Assessment of risk factors for developmental delays among children in a rural community of North India: A cross-sectional study.
Developmental delays
Rashtriya Bal Swasthya Karyakram
developmental milestones
Journal
Journal of education and health promotion
ISSN: 2277-9531
Titre abrégé: J Educ Health Promot
Pays: India
ID NLM: 101593794
Informations de publication
Date de publication:
2019
2019
Historique:
received:
26
11
2018
accepted:
27
01
2019
entrez:
24
7
2019
pubmed:
25
7
2019
medline:
25
7
2019
Statut:
epublish
Résumé
Initial formative years in every children's life are critical for their optimal development, as these frame the foundation of future well-being. With a varied prevalence of developmental delays (DDs) in the world and most of the studies representing the hospital-based data. The present study was aimed to find the prevalence and risk factors for DDs (domain wise) in children aged 2 months to 6 years in the rural area of North India. This was a cross-sectional study in which a multistage random sampling technique was used. From 30 Anganwadi centers, 450 children aged 2 months-6 years were taken in the study. Rashtriya Bal Swasthya Karyakram screening tool developed by the Ministry of Health and Family Welfare, India, was used for developmental screening. Binary logistic regression analysis was done to identify the predictors for DDs (domain wise). Seventy-three (16.2%) children were found to have DDs and 60 (13.3%) children had the global DDs. About 84/421 (20.0%) children had cognitive delay, followed by 43/450 (9.6%) children who had delay in speech and language area. About 17/190 (8.9%) children had social delay while 26/407 (6.4%) children had hearing and vision impairment. Gross motor delay was seen in 24/450 (5.3%) children and 16/300 (5.3%) children had fine motor delay. Gestational age (adjusted odds ratio [AOR] - 13.30), complications during delivery (AOR - 25.79), meconium aspiration (AOR - 12.81), and child never breastfed (AOR - 8.34) were strong predictors for the delay in different domains of developmental milestones. Socio-economic, ante-natal, natal and post-natal factors should be considered for prompt identification and initiation of intervention for DDs. There is a need for increasing awareness and knowledge of parents regarding the achievement of developmental milestones according to the age. A multipronged approach to the holistic treatment of developmentally delayed children for early intervention is required.
Sections du résumé
BACKGROUND
BACKGROUND
Initial formative years in every children's life are critical for their optimal development, as these frame the foundation of future well-being. With a varied prevalence of developmental delays (DDs) in the world and most of the studies representing the hospital-based data. The present study was aimed to find the prevalence and risk factors for DDs (domain wise) in children aged 2 months to 6 years in the rural area of North India.
METHODS
METHODS
This was a cross-sectional study in which a multistage random sampling technique was used. From 30 Anganwadi centers, 450 children aged 2 months-6 years were taken in the study. Rashtriya Bal Swasthya Karyakram screening tool developed by the Ministry of Health and Family Welfare, India, was used for developmental screening. Binary logistic regression analysis was done to identify the predictors for DDs (domain wise).
RESULTS
RESULTS
Seventy-three (16.2%) children were found to have DDs and 60 (13.3%) children had the global DDs. About 84/421 (20.0%) children had cognitive delay, followed by 43/450 (9.6%) children who had delay in speech and language area. About 17/190 (8.9%) children had social delay while 26/407 (6.4%) children had hearing and vision impairment. Gross motor delay was seen in 24/450 (5.3%) children and 16/300 (5.3%) children had fine motor delay. Gestational age (adjusted odds ratio [AOR] - 13.30), complications during delivery (AOR - 25.79), meconium aspiration (AOR - 12.81), and child never breastfed (AOR - 8.34) were strong predictors for the delay in different domains of developmental milestones.
CONCLUSION
CONCLUSIONS
Socio-economic, ante-natal, natal and post-natal factors should be considered for prompt identification and initiation of intervention for DDs.
RECOMMENDATION
CONCLUSIONS
There is a need for increasing awareness and knowledge of parents regarding the achievement of developmental milestones according to the age. A multipronged approach to the holistic treatment of developmentally delayed children for early intervention is required.
