Early-onset developmental impairments among infants attending the routine immunization clinic at the University College Hospital, Ibadan, Nigeria.

Autor: Adeniyi YC; Department of Child and Adolescent Psychiatry, University College Hospital, Ibadan, Nigeria.; Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria., Asinobi A; Department of Paediatrics, College of Medicine, University of Ibadan, Ibadan, Nigeria.; Department of Paediatrics, University College Hospital, Ibadan, Nigeria., Idowu OO; Department of Paediatrics, College of Medicine, University of Ibadan, Ibadan, Nigeria., Adelaja AA; Department of Paediatrics, University College Hospital, Ibadan, Nigeria., Lagunju IA; Department of Paediatrics, College of Medicine, University of Ibadan, Ibadan, Nigeria.; Department of Paediatrics, University College Hospital, Ibadan, Nigeria.
Jazyk: angličtina
Zdroj: International health [Int Health] 2022 Jan 19; Vol. 14 (1), pp. 97-102.
DOI: 10.1093/inthealth/ihab016
Abstrakt: Developmental disorders are frequently overlooked in the developing countries, particularly in sub-Saharan Africa. Early identification of developmental delays (DDs) is critical to optimal outcomes. This study set out to determine the proportion of children who are at risk of DDs among infants attending immunization clinics at the University College Hospital, Ibadan, Nigeria. Infants 6 weeks to 12 months of age (median age 6 months) who presented for routine immunization were screened for DDs using the Ages and Stages Questionnaire. A total of 587 infants [312 (53.2%) males] were enrolled. A total of 198 (33.7%) children showed signs of DDs. For the domains of communication skills, fine motor skills, gross motor skills, problem solving/cognition skills and personal/social skills, the prevalences of DDs were 7.5%, 15.0%, 10.7%, 14.1% and 14.8%, respectively, and 14.3% had global DDs. Factors that significantly predicted DDs included prematurity (odds ratio [OR] 2.64 [95% confidence interval {CI} 1.45 to 2.05]) and a history of perinatal asphyxia (OR 1.74 [95% CI 1.77 to 2.49]). There is a need to incorporate routine developmental screening into the Nigerian healthcare system for timely recognition of DDs and prompt interventions.
(© The Author(s) 2021. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)
Databáze: MEDLINE
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