Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FURG (RI FURG) |
Texto Completo: | http://repositorio.furg.br/handle/1/2996 |
Resumo: | Many children are at risk of not achieving their full potential for development. Epidemiological studies have the advantage of being able to identify a number of associated factors potentially amenable to intervention. Our purpose was to identify risk factors for suspected developmental delay (SDD) at age 2 years among all children born in the city of Pelotas, Brazil, in 2004. This study was part of the 2004 Pelotas Birth Cohort. The Battelle Screening Developmental Inventory (BSDI) was administered to cohort children at age 2 years. A hierarchical model of determination for SDD with confounder adjustment was built including maternal sociodemographic, reproductive and gestational characteristics, as well as child and environmental characteristics. Multivariable analysis was carried out using Poisson regression. Prevalence ratios (PR) and 95% confidence intervals [95% CI] were calculated. In the results, 3.3% of the 3869 children studied screened positive for SDD. After confounder control, children more likely to show SDD were: those with positive BSDI at age 12 months (PR = 5.51 [3.59, 8.47]); with 5-min Apgar <7 (PR = 3.52 [1.70, 7.27]); with mothers who had <4 years of schooling (PR = 3.35 [1.98, 5.66]); from social classesDand E (PR = 3.00 [1.45, 6.19]); with a history of gestational diabetes (PR = 2.77 [1.34, 5.75]); born <24 months after the last sibling (PR = 2.46 [1.42, 4.27]); were not told child stories in the preceding week (PR 2.28 [1.43, 3.63]); did not have children’s literature at home (PR = 2.08 [1.27, 3.39]); with low birthweight (PR = 1.75 [1.00, 3.07]); were born preterm (PR = 1.74 [1.07, 2.81]); with <6 antenatal care appointments (PR = 1.70 [1.07, 2.68]); with history of hospitalisation (PR = 1.65 [1.09, 2.50]); and of male sex (PR = 1.43 [1.00, 2.04]). These risk factorsmay constitute potential targets for intervention by public policies and may provide help to paediatricians in preventing developmental delay. |
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Moura, Danilo Rolim deCosta, JadersonSantos, Iná da Silva dosBarros, Aluísio Jardim Dornellas deManitto, Alicia MatijasevichHalpern, RicardoDumith, Samuel de CarvalhoKaram, Simone de MenezesBarros, Fernando Celso Fernandes de2012-12-15T22:08:47Z2012-12-15T22:08:47Z2010MOURA, Danilo Rolim de et al. Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort. Paediatric and Perinatal Epidemiology, v. 24, p. 211-221, 2010. Disponível em: <http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3016.2010.01115.x/pdf>. Acesso em: 03 dez. 2012.http://repositorio.furg.br/handle/1/299610.1111/j.1365-3016.2010.01115.xMany children are at risk of not achieving their full potential for development. Epidemiological studies have the advantage of being able to identify a number of associated factors potentially amenable to intervention. Our purpose was to identify risk factors for suspected developmental delay (SDD) at age 2 years among all children born in the city of Pelotas, Brazil, in 2004. This study was part of the 2004 Pelotas Birth Cohort. The Battelle Screening Developmental Inventory (BSDI) was administered to cohort children at age 2 years. A hierarchical model of determination for SDD with confounder adjustment was built including maternal sociodemographic, reproductive and gestational characteristics, as well as child and environmental characteristics. Multivariable analysis was carried out using Poisson regression. Prevalence ratios (PR) and 95% confidence intervals [95% CI] were calculated. In the results, 3.3% of the 3869 children studied screened positive for SDD. After confounder control, children more likely to show SDD were: those with positive BSDI at age 12 months (PR = 5.51 [3.59, 8.47]); with 5-min Apgar <7 (PR = 3.52 [1.70, 7.27]); with mothers who had <4 years of schooling (PR = 3.35 [1.98, 5.66]); from social classesDand E (PR = 3.00 [1.45, 6.19]); with a history of gestational diabetes (PR = 2.77 [1.34, 5.75]); born <24 months after the last sibling (PR = 2.46 [1.42, 4.27]); were not told child stories in the preceding week (PR 2.28 [1.43, 3.63]); did not have children’s literature at home (PR = 2.08 [1.27, 3.39]); with low birthweight (PR = 1.75 [1.00, 3.07]); were born preterm (PR = 1.74 [1.07, 2.81]); with <6 antenatal care appointments (PR = 1.70 [1.07, 2.68]); with history of hospitalisation (PR = 1.65 [1.09, 2.50]); and of male sex (PR = 1.43 [1.00, 2.04]). These risk factorsmay constitute potential targets for intervention by public policies and may provide help to paediatricians in preventing developmental delay.engChild developmentPelotas Birth CohortApgar scoreMaternal educationSocial classMaternal gestational diabetesInter-birth intervalParentingBirthweightGestationRisk factors for suspected developmental delay at age 2 years in a Brazilian birth cohortinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGORIGINALRisk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort..pdfRisk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort..pdfapplication/pdf193097https://repositorio.furg.br/bitstream/1/2996/1/Risk%20factors%20for%20suspected%20developmental%20delay%20at%20age%202%20years%20in%20a%20Brazilian%20birth%20cohort..pdfd51bd11c9782c3af567535aaf1c25676MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-81724https://repositorio.furg.br/bitstream/1/2996/2/license.txt5b92b9704b4f13242d70e45ddef35a68MD52open access1/29962021-01-21 15:09:36.414open accessoai:repositorio.furg.br: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Repositório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2021-01-21T18:09:36Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false |
