Cappiello Matthew M, Gahagan Sheila
Division of Child Development and Community Health, University of California at San Diego, 9500 Gilman Drive, Dept. 0927, La Jolla, CA 92093-0927, USA.
Pediatr Clin North Am. 2009 Dec;56(6):1501-17. doi: 10.1016/j.pcl.2009.09.017.
Developmental delay is common and often responds to early intervention. As with other health outcomes, the prevalence of developmental delay may be socially determined. Children in many Indigenous communities experience increased risk for developmental delay. This article highlights special conditions in Indigenous communities related to child development. It addresses the challenges of screening and evaluation for developmental delay in the context of Indigenous cultures, and in settings where resources are often inadequate. It is clear that careful research on child development in Indigenous settings is urgently needed. Intervention strategies tied to cultural traditions could enhance interest, acceptability, and ultimately developmental outcomes in children at risk.
发育迟缓很常见，且往往对早期干预有反应。与其他健康结果一样，发育迟缓的患病率可能由社会因素决定。许多原住民社区的儿童发育迟缓风险增加。本文重点介绍了原住民社区中与儿童发育相关的特殊情况。它探讨了在原住民文化背景下以及资源往往不足的环境中对发育迟缓进行筛查和评估所面临的挑战。显然，迫切需要对原住民环境中的儿童发育进行仔细研究。与文化传统相关的干预策略可以提高处于风险中的儿童的兴趣、接受度，并最终改善其发育结果。
