Document Detail


Natural history of suspected developmental delay between 12 and 24 months of age in the 2004 Pelotas birth cohort.
MedLine Citation:
PMID:  20412410     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To describe the incidence and persistence of suspected developmental delay (SDD) between 12 and 24 months of age and associated factors in the 2004 Pelotas Birth Cohort.
METHODS: A cohort of 4262 newborns, 3907 of whose were monitored from 12 to 24 months of life. SDD was established by Battelle Screening Developmental Inventory. The adjusted analyses were carried out using Poisson regression. Relative risks and 95% confidence intervals were calculated.
RESULTS: Incidence of SDD between 12 and 24 months of age was 1.8% (95% CI: 1.4-2.3). After the adjusted analyses, the following factors increased the risk of the incidence: Apgar 5'<7, preterm delivery, low socio-economic level, intergestational interval<or=24 months, not having been told stories in the previous 2 weeks, lack of children's books at home and male gender. A total of 390 children were positive in the 12 month (prevalence of 10%; 95% CI: 9.0-10.9). From these children, 58 remained positive up to 2 years of age, with a persistence rate of 15.6% (95% CI: 11.9-19.3). The following were factors for persistence in SDD: Apgar 5'<7, low socio-economic level, intergestational interval<or=24 months, breastfeeding duration<6 months and not having been told stories in the previous 2 weeks.
CONCLUSIONS: Easy access to children's literature and telling stories to children are inexpensive measures that may have an impact on the child's development between 12 and 24 months of life.
Authors:
Danilo R Moura; Jaderson C Costa; Iná S Santos; Aluísio J D Barros; Alicia Matijasevich; Ricardo Halpern; Samuel Dumith; Simone Karam; Fernando C Barros
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-04-16
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  46     ISSN:  1440-1754     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-20     Completed Date:  2010-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  329-36     Citation Subset:  IM    
Affiliation:
Departamento Materno Materno-Infantil, Universidade Federal de Pelotas, Pelotas, Brazil. drolimdemoura@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Brazil / epidemiology
Child Development / physiology*
Child, Preschool
Cohort Studies
Confidence Intervals
Developmental Disabilities / diagnosis*,  epidemiology
Female
Humans
Infant
Male
Poisson Distribution
Grant Support
ID/Acronym/Agency:
//Wellcome Trust

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