E-mail: xybian2000@163.com

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摘要：

目的：探讨我国城镇与乡村1~66个月儿童发育的差异及特点。方法：资料来源于《年龄与发育进程问卷-第3版（中文版）》（ASQ-3）的全国常模样本，比较城市和乡村样本的20个ASQ-3月龄组在沟通、粗大动作、精细动作、解决问题和个人-社会5个能区的得分平均值以及量表总分的平均值。采用SAS 9.3 和 MS Excel进行统计分析。结果：城镇样本2 236人，乡村样本2 216人，每个ASQ-3月龄组的样本量为108~114人。沟通能区有19个月龄组城镇较乡村高，其中6个月龄组差异有统计学意义；粗大动作能区有18个月龄组城镇较乡村高，其中8个月龄组差异有统计学意义；精细动作能区有18个月龄组城镇较乡村高，其中7个月龄组差异有统计学意义；解决问题能区所有 ASQ-3月龄组城镇均高于乡村，其中11个月龄组差异有统计学意义；个人-社会能区有14个月龄组城镇较乡村高，其中3个月龄组差异有统计学意义。20个月龄组的ASQ-3量表总分城镇均高于乡村，其中11个月龄组差异有统计学意义，在27 m（适用于25个月16天至28个月15天儿童）及以后的月龄组中，城乡差距加大。结论：我国1~66个月儿童的发育存在城乡差异，乡村儿童ASQ-3各个能区的发育普遍落后于城镇儿童。推广ASQ-3对促进我国乡村儿童的发育有重大意义。

Abstract:

Objective: To investigate differences and characteristics of the development of children aged 1 to 66 months in urban and rural areas in China.MethodsData from the national norm group of Ages and Stages Questionnaires (Third Edition, Chinese) (ASQ-3) were used to compare the development of young children in urban and rural areas of China in the five developmental domains: communication, gross motor, fine motor, problem solving, and personal social. Twenty age intervals from 1 to 66 months were used for comparison. Data were analyzed using SAS 9.3 and MS Excel. Results: The urban group included 2,236 young children and the rural group included 2,216 young children, with 108-114 young children in each age interval. In communication domain, the urban group scored higher than the rural group in 19 age intervals, and significant differences were found in 6 age intervals. In gross motor domain, the urban group outperformed the rural group in 18 age intervals, and significant differences were found in 8 age intervals. In fine motor domain, the urban group scored higher than the rural group in 18 age intervals, and significant differences were found in 7 age intervals. The urban group scored higher than the rural group in all age intervals in problem solving domain, and significance were found in 11 age intervals. In personal social domain, the urban group scored higher than the rural group in 14 age intervals, and in 3 of them the differences were significant. When comparing the total score, the urban group outperformed the rural group in all age intervals, especially in age intervals older than 26 months; and 11 of the comparisons were significantly different. Conclusion: There were differences between young children's development in urban and rural areas in China. Young children in rural group scored lower than those in urban group in the same age interval. Using ASQ-3 is simple and convenient for children in rural areas, because it may help promote the use of parent-completed screening tools, and increase the awareness of early development of young children.