ArticleBMJ open2018
Factors influencing developmental delay among young children in poor rural China: a latent variable approach.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Prevalence and determinants of developmental delay among children in low- and middle-income countries: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Current evidence on the effectiveness of Ready-to-Use Supplementary Foods in children with moderate acute malnutrition: a systematic review and meta-analysis.Journal of nutritional science · 2023Pooled it
- Early childhood development and parental training interventions in rural China: a systematic review and meta-analysis.BMJ global health · 2021Pooled it
- Is Early Childhood Development Care at Public Health Facilities in Pakistan Effective? A Cluster Randomized Controlled Trial.Global health, science and practice · 2023Trial
- Parenting quality and early childhood development: evidence from different rural subpopulations in China.BMC psychology · 2025Article
- Factors Associated with Being on Track for Early Childhood Development in Kinshasa: A Community-Based Cross-Sectional Study.Children (Basel, Switzerland) · 2025Article
- Article
- Sports-related factors and stunting in children under 5 years old: a cross-sectional study across 471 counties in 31 provincial regions of China.BMC public health · 2025Article
- Early childhood development and its associated factors among children aged 36-59 months in Afghanistan: evidence from the national survey 2022-2023.BMC pediatrics · 2024Article
- Factors Associated with Suspected Developmental Delay in Thai Children Born with Low Birth Weight or Asphyxia.Maternal and child health journal · 2024Article
- Experiences and Challenges of Mothers in Caring for Infants with Delayed Developmental Milestones: A Case of Dodoma Region, Tanzania.The East African health research journal · 2024Article
- Nutritional Status and Poverty Condition Are Associated with Depression in Preschoolers.Children (Basel, Switzerland) · 2023Article
- The home language environment in rural China: variations across family characteristics.BMC public health · 2023Article
- Article
- A national prevalence and profile of single and multiple developmental delays among children aged from 1 year up to 12 years: an Egyptian community-based study.Child and adolescent psychiatry and mental health · 2022Article
- Developmental delay and its associated factors among children under five years in urban slums of Nepal.PloS one · 2022Article
- Responsive Caregiving and Opportunities for Early Learning Associated With Infant Development: Results From a Prospective Birth Cohort in China.Frontiers in pediatrics · 2022Article
- Parental Self-Perception, Parental Investment, and Early Childhood Developmental Outcomes: Evidence From Rural China.Frontiers in public health · 2022Article
- Stunting and Underweight, but not Wasting are Associated with Delay in Child Development in Southwest Ethiopia.Pediatric health, medicine and therapeutics · 2022Article
- Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aims of the study were to determine the prevalence of suspected developmental delay in children living in poor areas of rural China and to investigate factors influencing child developmental delay.
designA community-based, cross-sectional survey was conducted.Eighty-three villages in Shanxi and Guizhou Provinces, China.
participantsA total of 2514 children aged 6-35 months and their primary caregivers. OUTCOME MEASURES: Suspected child developmental delay was evaluated using the Ages & Stages Questionnaires-Chinese version. Caregivers' education and age, wealth index, child feeding index, parent-child interaction, number of books and Zung Self-Rating Depression Scale were reported by the primary caregivers. Haemoglobin levels were measured using a calibrated, automated analyser. Birth weight was obtained from medical records.
resultsOverall, 35.7% of the surveyed children aged 6-35 months demonstrated suspected developmental delay. The prevalence of suspected developmental delay was inversely associated with age, with the prevalence among young children aged 6-11 months being almost double that of children aged 30-35 months (48.0% and 22.8%, respectively). Using a structural equation model, it was demonstrated that caregiver's care and stimulus factors and child's haemoglobin level were directly correlated, while caregiver's sociodemographic factors were indirectly associated with suspected developmental delay.
conclusionsThe prevalence of suspected developmental delay is high in poor rural areas of China, and appropriate interventions to improve child development are needed.
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