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北京市中小学生青春发育时相与父母生育年龄关系

张祖洪 陈天娇 马军

张祖洪, 陈天娇, 马军. 北京市中小学生青春发育时相与父母生育年龄关系[J]. 中国公共卫生, 2022, 38(6): 652-656. doi: 10.11847/zgggws1135966
引用本文: 张祖洪, 陈天娇, 马军. 北京市中小学生青春发育时相与父母生育年龄关系[J]. 中国公共卫生, 2022, 38(6): 652-656. doi: 10.11847/zgggws1135966
ZHANG Zu-hong, CHEN Tian-jiao, MA Jun. Association of puberty timing with parental age at childbirth among primary and secondary students in Beijing[J]. Chinese Journal of Public Health, 2022, 38(6): 652-656. doi: 10.11847/zgggws1135966
Citation: ZHANG Zu-hong, CHEN Tian-jiao, MA Jun. Association of puberty timing with parental age at childbirth among primary and secondary students in Beijing[J]. Chinese Journal of Public Health, 2022, 38(6): 652-656. doi: 10.11847/zgggws1135966

北京市中小学生青春发育时相与父母生育年龄关系

doi: 10.11847/zgggws1135966
基金项目: 卫生公益性行业科研专项项目(201202010)
详细信息
    作者简介:

    张祖洪(1995 – ),男,云南昭通人,硕士在读,研究方向:儿童青少年生长发育及影响因素

    通信作者:

    陈天娇,E-mail:tianjiao.chen@hsc.pku.edu.cn

  • 中图分类号: R195.2;R 179

Association of puberty timing with parental age at childbirth among primary and secondary students in Beijing

  • 摘要:   目的  探索北京市中小学生青春发育时相与父母生育年龄的关系,为进一步了解儿童青少年青春发育提供参考。  方法  于2012年10月,采取分层整群抽样方法对3 113名来自北京市房山区16所中小学校的学生进行问卷调查,采用多分类多因素logistic回归模型分析父母生育年龄对中小学生青春发育时相的影响。  结果  男生青春发育时相提前和延迟检出率分别为14.73 %和9.61 %,女生为12.84 %和10.99 %。调整了超重肥胖、低出生体重和家庭经济水平等因素后,多因素分析结果表明,相较于父亲生育年龄20岁~组(对照组),父亲生育年龄 ≥ 35岁组的男生青春发育提前风险升高2.36倍(95 % CI = 1.05~5.32),父亲生育年龄30岁~组的男生青春发育延迟风险降低为对照组的0.42倍(95 % CI = 0.18~0.97)。对女生而言,调整了超重肥胖、低出生体重和家庭经济水平等因素后,多因素分析表明,父亲生育年龄30岁~组和 ≥ 35岁组、母亲生育年龄30岁~组和 ≥ 35岁组的女生青春发育提前风险分别升高1.87倍(95 % CI = 1.10~3.19)、5.20倍(95 % CI = 2.68~10.08)和2.21倍(95 % CI = 1.32~3.70)、4.14倍(95 % CI = 1.79~9.53);进一步调整了父母亲生育年龄后,父亲生育年龄 ≥ 35岁组的女生青春发育提前风险是20岁~组的4.18倍(95 % CI = 1.73~10.13);未发现父母亲生育年龄和女生青春发育时相延迟存在相关性。  结论  父亲生育年龄大是男生青春发育时相提前和延迟的独立危险因素,也是女生青春发育时相提前的独立危险因素,应鼓励和倡导适龄生育。
  • 表  1  不同年龄儿童青少年青春发育时相分布(n = 3 113)

    年龄(岁)男生女生
    人数提前组适时组延迟组人数提前组适时组延迟组
    人数%人数%人数%人数%人数%人数%
    7~ 171 29 16.96 142 83.04 0 0 184 33 17.93 151 82.06 0 0
    8~ 206 27 13.11 179 86.89 0 0 178 21 11.80 157 88.20 0 0
    9~ 200 22 11.00 178 89.00 0 0 183 15 8.20 168 91.80 0 0
    10~ 195 29 14.87 166 85.13 0 0 222 36 16.22 147 66.22 39 17.57
    11~ 51 4 7.84 47 92.16 0 0 48 7 14.58 35 72.92 6 12.50
    12~ 329 49 14.89 207 62.92 73 22.19 315 45 13.33 208 66.03 62 19.68
    13~ 355 63 17.75 228 64.23 64 18.03 334 32 9.58 249 74.55 53 15.87
    14~16 95 13 13.68 65 68.42 17 17.89 47 5 10.64 36 76.60 6 12.77
    合计 1602 236 14.73 1212 75.66 154 9.61 1511 194 12.84 1151 76.17 166 10.99
    下载: 导出CSV

