Socioeconomic disadvantage and developmental delay among US children aged 18 months to 5 years

Simon, Alan E.; Pastor, Patricia N.; Avila, Rosa M.; Blumberg, Stephen J.

doi:10.1136/jech-2013-202610

Cited by 29 publications

(29 citation statements)

References 22 publications

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“…As shown in Table 4, child sociodemographic variables predictive of parental concerns on the PEDS indicating high developmental risk included male gender [14, 16, 17, 27, 28, 30, 37, 40, 47–50, 52, 54], age 3 years and above [14, 27, 28, 47–50], low birth weight [17, 37], poor/fair child health [40, 47–50] or special health care needs [16, 30]. Family sociodemographic variables predictive of parental concerns on the PEDS indicating high developmental risk included poor maternal mental health [7, 37, 40], low family SES [7, 16, 30, 40, 47–50], being of African American [7, 14, 17, 30, 47–50], Hispanic [7, 16, 17, 30, 47–50], First Nations and Australian Aboriginal ethnicity [14, 47–50, 54], being from a Non English speaking household [30, 47–50].…”

Section: Resultsmentioning

confidence: 99%

“…Family sociodemographic variables predictive of parental concerns on the PEDS indicating high developmental risk included poor maternal mental health [7, 37, 40], low family SES [7, 16, 30, 40, 47–50], being of African American [7, 14, 17, 30, 47–50], Hispanic [7, 16, 17, 30, 47–50], First Nations and Australian Aboriginal ethnicity [14, 47–50, 54], being from a Non English speaking household [30, 47–50]. Service level variables predictive of parental concerns on the PEDS indicating high developmental risk included not having a usual source of health care/medical home [16, 30, 37, 40, 47, 49, 50]; or having public/no health insurance [7, 16, 30, 37, 47–50].…”

Section: Resultsmentioning

confidence: 99%

“…Service level variables predictive of parental concerns on the PEDS indicating high developmental risk included not having a usual source of health care/medical home [16, 30, 37, 40, 47, 49, 50]; or having public/no health insurance [7, 16, 30, 37, 47–50]. Parents not completing high school [16, 27, 28, 30, 40, 50] and single parenthood [16, 40, 47–50, 54] were significant using unadjusted OR, however not significant as adjusted OR [17, 37]. Children not being read to daily was significant in the unadjusted analysis [40, 47–49], however this did not appear to be significant in the one study that included it in a multivariate analysis (p = 0.93) [40].…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS)indicating developmental risk

et al. 2014

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BackgroundParental concerns about their children’s development can be used as an indicator of developmental risk. We undertook a systematic review of the prevalence of parents’ concerns as an indicator of developmental risk, measured by the Parents’ Evaluation of Developmental Status (PEDS) and associated risk factors.MethodsElectronic databases, bibliographies and websites were searched and experts contacted. Studies were screened for eligibility and study characteristics were extracted independently by two authors. A summary estimate for prevalence was derived. Meta-regression examined the impact of study characteristics and quality. Meta-analysis was used to derive pooled estimates of the impact of biological and psychosocial risk factors on the odds of parental concerns indicating high developmental risk.ResultsThirty seven studies were identified with a total of 210,242 subjects. Overall 13.8% (95% CI 10.9 -16.8%) of parents had concerns indicating their child was at high developmental risk and 19.8% (95% CI 16.7-22.9%) had concerns indicating their child was at moderate developmental risk. Male gender, low birth weight, poor/fair child health rating, poor maternal mental health, lower socioeconomic status (SES), minority ethnicity, not being read to, a lack of access to health care and not having health insurance were significantly associated with parental concerns indicating a high developmental risk.ConclusionsThe prevalence of parental concerns measured with the PEDS indicating developmental risk is substantial. There is increased prevalence associated with biological and psychosocial adversity.Trial registrationPROSPERO Registration: CRD42012003215.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2431-14-231) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS)indicating developmental risk

et al. 2014

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“…26 The NSCH uses a research version of the clinical PEDS, which has been used in several previously published studies; it is similar to the clinical PEDS but omits 2 open-ended questions. [26][27][28][29] Parents of children 4 months to 5 years were asked 8 questions regarding whether they had "a lot," "a little," or "not at all" concern for specific areas of their child's development, which included expressive and receptive language, fine motor, behavior, learning, and social-emotional development; responses of "a lot" or "a little" were qualified as having a concern. Of the 8 questions asked in the PEDS, there are age-specific parental questions that are most predictive of identifying which children have developmental delay.…”

Section: Developmental Concerns and Risk For Developmental Delaymentioning

confidence: 99%

Positive Parenting Practices, Health Disparities, and Developmental Progress

Shah¹,

Sobotka

Chen

et al. 2015

Pediatrics

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“…Young children residing in remote Australian communities are exposed to socioeconomic disadvantage that can contribute to developmental delays and diminished life outcomes (AIHW 2008), including socioeconomic disadvantage (Simon et al 2013 There is a growing body of international (Sanger et al 2001) and national evidence Snow & Powell 2012) that associates later life disadvantage with undiagnosed or untreated speech, language and communication delays in early life. Studies conducted by Snow and Powell (2012) …”

Section: The Needmentioning

confidence: 99%

Improving health and education outcomes for children in remote communities: A cross-sector and developmental evaluation approach

et al. 2015

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Early childhood is one of the most influential developmental life stages. Attainments at this stage will have implications for the quality of life children experience as they transition to adulthood. Children residing in remote Australia are exposed to socioeconomic disadvantage that can contribute to developmental delays and resultant poorer education and health outcomes. Complex contributing factors in far west New South Wales have resulted in children with speech and fine motor skill delays experiencing no to limited access to allied health services for a number of decades. More recently, growing awareness that no single policy, government agency, or program could effectively respond to these complexities or ensure appropriate allied health service access for children in these communities has led to the development of the Allied Health in Outback Schools Program, which has been operational since 2009. The program is underpinned by cross-sector partnerships and a shared aspirational aim to improve the developmental outcomes of children to enhance their later life opportunities. It was identified early that the initiative had the potential to deliver mutually beneficial outcomes for communities and participating partner organisations.Over the last five years the program has been the catalyst for partnership consolidation, expansion and diversification. The developmental evaluation approach to continuous program adaptation and refinement has provided valuable insights that have informed health and education policy and enabled the program to be responsive to changing community needs, emerging policy and funding reforms.This article explores the evolution of the program partnerships, their contribution to program success and longevity, and their capacity to respond to an emergent and dynamic environment. The authors propose that a community-centred and developmental approach to program innovation and implementation in remote locations is required. This is based on the premise that contemporary linear, logic-based policy development and funding allocations, with predetermined program deliverables and outcomes, are no longer capable of responding appropriately to the complexities experienced by remote communities.Keywords: allied health, remote communities, cross-sectoral partnerships, service learning

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Socioeconomic disadvantage and developmental delay among US children aged 18 months to 5 years

Abstract: Multiple factors, including demographic characteristics and indicators of social disadvantage, distinguish children with probable developmental delay from those unlikely to have developmental delay. Fewer factors identify children with possible delay.

Cited by 29 publications

References 22 publications

A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS)indicating developmental risk

A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS)indicating developmental risk

Positive Parenting Practices, Health Disparities, and Developmental Progress

Improving health and education outcomes for children in remote communities: A cross-sector and developmental evaluation approach

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