ArticleAcademic pediatrics
Racial Disparities in Developmental Delay Diagnosis and Services Received in Early Childhood.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06562439 (Early Identification and Intervention Of Developmental Delay Among Infants And Toddlers With Sickle Cell Disease Using the Sickle Cell Caregiver Collaboration for Child Development), which is not on this map. Cited by 39 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Early Identification and Intervention Of Developmental Delay Among Infants And Toddlers With Sickle Cell Disease Using the Sickle Cell Caregiver Collaboration for Child Development (SCCCD) Intervention
Who cites it
39 citing papers in PubMed.
- Sustained Effectiveness of a 211 Call Center With Early Childhood Care Coordination.Pediatrics · 2025Trial
- Effect of Family Navigation on Participation in Part C Early Intervention.Academic pediatrics · 2023Trial
- Sensitivity and Specificity of Developmental Surveillance and Autism Screening in an Australian Multicultural Cohort: The Watch Me Grow Study.Journal of autism and developmental disorders · 2026Article
- Early Developmental Screening and a Home-Based Caregiver Intervention for Infants and Toddlers With Sickle Cell Disease: Protocol for a Prospective Mixed Methods Study.JMIR research protocols · 2026Article
- Age of Entry into Early Intervention: Influence of the COVID-19 Pandemic, Telehealth, and Other Factors.Journal of pediatrics. Clinical practice · 2026Article
- Using clinical notes to identify children with speech-language delay and understand differences in diagnostic timing.JAMIA open · 2026Article
- Examining Transitions From Early Intervention to Preschool Services: A Retrospective Review of Therapeutic Service Access in a Clinical Sample of Children With Developmental Disabilities.Infants and young children · 2026Article
- Racial and Ethnic Differences in Rates of Prolonged Autism Diagnosis Process & Prior Diagnoses in Mental Health Specialty Care.Journal of autism and developmental disorders · 2026Article
- A Scoping Review of Strategies to Increase Newcomer Family Access to Early Childhood Services.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Risks of medical and developmental delays and associated factors among children from different racial and ethnic groups in Kalamazoo County of Michigan, United States.Frontiers in pediatrics · 2026Article
- Early-life painful and stressful exposures and neurodevelopment in preterm infants.Frontiers in pediatrics · 2026Article
- Staff perspectives on a novel pediatric developmental screening and referral program in a community health center.Frontiers in pediatrics · 2026Article
- Examining the Relationship Between Community Resources and Early Disability Identification: Variation by Child Race or Ethnicity.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Association of Alzheimer's disease biomarkers with low premorbid intellectual functioning in a multi-ethnic community-dwelling cohort: A cross-sectional study of HABS-HD.Journal of Alzheimer's disease : JAD · 2025Article
- A Developmental Perspective on Early and Current Motor Abnormalities and Psychotic-Like Symptoms.Schizophrenia bulletin · 2025Article
- Advancing Mental Health and Equity Through Infant and Early Childhood Mental Health Consultation.Healthcare (Basel, Switzerland) · 2025Article
- A Preliminary Study of Prescription for Play on Developmental Concerns.Clinical pediatrics · 2025Article
- Center-Based Childcare Access to Health Screenings and Developmental Assessments in U.S. Children from Birth to Five.Maternal and child health journal · 2025Article
- Racial and ethnic socioenvironmental inequity and neuroimaging in psychiatry: a brief review of the past and recommendations for the future.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024Review
- "I was very scared when I found out my son had sickle cell": Caregiver knowledge and attitudes toward early intervention for young children with sickle cell disease: Implications for policy and practice from a multi-site study.Pediatric blood & cancer · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
BACKGROUND AND
objectiveRacial disparities in diagnosis and receipt of services for early childhood developmental delay (DD) are well known but studies have had difficulties distinguishing contributing patient, healthcare system, and physician factors from underlying prevalence. We examine rates of physician diagnoses of DD by preschool and kindergarten entry controlling for a child's objective development via scoring on validated developmental assessment along with other child characteristics.
methodsWe used data from the preschool and kindergarten entry waves of the Early Childhood Longitudinal Study, Birth Cohort. Dependent variables included being diagnosed with DD by a medical provider and receipt of developmental services. Logistic regression models tested whether a child's race was associated with both outcomes during preschool and kindergarten while controlling for the developmental assessments, as well as other contextual factors.
resultsAmong 7950 children, 6.6% of preschoolers and 7.5% of kindergarteners were diagnosed with DD. Of preschool children with DD, 66.5% were receiving developmental services, while 69.1% of kindergarten children with DD were receiving services. Children who were Black, Asian, spoke a primary language other than English and had no health insurance were less likely to be diagnosed with DD despite accounting for cognitive ability. Black and Latinx children were less likely to receive services.
conclusionsRacial minority children are less likely to be diagnosed by their pediatric provider with DD and less likely to receive services despite accounting for a child's objective developmental assessment. The pediatric primary care system is an important target for interventions to reduce these disparities.
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Registered trials
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