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Developmental progress in urban Aboriginal infants: A cohort study.
MedLine Citation:
PMID:  21470334     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  To measure, describe and investigate potential predictors of early developmental progress in urban Aboriginal infants. Methods:  The Gudaga study is a longitudinal birth cohort study of urban Aboriginal infants. At 12 months 134 infants were assessed using the Griffiths Mental Development Scales (GMDS). The infants' developmental progress was compared with standardised norms. Results:  Total scores for the Aboriginal infants for the GMDS were significantly lower than the standards (mean difference (MD) =-4.7, P < 0.001; 95% confidence interval (CI): -6.37, -2.96). The difference was small and not clinically significant. Infant performance on the locomotor scale was equivalent to the standards; however, their performance was significantly lower on all other subscales. Reported problem alcohol use at home was the only factor found to be negatively correlated with developmental progress (MD =-7.8, P= 0.01; 95% CI: -13.9, -1.8). The presence of three or more risk factors was also found to be associated with lower developmental scores (MD =-5.4, P= 0.01; 95% CI: -9.6, -1.3). Conclusion:  This study shows that urban Aboriginal infants are mostly developing within the normal range at 12 months. The lower scores overall compared with standards indicate that differences in development appear early in Aboriginal children and this supports the case for early intervention. The association with exposure to problem drinking and the effect of cumulative family stress may be useful in designing screening tools and interventions.
Authors:
Jenny L McDonald; Elizabeth Comino; Jennifer Knight; Vana Webster
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-7
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  -     ISSN:  1440-1754     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Journal of Paediatrics and Child Health © 2011 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
Affiliation:
Centre for Health Equity Training Research and Evaluation, Part of the Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of NSW, New South Wales, Australia.
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