NDLI: Screening and determinant of suspected developmental delays among Egyptian preschool-aged children: a cross-sectional national community-based study

Content Provider	Springer Nature : BioMed Central
Author	Metwally, Ammal M. Abdallah, Ali M. El-Din, Ebtissam M. Salah Zeid, Dina Abu Khadr, Zeinab Elshaarawy, Ghada A. Elkhatib, Alshaimaa A. Elsaied, Amal Ashaat, Engy A. Elghareeb, Nahed A. Abdou, Mohamed H. Fathy, Asmaa M. Eldeeb, Sherif E. AbdAllah, Mohamed Soliman, Muhammed Al-tohamy El Banna, Rokia AbdElshafy S. Hassanein, Abdelrahman K. Rabah, Thanaa M. Abdelrahman, Mohamed Sallam, Sara F.
Abstract	Background Early childhood life is critical for optimal development and is the foundation of future well-being. Genetic, sociocultural, and environmental factors are important determinants of child development. Aim The objectives were to screen for suspected developmental delays (DDs) among Egyptian preschool children, and to explore the determinants of these delays based on sociodemographic, epidemiological, maternal, and child perinatal risk factors. Methods A national Egyptian cross-sectional developmental screening of a representative sample of preschool children (21,316 children) aged 12 to 71 months. The Revised Denver Prescreening Developmental Questionnaire (R-PDQ) followed by the Denver Developmental Screening Test, 2nd edition (DDST) was used. Results Each screened child manifested at least one of six developmental categories. Either typical development, gross motor delay (GM), fine motor adaptive delay (FMA), Language delay (L), Personal-social delay (PS), or multiple DDs. The prevalence of preschool children with at least one DD was 6.4%, while 4.5% had multiple DDs. Developmental language delay was the most prevalent, affecting 4.2% of children. The least affected domain was GM (1.9% of children). Boys were more likely to have DD than girls. Children in urban communities were more likely to have at least one DD than those in rural areas (OR = 1.28, 95%CI: 1.14–1.42), and children of middle social class than of low or high social class (OR = 1.49, 95%CI: 1.30–1.70 & OR = 1.40, 95%CI: 1.23–1.59 respectively). The strong perinatal predictors for at least one DD were children with a history of postnatal convulsions (OR = 2.68, 95%CI: 1.97–3.64), low birth weight (OR = 2.06, 95%CI: 1.69–2.52), or history of postnatal cyanosis (OR = 1.77, 95%CI: 1.26–2.49) and mothers had any health problem during pregnancy (OR = 1.73, 95%CI: 1.44–2.07). Higher paternal and maternal education decreased the odds of having any DD by 43% (OR = 0.57, 95% CI: 0.47–0.68) and 31% (OR = 0.69, 95%CI: 0.58–0.82) respectively. Conclusion This study demonstrates a considerable attempt to assess the types and the prevalence of DD among preschool children in Egypt. Perinatal factors are among the most common determinants of DD in preschool children and the majority could be preventable risk factors.
Related Links	https://bmcpediatr.biomedcentral.com/counter/pdf/10.1186/s12887-023-04335-0.pdf
Ending Page	18
Page Count	18
Starting Page	1
File Format	HTM / HTML
ISSN	14712431
DOI	10.1186/s12887-023-04335-0
Journal	BMC Pediatrics
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2023-10-19
Access Restriction	Open
Subject Keyword	Pediatrics Internal Medicine Preschool children Developmental delay Prevalence Milestones Risk factors Language delay Fine motor Gross motor Personal-social Screening
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health
Journal Impact Factor	2/2023
5-Year Journal Impact Factor	2.4/2023

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