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学科主题: 公共卫生
题名:
High prevalence of developmental delay among children under three years of age in poverty-stricken areas of China
作者: Wei, Q. W.1,2; Zhang, J. X.1,2; Scherpbier, R. W.3; Zhao, C. X.3; Luo, S. S.1,2; Wang, X. L.1,2; Guo, S. F.3
关键词: Early childhood development ; Developmental delay ; Poverty ; Primary caregiver ; Family environment
刊名: PUBLIC HEALTH
发表日期: 2015-12-01
DOI: 10.1016/j.puhe.2015.07.036
卷: 129, 期:12, 页:1610-1617
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Public, Environmental & Occupational Health
研究领域[WOS]: Public, Environmental & Occupational Health
关键词[WOS]: RATING DEPRESSION SCALE ; EARLY-CHILDHOOD DEVELOPMENT ; MATERNAL DEPRESSION ; DEVELOPING-COUNTRIES ; FAMILY ; RISK ; ANXIETY ; TRANSLATION ; COMMUNITIES ; SYMPTOMS
英文摘要:

Objectives: Poverty and its associated factors put children at risk for developmental delay. The aim of this study was to describe the neurodevelopment of children under three years of age in poverty-stricken areas of China and explore possible associated factors.

Study design: A cross-sectional survey was conducted among 2837 children aged 1-35 months in poverty-stricken areas of China.

Methods: Characteristics of the child, caregiver, and family were collected through face-to-face caregiver interviews. Developmental delay was explored with the five-domain, structured, parent-completed Ages and Stages Questionnaire. The Zung Self-rating Depression Scale was used to assess depressive symptoms of the caregivers. The Chi-squared test and multivariate logistic regression analyses were used to explore associated factors.

Results: Of the children, 39.7% (95% confidence interval, 37.9-41.5) had developmental delay in at least one of the five domains. For the domains of communication, gross motor, fine motor, problem solving, and personal-social skills, the prevalence was 11.5%, 18.5%, 21.4%48.4%, and 17.9%, respectively. Significant predictors of increased odds of developmental delay included the child having no toys (odds ratio [OR] = 2.31), the caregiver having depression (OR = 2.24), insufficient learning activities (OR = 1.65), and more children in the family (OR = 1.16).

Conclusions: The high prevalence of developmental delay in children younger than three years in poverty-stricken areas of China and the presence of risk factors for developmental delay such as inadequate learning resources and activities in the home, caregiver depression, and low family income highlight the need for early identification and interventions. (C) 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

语种: 英语
所属项目编号: 0315-China/YH702
项目资助者: UNICEF grants &prime ; Health and Nutrition&prime
WOS记录号: WOS:000367109500010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/51655
Appears in Collections:北京大学公共卫生学院_北京大学生育健康研究所_期刊论文

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作者单位: 1.UNICEF China Off, Beijing 100600, Peoples R China
2.Peking Univ, Hlth Sci Ctr, Minist Hlth, Key Lab Reprod Hlth, Beijing 100191, Peoples R China
3.Peking Univ, Hlth Sci Ctr, Dept Child Adolescent & Womens Hlth, Sch Publ Hlth, Beijing 100191, Peoples R China

Recommended Citation:
Wei, Q. W.,Zhang, J. X.,Scherpbier, R. W.,et al. High prevalence of developmental delay among children under three years of age in poverty-stricken areas of China[J]. PUBLIC HEALTH,2015,129(12):1610-1617.
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