| 怀二孩前后父母陪伴对学龄前大孩情绪行为问题的影响 |
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| 引用本文： | 盛露露,刘琴,李月月,方波,吴文懿,席璇,周源柯,张琴.怀二孩前后父母陪伴对学龄前大孩情绪行为问题的影响[J].中国学校卫生,2021,42(10):1475-1479. |
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| 作者姓名： | 盛露露 刘琴 李月月 方波 吴文懿 席璇 周源柯 张琴 |
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| 作者单位： | 重庆医科大学公共卫生与管理学院/医学与社会发展研究中心/健康领域社会风险预测治理协同创新中心，重庆 400016 |
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| 基金项目： | 重庆市教委科学技术研究项目KJQN201800425 |
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| 摘 要： | 目的 探索怀二孩前后父母陪伴时间变化对学龄前大孩情绪行为问题的影响，为降低大孩情绪行为问题的发生和保障健康成长提供参考。 方法 2019年3—12月对重庆市2所三甲医院招募符合标准的大孩母亲进行问卷调查，被调查的845名大孩平均年龄为(3.56±1.24)岁，通过χ2检验比较男、女童基本情况及父母陪伴情况，秩和检验比较不同父母陪伴情况下大孩情绪行为的差异，多重线性回归模型比较不同父母陪伴情况下大孩内化问题、外化问题和整体问题的差异。 结果 怀二孩后父母对大孩的陪伴时间均有减少，其中母亲对大孩陪伴时间的减少及父母对大孩总陪伴时间的减少有统计学意义(Z值分别为3.76，2.86，P值均 < 0.05)。母亲陪伴时间减少(B=1.18，95%CI=0.01~2.36)和父母总陪伴时间减少(B=1.41，95%CI=0.33~2.48)的大孩内化问题得分更高；父母总陪伴时间减少的大孩外化问题(B=1.25，95%CI=0.10~2.39)与整体问题(B=4.31，95%CI=1.05~7.57)得分更高。 结论 父母陪伴时间对大孩的情绪行为有重要影响，怀二孩后父母陪伴时间减少的大孩情绪行为问题得分较高。
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| 关 键 词： | 法定监护人 情绪 行为 精神卫生 回归分析 儿童 学龄前 |
| 收稿时间： | 2021-03-15 |
The influence of parental company time before and after having second child on the emotional and behavioral problems of preschool firstborn children |
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| Affiliation: | School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development Chongqing, Innovation Center for Social Risk Governance in Health, Chongqing(400016), China |
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| Abstract: | Objective To explore the influence of parental company before and after having second child on the emotional and behavioral problems of preschool firstborn children, and to provide a reference for emotional problems prevention of firstborn children. Methods Questionnaire survey was conducted among mothers of firstborn children who met the inclusion and exclusion criteria from two Grade A hospitals in Chongqing from March to December 2019. The average age of 845 firstborn children was (3.56±1.24) years old. The chi-square test was used to compare the general characteristics and parent company of boys and girls. Rank sum test was used to compare the differences of emotional and behavioral problems of firstborn children with different parents' company. Multiple linear regression models were used to compare the differences of internalizing, externalizing and total problems in firstborn children with different parents' company. Results After having the second child, parents spent less time with their firstborn children, among which the decrease of the accompanying time of the mother and the total accompanying time of the parents were statistically significant(Z=3.76, 2.86, P < 0.05). The scores of internalizing problem were higher when the mother's company time decreased (B=1.18, 95%CI=0.01-2.36) and the parents' total company time decreased(B=1.41, 95%CI=0.33-2.48). The scores of the externalizing problem (B=1.25, 95%CI=0.10-2.39) and the total problem (B=4.31, 95%CI=1.05-7.57) with the decrease of parents' total company time were higher. Conclusion Parent company has an important influence on the emotional and behavioral problems of firstborn children. Firstborn children whose parents' accompanying time decreases after having second children scored higher on emotional and behavioral problems. |
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