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首页> 外文期刊>Sao Paulo Medical Journal >The effect of poverty on developmental screening scores among infants
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The effect of poverty on developmental screening scores among infants

机译：贫困对婴儿发育筛查分数的影响

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CONTEXT AND OBJECTIVE: Child development is negatively influenced by multiple risk factors associated with poverty, thus indicating the importance of identifying the most vulnerable groups within populations that are apparently homogeneous regarding their state of socioeconomic deprivation. This study aimed to identify different levels of poverty in a population of low socioeconomic condition and to ascertain their influence on infants' neuropsychomotor development. DESIGN AND SETTING: Cross-sectional study conducted at four Family Health Units in the Health District IV in the city of Recife, Brazil. METHODS: The sample comprised 136 infants aged 9 to 12 months, which represented 86% of all the infants in this age group, registered at the units studied. Socioeconomic status was assessed through a specific index and child development through the Bayley III screening test. RESULTS: Around 20% of the families were in the lowest quartile of the socioeconomic level index and these presented the highest frequency of infants with suspected delay in receptive communication. Maternal and paternal unemployment negatively influenced receptive communication and cognition, respectively. Not possessing a cell phone (a reflection of low socioeconomic status) was associated with worse cognitive performance and gross motricity. Male infants showed a higher frequency of suspected delay in receptive communication. CONCLUSIONS: Infants of more precarious socioeconomic status more frequently present suspected developmental delay. Development monitoring and intervention programs should be encouraged for this subgroup, thereby providing these children with a better chance of becoming productive citizens in the future.
机译：上下文和目的：儿童发展受到与贫困相关的多种风险因素的负面影响，因此表明了在人口中社会经济匮乏状况看似同质的最脆弱群体的重要性。这项研究旨在确定低社会经济状况人口的不同贫困水平，并确定其对婴儿神经精神运动发育的影响。设计与环境：在巴西累西腓市第四卫生区的四个家庭卫生单位进行的横断面研究。方法：该样本包括136个9到12个月大的婴儿，占该年龄组所有婴儿的86％，已在所研究的单位中进行了登记。通过特定指标评估社会经济状况，并通过Bayley III筛查测试评估儿童发育。结果：大约20％的家庭处于社会经济水平指数的最低四分位数中，这些家庭的婴儿出现最高频率的怀疑是接受性沟通的延迟。孕产妇和父亲的失业分别对接受沟通和认知产生负面影响。不拥有手机（反映低社会经济地位）与较差的认知能力和总体运动能力有关。男婴怀疑接受沟通的频率更高。结论：社会经济状况更加不稳定的婴儿更容易出现发育迟缓。应鼓励该亚组的发展监测和干预计划，从而为这些儿童将来提供更多成为生产性公民的机会。

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