dc.title.pt_BR.fl_str_mv |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort |
title |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort |
spellingShingle |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort Moura, Danilo Rolim de Child development Pelotas Birth Cohort Apgar score Maternal education Social class Maternal gestational diabetes Inter-birth interval Parenting Birthweight Gestation |
title_short |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort |
title_full |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort |
title_fullStr |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort |
title_full_unstemmed |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort |
title_sort |
Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort |
author |
Moura, Danilo Rolim de |
author_facet |
Moura, Danilo Rolim de Costa, Jaderson Santos, Iná da Silva dos Barros, Aluísio Jardim Dornellas de Manitto, Alicia Matijasevich Halpern, Ricardo Dumith, Samuel de Carvalho Karam, Simone de Menezes Barros, Fernando Celso Fernandes de |
author_role |
author |
author2 |
Costa, Jaderson Santos, Iná da Silva dos Barros, Aluísio Jardim Dornellas de Manitto, Alicia Matijasevich Halpern, Ricardo Dumith, Samuel de Carvalho Karam, Simone de Menezes Barros, Fernando Celso Fernandes de |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Moura, Danilo Rolim de Costa, Jaderson Santos, Iná da Silva dos Barros, Aluísio Jardim Dornellas de Manitto, Alicia Matijasevich Halpern, Ricardo Dumith, Samuel de Carvalho Karam, Simone de Menezes Barros, Fernando Celso Fernandes de |
dc.subject.por.fl_str_mv |
Child development Pelotas Birth Cohort Apgar score Maternal education Social class Maternal gestational diabetes Inter-birth interval Parenting Birthweight Gestation |
topic |
Child development Pelotas Birth Cohort Apgar score Maternal education Social class Maternal gestational diabetes Inter-birth interval Parenting Birthweight Gestation |
description |
Many children are at risk of not achieving their full potential for development. Epidemiological studies have the advantage of being able to identify a number of associated factors potentially amenable to intervention. Our purpose was to identify risk factors for suspected developmental delay (SDD) at age 2 years among all children born in the city of Pelotas, Brazil, in 2004. This study was part of the 2004 Pelotas Birth Cohort. The Battelle Screening Developmental Inventory (BSDI) was administered to cohort children at age 2 years. A hierarchical model of determination for SDD with confounder adjustment was built including maternal sociodemographic, reproductive and gestational characteristics, as well as child and environmental characteristics. Multivariable analysis was carried out using Poisson regression. Prevalence ratios (PR) and 95% confidence intervals [95% CI] were calculated. In the results, 3.3% of the 3869 children studied screened positive for SDD. After confounder control, children more likely to show SDD were: those with positive BSDI at age 12 months (PR = 5.51 [3.59, 8.47]); with 5-min Apgar <7 (PR = 3.52 [1.70, 7.27]); with mothers who had <4 years of schooling (PR = 3.35 [1.98, 5.66]); from social classesDand E (PR = 3.00 [1.45, 6.19]); with a history of gestational diabetes (PR = 2.77 [1.34, 5.75]); born <24 months after the last sibling (PR = 2.46 [1.42, 4.27]); were not told child stories in the preceding week (PR 2.28 [1.43, 3.63]); did not have children’s literature at home (PR = 2.08 [1.27, 3.39]); with low birthweight (PR = 1.75 [1.00, 3.07]); were born preterm (PR = 1.74 [1.07, 2.81]); with <6 antenatal care appointments (PR = 1.70 [1.07, 2.68]); with history of hospitalisation (PR = 1.65 [1.09, 2.50]); and of male sex (PR = 1.43 [1.00, 2.04]). These risk factorsmay constitute potential targets for intervention by public policies and may provide help to paediatricians in preventing developmental delay. |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010 |
dc.date.accessioned.fl_str_mv |
2012-12-15T22:08:47Z |
dc.date.available.fl_str_mv |
2012-12-15T22:08:47Z |
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info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
MOURA, Danilo Rolim de et al. Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort. Paediatric and Perinatal Epidemiology, v. 24, p. 211-221, 2010. Disponível em: <http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3016.2010.01115.x/pdf>. Acesso em: 03 dez. 2012. |
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http://repositorio.furg.br/handle/1/2996 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1111/j.1365-3016.2010.01115.x |
identifier_str_mv |
MOURA, Danilo Rolim de et al. Risk factors for suspected developmental delay at age 2 years in a Brazilian birth cohort. Paediatric and Perinatal Epidemiology, v. 24, p. 211-221, 2010. Disponível em: <http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3016.2010.01115.x/pdf>. Acesso em: 03 dez. 2012. 10.1111/j.1365-3016.2010.01115.x |
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http://repositorio.furg.br/handle/1/2996 |
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eng |
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eng |
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