    表  2  父母亲不同生育年龄的中小学生青春发育情况

    生育年龄男生女生
    提前组适时组延迟组χ2 提前组适时组延迟组χ2
    人数%人数%人数%人数%人数%人数%
    父亲生育年龄(岁)20.7729.51
     < 20929.031961.2939.6827.142382.14310.71
     20~4813.9925774.933811.08298.3327679.314312.36
     25~9112.5556377.66719.797811.7350676.098112.18
     30~4215.4421478.68165.884014.8120676.30248.89
    ≥ 352026.325268.4245.262529.765565.4844.76
    母亲生育年龄(岁)7.7723.19
     < 201020.003570.00510.0047.274378.18814.55
     20~6912.7342878.97458.30468.8541179.046312.12
     25~9014.1148375.716510.198013.0946475.946710.97
     30~3418.0913973.94157.983418.8913273.33147.78
    ≥ 35720.592470.5938.821127.502665.0037.50
    下载: 导出CSV

    表  3  男生青春发育时相与父亲生育年龄的logistic回归分析

    父亲生育年龄(岁)参照组模型Ⅰ模型Ⅱ模型Ⅲ
    青春发育提前青春发育延迟青春发育提前青春发育延迟青春发育提前青春发育延迟
    OR95 % CIOR95 % CIOR95 % CIOR95 % CIOR95 % CIOR95 % CI
    < 2020~2.541.08~5.94 a1.070.30~3.781.870.75~4.630.790.21~3.002.160.61~7.660.230.03~1.58
    25~0.870.59~1.270.850.56~1.300.830.55~1.260.760.47~1.230.760.48~1.200.680.40~1.16
    30~1.050.67~1.650.510.27~0.93 a1.020.63~1.670.550.28~1.070.880.49~1.610.420.18~0.97 a
    ≥ 352.061.13~3.76 a0.520.18~1.522.391.27~4.50 a0.440.12~1.562.361.05~5.32 a0.290.06~1.39
      注:模型Ⅰ:未调整;模型Ⅱ:调整父母最高文化程度、家庭月收入、超重肥胖、低出生体重、学段、城乡;模型Ⅲ:模型Ⅱ基础上调整母亲生育年龄/父亲生育年龄;a P < 0.05。
    下载: 导出CSV

    表  4  女生青春发育时相与父母生育年龄的logistic回归分析

    变量参照组模型Ⅰ模型Ⅱ模型Ⅲ
    青春发育提前青春发育延迟青春发育提前青春发育延迟青春发育提前青春发育延迟
    OR95 % CIOR95 % CIOR95 % CIOR95 % CIOR95 % CIOR95 % CI
    父亲生育年龄(岁)
     < 2020~0.830.19~3.690.840.24~2.910.650.14~2.980.910.25~3.310.780.12~5.120.700.15~3.2
     25~1.470.94~2.301.030.69~1.531.260.79~2.021.290.83~2.001.100.65~1.831.390.86~2.26
     30~1.851.11~3.08 a0.750.44~1.271.871.10~3.19 a0.920.52~1.641.590.84~3.021.080.54~2.15
    ≥ 354.332.36~7.95 a0.470.16~1.355.202.68~10.08 a0.560.16~1.934.181.73~10.13 a0.690.15~3.09
    母亲生育年龄(岁)
     < 2020~0.830.29~2.421.210.55~2.700.750.25~2.231.080.45~2.580.860.22~3.331.340.47~3.84
     25~1.541.05~2.27 a0.940.65~1.361.410.94~2.101.000.67~1.481.280.82~2.000.880.57~1.36
     30~2.301.42~3.74 a0.690.38~1.282.211.32~3.70 a0.730.39~1.391.310.67~2.580.780.36~1.68
    ≥ 353.781.76~8.15 a0.750.22~2.564.141.79~9.53 a0.560.13~2.521.320.45~3.890.800.14~4.69
      注:模型Ⅰ:未调整;模型Ⅱ:调整父母最高文化程度、家庭月收入、超重肥胖、低出生体重、学段、城乡;模型Ⅲ:模型Ⅱ基础上调整母亲生育年龄/父亲生育年龄;a P < 0.05。
    下载: 导出CSV
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  • 接收日期:  2021-06-21
  • 网络出版日期:  2022-03-23
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