Educational and behavioural problems in babies of 32-35 weeks gestation
Educational and behavioural problems in babies of 32-35 weeks gestation
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DOI：
10.1136/fn.85.1.f23
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发表时间：
2001-07-01
影响因子：
4.4
通讯作者：
Hope, PL
中科院分区：
文献类型：
--
作者：
Huddy, CLJ;Johnson, A;Hope, PL
目的 - 确定孕周在32至35周出生的儿童在7岁时出现学业和行为问题的发生率，并调查围产期风险因素。
方法 - 研究人群包括1990年牛津郡所有孕周在32 - 35周出生的儿童。通过邮政问卷向全科医生、家长和教师询问健康、行为和教育情况。教师使用五点量表对儿童在六个方面的功能水平进行评分。他们还完成了《优势与困难行为问卷》。通过单变量和多变量分析确定学业表现不佳儿童的围产期风险因素。
结果 - 在该队列的176名儿童中，获得了117名（66%）教师的反馈。29名（25%）需要非教学助手的支持，5名（4%）需要特殊教育需求说明，3名（3%）在特殊学校就读。在书写方面，32%的儿童结果不佳；精细运动技能方面为31%；数学方面为29%；口语方面为19%；阅读方面为21%；体育方面为12%。在行为问卷中，该队列中有19%的儿童多动得分异常（人群正常比例为10%）。多变量分析显示，一些围产期变量在独立于其他变量的情况下仍然显著；它们是受孕后年龄>36周从新生儿特别护理病房出院（优势比4.15；95%置信区间1.43至12.05）以及男性（优势比3.88；95%置信区间1.42至10.6）。
结论 - 孕周在32至35周出生的儿童中，多达三分之一可能存在学业问题。由于与更小的婴儿相比，这个孕周类别的儿童数量更多，这一发现对教育服务具有影响。
Aim-To identify incidence of school and behaviour problems at age 7 years in children born between 32 and 35 weeks gestation, and investigate perinatal risk factors.Method-The study population consisted of all children born at 32-35 weeks gestation to mothers resident in Oxfordshire in 1990. General practitioners, parents, and teachers were asked about health, behaviour, and education by postal questionnaire. Teachers rated children on level of function in six areas using a five point scale. They also completed the Strengths and Difficulties behaviour questionnaire. Perinatal risk factors were identified for children with poor school performance using a univariate and multivariate analysis.Results-Teacher responses were obtained for 117 (66%) of the 176 children in the cohort. Twenty nine (25%) required support from a non-teaching assistant, five (4%) had required a statement of special educational needs, and three (3%) were at special school. Poor outcome was reported for 32% in writing, 31% in fine motor skills, 29% in mathematics, 19% in speaking, 21% in reading, and 12% in physical education. On the behaviour questionnaire, 19% of the cohort achieved an abnormal hyperactivity score (population norm 10%). Multivariate analysis showed perinatal variables that remained significant, independent of other variables; they were discharge from the special care baby unit > 36 weeks postconceptional age (odds ratio 4.15; 95% confidence interval 1.43 to 12.05) and male sex (odds ratio 3.88; 95% confidence interval 1.42 to 10.6).Conclusion-Up to a third of children born between 32 and 35 weeks gestation may have school problems. As there are larger numbers in this gestational category compared with smaller babies, this finding has implications for educational services.