北京市通州区6岁以下儿童心理行为发育问题预警征筛查现状

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摘要目的了解北京市通州区近五年来6岁以下儿童预警征筛查情况,为今后社区卫生服务中心规范开展相关服务提供参考。方法本研究以2012年10月到2017年11月出生、2018年2月之前在通州区各社区卫生服务中心接受过预警征筛查的0~6岁儿童作为研究对象,共69 189人,以预警征为工具在关键年龄点对儿童进行心理行为发育迟缓筛查,每个年龄点有4个筛查条目,涉及儿童语言、个人社交、精细动作、大运动4个能区维度,最后对筛查结果进行分析。结果按时连续参与预警征筛查的儿童比例为24.1%。预警征筛查阳性的儿童比例为1.0%,男童、早产儿和低出生体重儿中阳性比例更高。18月龄(0.6%)、2岁(0.7%)及2岁半(0.6%)预警征筛查阳性比例较高,4岁及5岁年龄点均无筛查阳性的结果。3月龄、6月龄和12月龄的儿童的阳性多体现在大运动方面,8月龄儿童多体现在精细动作方面;18月龄到3岁儿童发育迟缓主要体现在语言方面。结论社区卫生服务中心工作人员需动员辖区内更多儿童按时连续参与筛查,特别关注辖区内男童、早产儿和低出生体重儿的发育状况,考虑不同年龄段特征进行有针对性地帮助和辅导。

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	鲍筝
	常新蕾
	王曼丽
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关键词 ：儿童发育, 运动能力, 筛查

Abstract：Objective To explore the early warning screening status by warning signs checklist (WSC) of children aged below 6 years old in the past 5 years in Tongzhou District of Beijing, and provide evidence for the future implementation of relevant services by community health service centers.Methods This study included 69,189 children younger than 6 years old born between October 2012 and November 2017 and received WSC screening before February 2018 in healthcare centers in Tongzhou District, Beijing. The WSC was used to screen developmental delay of psychology and behavior among children at key age points, and each age point has four items involving children’s language, personal communication, fine motor skill and gross motor skill domains.Results The proportions of children who received continuous WSC screening on time and who were positive for WSC were 24.1% and 1%, respectively. The positive rate was higher among boys, premature and low birth weight delivery. At age points of 18 months (0.6%), 2 years old (0.7%) and 2 and a half years old (0.6%), the positivity rates were relatively high, and there were no positive results at age points of 4 and 5 years old. Among children with positive results, gross motor skill is the main delayed domain at ages of 3, 6 and 12 months, fine motor skill is the main delayed domain at 8 months, and language is the main delayed domain at age between 18 months and 3 years.ConclusionThe community healthcare center should mobilize more children to take WSC screening on time, regularly and continually. The staff should pay more attention to the developmental situation of boys, premature and low birth weight children, and they also should provide targeted advice or help in considering the developmental characteristics of different age periods.

Key words： child development motor skills screening

收稿日期: 2018-07-13

通讯作者: 安琳(anlin@bjmu.edu.cn)

作者简介: ^▲共同第一作者

引用本文:

鲍筝, 常新蕾, 王曼丽, 安琳. 北京市通州区6岁以下儿童心理行为发育问题预警征筛查现状[J]. 中国生育健康杂志, 2018, 29(6): 501-505.
BAO Zheng, CHANG Xinlei, WANG Manli, AN Lin. Status of early warning signs checklist for psychological,behavioral and developmental problems of children aged below 6 years old in Tongzhou District,Beijing. Chinese Journal of Reproductive Health, 2018, 29(6): 501-505.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2018/V29/I6/501

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