Evidence map›Paper›PMID 31334264›Full record

ArticleJournal of education and health promotion2019

Assessment of risk factors for developmental delays among children in a rural community of North India: A cross-sectional study.

Neha Sharma, Jamal Masood, S N Singh, Naim Ahmad, Prabhaker Mishra, Shikhar Singh, Sudip Bhattacharya

Abstract read
In one paragraph

Article in Journal of education and health promotion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

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20citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Neha SharmaDepartment of Community Medicine, Himalayan Institute of Medical Sciences, Dehradun, India.
Jamal MasoodDepartment of Community Medicine and Public Health, King George's Medical University, Lucknow, India.
S N SinghDepartment of Paediatrics, King George's Medical University, Lucknow, India.
Naim AhmadDepartment of Community Medicine and Public Health, King George's Medical University, Lucknow, India.
Prabhaker MishraDepartment of Biostatistics and Health Informatics, SGPGI, Lucknow, India.
Shikhar SinghDepartment of Community Medicine, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Sudip BhattacharyaDepartment of Community Medicine, Himalayan Institute of Medical Sciences, Dehradun, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInitial formative years in every children's life are critical for their optimal development, as these frame the foundation of future well-being. With a varied prevalence of developmental delays (DDs) in the world and most of the studies representing the hospital-based data. The present study was aimed to find the prevalence and risk factors for DDs (domain wise) in children aged 2 months to 6 years in the rural area of North India.

methodsThis was a cross-sectional study in which a multistage random sampling technique was used. From 30 Anganwadi centers, 450 children aged 2 months-6 years were taken in the study. Rashtriya Bal Swasthya Karyakram screening tool developed by the Ministry of Health and Family Welfare, India, was used for developmental screening. Binary logistic regression analysis was done to identify the predictors for DDs (domain wise).

resultsSeventy-three (16.2%) children were found to have DDs and 60 (13.3%) children had the global DDs. About 84/421 (20.0%) children had cognitive delay, followed by 43/450 (9.6%) children who had delay in speech and language area. About 17/190 (8.9%) children had social delay while 26/407 (6.4%) children had hearing and vision impairment. Gross motor delay was seen in 24/450 (5.3%) children and 16/300 (5.3%) children had fine motor delay. Gestational age (adjusted odds ratio [AOR] - 13.30), complications during delivery (AOR - 25.79), meconium aspiration (AOR - 12.81), and child never breastfed (AOR - 8.34) were strong predictors for the delay in different domains of developmental milestones.

conclusionSocio-economic, ante-natal, natal and post-natal factors should be considered for prompt identification and initiation of intervention for DDs. RECOMMENDATION: There is a need for increasing awareness and knowledge of parents regarding the achievement of developmental milestones according to the age. A multipronged approach to the holistic treatment of developmentally delayed children for early intervention is required.

Indexed as

Developmental delaysdevelopmental milestonesRashtriya Bal Swasthya Karyakram

Identifiers

PMID31334264
PMCPMC6615120

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.