亲子互动对0~3岁留守儿童语言发育的影响

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摘要目的了解中国农村地区0~3岁留守儿童语言能力可疑发育迟缓情况及其与亲子互动之间的关系。方法采用横断面研究和分层配对整群抽样方法,于2018年4月至2018年7月调查江西省于都县、四川省通江县、河南省卢氏县、贵州省三穗县、河北省平山县的878名0~3岁农村留守儿童及其看护人,采用年龄与发育进程问卷-第三版(ages and stages questionnaires-Chinese, Third Edition,ASQ-3)评价儿童语言能力可疑发育迟缓情况。以语言能力可疑发育迟缓为因变量,运用多因素logistics回归分析,计算调整混杂因素之后亲子互动过少的比值比(OR)和95%置信区间(CI)。结果被调查地区0~3岁留守儿童语言能力可疑发育迟缓率为11.9%,控制了儿童性别、月龄、留守类型、看护人文化程度后,亲子互动过少、看护人抑郁及儿童每日视屏时间过长是0~3岁留守儿童语言能力可疑发育迟缓的危险因素,OR值分别为3.40(95%CI:1.94~5.98)、2.00(95%CI:1.27~3.17)、2.00 (95%CI:1.01~3.99)。结论我国农村地区0~3岁留守儿童语言能力发育状况不容乐观,亲子互动过少是危险因素。

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	段小倩
	石慧峰
	窦妍
	赵春霞
	黄小娜
	王晓莉
	张敬旭

关键词 ：留守儿童, 语言发育迟缓, 亲子互动

Abstract：Objective To understand the prevalence of suspected language delay of left-behind children aged 0-3 in rural areas of China and its relationship with parent-child interaction. Methods A cross-sectional study and stratified paired cluster sampling were used to investigate 878 rural left-behind children aged 0-3 and their caregivers in Yudu County, Jiangxi Province, Tongjiang County, Sichuan Province, Lushi County, Henan Province, Sansui County, Guizhou Province and Pingshan County, Hebei Province from April 2018 to July 2018. Ages and Stages Questionnaires-Chinese, Third Edition (ASQ-3) were used to detect the suspected language delay. Taking the suspected language delay as the dependent variable, Multivariate logistic regression analysis was used to calculate the odds ratios (OR) and 95% confidence interval (CI) of too little parent-child interaction after adjusting the confounding variables. Results The suspected language delay of left-behind children aged 0~3 was 11.9%. After controlling children's sex, month age, type of stay and the cultural level of caregivers, less parent-child interaction, caregiver depression and too long daily video time were risk factors for suspected language delay of left-behind children aged 0~3, and the corresponding odds ratios were 3.40(95%CI=1.94~5.98),2.00(95%CI=1.27~3.17)and 2.00 (95%CI=1.01~3.99)respectively. Conclusion The suspected language delay of left-behind children aged 0-3 in rural areas of China is unoptimistic, and less parent-child interaction is a risk factor.

Key words： left-behind children language delay parent-child interaction

收稿日期: 2018-11-28

基金资助:联合国儿童基金会“贫困地区留守儿童健康和发展促进项目”(0860/A0/05/502)

通讯作者: 张敬旭(jxzhang@bjmu.edu.cn)

引用本文:

段小倩, 石慧峰, 窦妍, 赵春霞, 黄小娜, 王晓莉, 张敬旭. 亲子互动对0~3岁留守儿童语言发育的影响[J]. 中国生育健康杂志, 2020, 31(5): 420-425.
DUAN Xiaoqian, SHI Huifeng, DOU Yan, ZHAO Chunxia, HUANG Xiaona, WANG Xiaoli, ZHANG Jingxu. Effect of parent-child interaction on language development of left-behind children aged 0-3. Chinese Journal of Reproductive Health, 2020, 31(5): 420-425.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2020/V31/I5/420

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