丹佛发育测试结果及其与0至4岁儿童大型社区样本中社会人口学变量的关系。

Denver Developmental Test Findings and their Relationship with Sociodemographic Variables in a Large Community Sample of 0-4-Year-Old Children.

作者信息

Çelikkiran Seyhan, Bozkurt Hasan, Coşkun Murat

机构信息

Psychosocial Support Center for Families, Women and Disabled, İstanbul, Turkey.

Department of Child and Adolescent Psychiatry, Gaziosmanpaşa University Faculty of Medicine, Tokat, Turkey.

出版信息

Noro Psikiyatr Ars. 2015 Jun;52(2):180-184. doi: 10.5152/npa.2015.7230. Epub 2015 Jun 1.

DOI:10.5152/npa.2015.7230

PMID:28360701

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5353195/

Abstract

INTRODUCTION

The aim of this study was to investigate the prevalence of developmental problems and relationship with sociodemographic variables in a community sample of young children.

METHODS

Participants included 1000 children (558 males, 442 females, age range 1-48 months, mean 18.4 months, SD 7.8 months). Children were referred generally by their parents for developmental evaluation and consultation in response to a public announcement in a district area in Istanbul, Turkey. An interview form and the Denver Developmental Screening Test II (DDST) were used for sociodemographic data and developmental evaluation. The χ test and Pearson's correlation test were used for data analysis.

RESULTS

Seven hundred forty-one out of 1000 children (74.1%) had normal, 140 (14%) had risky, and 119 (11.9%) had abnormal findings on the DDST results. The probability of abnormal findings on the DDST results was significantly higher in males (p=0.003), the 2-4-year-old group (p<0.05), families with more than one child (p=0.001), consanguineous marriages (p<0.01), low parental educational levels and low household income (p<0.01), and in children without a history of breastfeeding (p=0.000). Immigration status and delivery mode did not have a significant effect on the probability of abnormal findings on the DDST results (p>0.05).

CONCLUSION

Sociodemographic factors have a noteworthy impact on development. Determining these factors is important especially during the first years of life.

摘要

引言

本研究旨在调查社区幼儿样本中发育问题的患病率及其与社会人口统计学变量的关系。

方法

研究对象包括1000名儿童（558名男性，442名女性，年龄范围1 - 48个月，平均18.4个月，标准差7.8个月）。这些儿童通常是其父母因土耳其伊斯坦布尔某地区的一则公告而转介来进行发育评估和咨询的。采用一份访谈表格和丹佛发育筛查测验第二版（DDST）收集社会人口统计学数据并进行发育评估。数据分析采用χ检验和Pearson相关检验。

结果

1000名儿童中，741名（74.1%）DDST结果正常，140名（14%）有风险，119名（11.9%）有异常。男性（p = 0.003）、2 - 4岁组（p < 0.05）、多子女家庭（p = 0.001）、近亲结婚家庭（p < 0.01）、父母教育水平低和家庭收入低（p < 0.01）以及无母乳喂养史的儿童（p = 0.000），其DDST结果异常的概率显著更高。移民身份和分娩方式对DDST结果异常的概率没有显著影响（p > 0.05）。