Identifiants
pubmed: 31334264
doi: 10.4103/jehp.jehp_405_18
pii: JEHP-8-112
pmc: PMC6615120
doi:
Types de publication
Journal Article
Langues
eng
Pagination
112Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Paediatr Perinat Epidemiol. 2002 Jan;16(1):33-46
pubmed: 11856453
J Epidemiol Community Health. 2005 Jan;59(1):42-8
pubmed: 15598725
Clin Pediatr (Phila). 2006 Jul;45(6):509-17
pubmed: 16893855
Acta Paediatr. 2007 May;96(5):748-52
pubmed: 17462065
Rev Panam Salud Publica. 2007 May;21(5):292-300
pubmed: 17697482
Arch Gen Psychiatry. 2008 May;65(5):578-84
pubmed: 18458209
Pediatrics. 2008 Jun;121(6):e1503-9
pubmed: 18504295
J Perinatol. 2008 Dec;28 Suppl 3:S93-101
pubmed: 19057618
Early Hum Dev. 2009 Jul;85(7):443-7
pubmed: 19356866
JAMA. 2009 Nov 25;302(20):2235-42
pubmed: 19934425
BMC Pediatr. 2010 May 06;10:30
pubmed: 20444296
Early Hum Dev. 2010 Jul;86(7):407-12
pubmed: 20646880
Phys Ther. 2010 Oct;90(10):1510-8
pubmed: 20705684
Indian J Pediatr. 2010 Sep;77(9):975-80
pubmed: 20734165
J Pediatr. 2011 Jul;159(1):92-8
pubmed: 21324481
Natl Med J India. 2010 Nov-Dec;23(6):324-9
pubmed: 21561041
PLoS One. 2011;6(5):e20004
pubmed: 21637833
Eur J Pediatr. 2012 Jan;171(1):151-8
pubmed: 21660433
Am J Public Health. 2011 Dec;101(12):2299-307
pubmed: 22021308
Indian Pediatr. 2012 Jun;49(6):457-61
pubmed: 22080617
Neuropsychologia. 1990;28(7):681-90
pubmed: 2215879
BMC Pediatr. 2011 Dec 19;11:117
pubmed: 22182217
Int J Epidemiol. 2012 Jun;41(3):773-81
pubmed: 22552873
Libyan J Med. 2012;7:null
pubmed: 23008747
Oman Med J. 2012 Jul;27(4):310-3
pubmed: 23071884
Child Care Health Dev. 2014 May;40(3):379-88
pubmed: 23461377
BMC Pediatr. 2013 Aug 13;13:119
pubmed: 23937954
J Pediatr. 2013 Nov;163(5):1289-95
pubmed: 23968750
BMJ Open. 2013 Aug 23;3(8):e003259
pubmed: 23975102
Pediatrics. 1975 Aug;56(2):208-13
pubmed: 240148
Ann Indian Acad Neurol. 2013 Jul;16(3):371-5
pubmed: 24101819
Ann Dyslexia. 1994 Jan;44(1):147-64
pubmed: 24234050
BMC Pediatr. 2014 Feb 12;14:40
pubmed: 24521451
Science. 2014 Mar 28;343(6178):1478-85
pubmed: 24675955
Indian Pediatr. 2014 Aug;51(8):627-35
pubmed: 25128995
BJOG. 2015 Sep;122(10):1331-9
pubmed: 25515184
Iran Red Crescent Med J. 2014 Dec 25;16(12):e16711
pubmed: 25763233
J Public Health Res. 2015 Feb 19;4(1):318
pubmed: 25918689
BMC Pediatr. 2015 Dec 17;15:215
pubmed: 26678149
Dev Med Child Neurol. 2016 Mar;58 Suppl 4:61-6
pubmed: 27027609
J Phys Ther Sci. 2016 Mar;28(3):1026-31
pubmed: 27134406
J Trop Pediatr. 2016 Dec;62(6):446-456
pubmed: 27143343
J Family Med Prim Care. 2016 Apr-Jun;5(2):378-382
pubmed: 27843845
Dev Med Child Neurol. 2017 May;59(5):484-489
pubmed: 27882544
J Pediatr. 2017 Apr;183:43-50.e3
pubmed: 28081886
Pediatr Clin North Am. 1993 Oct;40(5):955-81
pubmed: 8414717
Dev Med Child Neurol. 1996 Oct;38(10):891-906
pubmed: 8870611
J Child Neurol. 1998 Jun;13(6):270-6
pubmed: 9660510