National screening for developmental delays and their determinants among Egyptian school age children: A step towards implementing life skills programs.

Autor: Metwally AM; Community Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Nassar MS; Child Health Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Salah El-Din EM; Child Health Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Abdallah AM; Quantitative Methods Department, Aswan University, Tingar, Egypt., Khadr Z; Department of Statistics, Faculty of Economics and Political Science, Cairo University, Giza, Egypt.; The Social Research Center of the American University in Cairo, New Cairo, Egypt., Abouelnaga MW; Child Health Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Ashaat EA; Clinical Genetics Dept., Human Genetics and Genome Research Institute, National Research Centre, Dokki, Cairo, Egypt., El-Saied MM; Child with Special Needs Dept., Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Elwan AM; Child with Special Needs Dept., Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Bassiouni RI; Clinical Genetics Dept., Human Genetics and Genome Research Institute, National Research Centre, Dokki, Cairo, Egypt., Monir ZM; Child Health Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Badawy HY; Disability Prevention General Directorate, Ministry of Health and Population, Cairo, Egypt., Dewdar EM; Disability Prevention General Directorate, Ministry of Health and Population, Cairo, Egypt., El-Hariri HM; Community Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Aboulghate A; Community Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Hanna C; Community Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Rabah TM; Community Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Mohsen A; Community Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt., Elabd MA; Child Health Department, Medical Research and Clinical Studies Institute, National Research Centre, Dokki, Cairo, Egypt.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Sep 19; Vol. 18 (9), pp. e0287315. Date of Electronic Publication: 2023 Sep 19 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0287315
Abstrakt: Aim: This study aimed to estimate the national prevalence of developmental delays (DDs) and their determinants among Egyptian children aged 6 to 12 years. Such estimation is a prerequisite step toward the application of Life Skill Education (LSE) programs that will potentiate children's future capabilities.
Methods: Vineland Adaptive Behavior Scales" was used as a reliable and diagnostic test for DDs screening during this national cross sectional study. Gross motor (GM), fine motor (FM), daily living skills, communication, and socialization skills were assessed. The multivariate logistic regression analysis was used to identify factors associated with DDs. The Adjusted Odds Ratio (AOR) with a 95% Confidence Interval was estimated to indicate the strength of association. A p-value of <0.05 was used to declare statistical significance.
Results: Out of the 20324 surveyed school-aged children, 7.4% were found to have at least one delay. Communication deficits were the most common (6.4%) followed by delay in daily living skills (2.0%). The final model of logistic regression had a good fit for seven variables out of the sociodemographic, epidemiological characteristics, maternal and perinatal problems that were associated with a higher likelihood of at least one DD: Children suffering from any convulsions (AOR = 4.32; 95% CI: 3.18-5.88), male gender (AOR = 1.86; 95% CI: 1.65-2.09), birth weight less than 2.5 kg (AOR = 1.77; 95% CI: 1.40-2.24), history of maternal health problem during pregnancy (AOR = 1.64; 95% CI:1.34-2.01), children staying in an incubator for more than two days (AOR = 1.57, 95% CI: 1.29-1.91), having less educated fathers (AOR = 1.55, 95% CI: 1.24-1.95) and belonging to the middle social class (AOR = 1.40, 95% CI: 1.24-1.58).
Conclusion: The identified types and determinants for each DD are allowing for the implementation of tailored programs for school children's life skills promotion for achieving the most sustainable effects on children's biological and psychological health and well-being.
Competing Interests: All authors report no conflict of interest. “No financial or non-financial benefits have been received or will be received from any party related directly or indirectly to the subject of this manuscript.
(Copyright: © 2023 Metwally et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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