摘要
目的了解手机等电子产品暴露与儿童能力发展之间的关系。方法回顾性研究。2019年9月至2020年6月对前来首都医科大学附属北京儿童医院保健中心接受发育检查的0.5~6.0岁218名儿童(排除神经系统、精神系统、内分泌系统疾病及早产儿童)进行发展测评,并收集儿童手机等电子产品暴露相关信息。采用χ2检验和Fisher′s精确概率法分析儿童各领域发展与手机等电子产品暴露之间关系,采用二分类Logistic回归分析儿童各领域发育的影响因素。结果0.5~0.9岁儿童精细动作异常与接触最晚时间有关(P<0.05)。1.0~2.9岁儿童的适应性、语言、社交自理异常及3.0~5.9岁儿童语言异常均与接触时长有关(均P<0.05);1.0~2.9岁儿童的语言、社交自理异常及3.0~5.9岁儿童适应性、语言、社交自理异常均与接触用途有关(均P<0.05)。二分类Logistic回归分析显示,大运动受到接触时长的影响(OR=1.868,P<0.05);精细动作受到母亲文化程度、接触最晚时间的影响(OR=1.722、2.355,均P<0.05);适应性受到母亲文化程度、儿童看护者、接触时长、接触最晚时间的影响(OR=1.711、2.866、1.895、1.650,均P<0.05);语言受到接触时长、接触最晚时间、接触用途(电话或视频电话、早教或学习)的影响(OR=2.348、1.806、0.328/0.350,均P<0.05);社交自理受到母亲文化程度、接触时长、接触用途(电话或视频电话、早教或学习)的影响(OR=1.647、2.678、0.307/0.363,均P<0.05)。结论手机等电子产品暴露对儿童发展的不利影响应引起社会关注,应严格控制低龄儿童电子产品暴露时长、预防手机等电子产品对儿童神经系统和发育的不良影响;对于已经受到影响的儿童,应及时纠正相关习惯和行为,以免造成不可逆的损伤。
Objective To identify the relationship between exposure to mobile phones and other electronic products and the ability development in children.Methods Retrospective study.A total of 218 children aged 0.5-6.0 years presented to the Department of Health Care,Beijing Children′s Hospital,Capital Medical University form September 2019 to June 2020 for developmental examination were included.Those with nervous system,mental system diseases,endocrine system diseases and premature children were excluded.Their development was evaluated and the information about exposure to mobiles phones and other electronic products were collected.Chi-square test and Fisher′s exact probability method were used to analyze the relationship between the exposure to mobile phones and other electronic products and the ability development in children.The influencing factors of children′s development in various fields were analyzed by the binary Logistic regression.Results Abnormal fine movements of children aged 0.5-0.9 years were related to the latest time every night of exposure(P<0.05).Abnormalities of adaptability,language and social self-care in children aged 1.0-2.9 years and abnormality of language in children aged 3.0-5.9 years were correlated with the number of hours of daily exposure(all P<0.05).Abnormalities of language and social self-care in children aged 1.0-2.9 years and abnormalities of adaptability,language and social self-care in children aged 3.0-5.9 years were correlated with the purposes of exposure(all P<0.05).Binary Logistic regression analysis indicated that the children′s gross motor was affected by the number of hours of daily exposure(OR=1.868,P<0.05).The children′s fine motor movements were affected by mother′s educational level and the latest time every night of exposure(OR=1.722,2.355,all P<0.05).The children′s adaptability was affected by mother′s educational level,child caregivers,the number of hours of daily exposure and the latest time every night of exposure(OR=1.711,2.866,1.895,1.650,all P<0.0
作者
熊妮娜
郭雨荷
王会艳
及春兰
钱月
郝鹏云
梁爱民
Xiong Ni′na;Guo Yuhe;Wang Huiyan;Ji Chunlan;Qian Yue;Hao Pengyun;Liang Aimin(Department of Health Care,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China)
出处
《中华实用儿科临床杂志》
CAS
CSCD
北大核心
2022年第4期269-273,共5页
Chinese Journal of Applied Clinical Pediatrics
关键词
能力发展
儿童
手机
电子产品
Ability development
Child
Mobile phones
Electronic products
