Cognitive performance at school entry of children living in malaria-endemic areas of Sri Lanka
Cognitive performance at school entry of children living in malaria-endemic areas of Sri Lanka
复制标题
DOI：
10.1016/s0035-9203(03)90107-6
复制
发表时间：
2003-03-01
影响因子：
2.2
通讯作者：
Wickremasinghe, AR
中科院分区：
文献类型：
--
作者：
Fernando, D;Wickremasinghe, R;Wickremasinghe, AR
在1997年1月学年开始时进行的一项横断面研究中，调查了斯里兰卡疟疾中度流行地区疟疾感染反复发作对入学儿童认知能力的影响。通过斯里兰卡国家教育研究所开发的入学表现测试，对斯里兰卡两个疟疾流行地区（阿努拉德普勒和莫尼拉加拉）325名一年级学生（大多为5-6岁）的认知表现进行了评估。评估的指标包括写作、语言和数学技能。阿努拉德普勒地区和莫尼拉加拉地区的儿童在任何认知表现指标上都没有差异。大多数指数的得分随着儿童感染疟疾次数的增加而下降，在控制了社会经济和营养状况后，儿童感染疟疾的次数大大削弱了识别字母的能力。这些发现表明，儿童疟疾的反复发作可能对他们的发育产生不利影响。
In a cross-sectional study, carried out in January 1997 at the beginning of the school year, the impact of repeated attacks of malarial infection on the cognitive performance of children at school entry in moderate malaria-endemic areas of Sri Lanka was investigated. The cognitive performance of 325 schoolchildren in grade 1 (mostly aged 5-6 years) in 2 districts of Sri Lanka which are endemic for malaria (Anuradhapura and Moneragala) was assessed by an entry performance test developed by the National Institute of Education, Sri Lanka. The indices assessed included writing, language and mathematical skills. There was no difference in any of the cognitive performance indices between children from Anuradhapura and Moneragala districts. The scores of most of the indices decreased as the number of malaria infections experienced by a child increased and the ability to identify letters was significantly impaired by the number of malaria infections a child had experienced after controlling for socio-economic and nutritional status. These findings suggest that repeated attacks of malaria in children can have an adverse impact on their development.