新型冠状病毒肺炎疫情对4~8岁女童乳房早发育的影响

Effect of Coronavirus Disease 2019 Epidemic on Early Breast Development in Girls Aged 4-8 Years

目的探讨新型冠状病毒肺炎(COVID-19)疫情对4~8岁女童乳房早发育的影响。方法选取医院2020年2月15日至4月30日初诊为乳房早发育的4~8岁女童为研究对象,通过采集纸质问卷、扫描二维码填写电子问卷及电话回访进行问卷调查,问卷内容包括一般情况及行为习惯;回收有效问卷162份,作为观察组。选取同期医院就诊乳房未发育4~8岁女童进行同样的问卷调查,回收有效问卷162份,作为对照组。采用多因素Logistic回归分析法分析单纯乳房早发育风险增加的危险因素。结果多因素Logistic回归分析结果显示,电子产品(电视及手机)使用时间过多、运动时间过少、2月内体质量增加为疫情下乳房早发育患儿增多的危险因素(P<0.05)。结论 COVID-19疫情下,电子产品(电视及手机等)使用时间较长、运动时间较少、2个月内体质量增加,均可增加女童乳房早发育的发生风险。

Objective To investigate the effect of Coronavirus Disease 2019(COVID-19)on early breast development in girls aged 4-8 years.Methods From February 15th to April 30th,2020,girls aged 4-8 years who were diagnosed with early breast development in our hospital were selected as the research objects.The questionnaire survey was conducted by collecting paper questionnaires,completing the electronic questionnaires through scanning the Quick Response(QR)code and telephone follow-up,and the questionnaire content included the general situation and behavior habits.A total of 162 valid questionnaires were collected as the observation group.The same questionnaire survey was conducted on mammary undeveloped girls aged 4-8 years who visited the hospital in the same period,and 162 valid questionnaires were collected as the control group.Multivariate Logistic regression analysis was used to analyze the risk factors for the increased risk of early breast development.Results Multivariate Logistic regression analysis showed that prolonged use of electronic products(TV and mobile phones),less exercise time,and weight gain within two months were risk factors for the increase of children with early breast development during the epidemic(P<0.05).Conclusion Prolonged use of electronic products(TV and mobile phones,etc.),less exercise time,and weight gain within two months during the COVID-19 epidemic may increase the risk of early breast development in girls.