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[Characteristics of growth and development in children from families at social risk]
1Institut za zdravstvenu zastitu dece i omladine, 21000 Novi Sad, Hajduk Veljkova 10. dsv@eunet.yu
Insights
Children from disadvantaged families show significantly more delays in growth and development compared to their peers. Pediatricians should consider social risk factors when assessing children with developmental delays.
Area of Science:
- Pediatrics
- Child Development
- Public Health
Context:
- Children's growth and weight are key health indicators.
- Disadvantaged family backgrounds are linked to poorer child growth outcomes.
- This study examined growth and development in children from economically disadvantaged families.
Purpose:
- To investigate the growth and development characteristics of children from economically disadvantaged families.
- To compare growth and developmental outcomes between children from disadvantaged and non-disadvantaged family backgrounds.
Summary:
- Retrospective analysis of 509 children revealed significant growth (height/length, weight, head circumference) and psychomotor/intellectual development delays compared to expected values.
- Prospective study of 90 children from disadvantaged families (experimental group) and 132 from non-disadvantaged families (control group) showed significantly higher rates of growth and developmental delays in the experimental group.
- Specifically, the experimental group had higher incidences of height/length, weight, head circumference deficits, and developmental delays below the 10th percentile.
Impact:
- Children from disadvantaged families experience significantly more growth and developmental delays.
- Highlights the critical need for pediatricians to consider socioeconomic factors in diagnosing and managing child development issues.
- Informs public health strategies aimed at mitigating the impact of socioeconomic disadvantage on child health and development.
Introduction:
Body height and weight are important indicators of children's health status. There are many evidences that children from disadvantaged families have lower height and weight than children of the same age from families without social risk. The aim of this study was to investigate characteristics of growth and development of children from economically disadvantaged families.
Material And Methods:
The study was partly retrospective and partly prospective. The retrospective study included 509 children from disadvantaged families hospitalized at the Institute of Child and Adolescent Health Care in Novi Sad, during a five-year period. The prospective study included 90 children from disadvantaged families (experimental group) and 132 children from families without social risk (control group) hospitalized at the Institute during a six month period. Height/length, weight, head circumference, and psychomotor/intellectual development have been examined. In the retrospective study results were compared with theoretically expected values, whereas the prospective study results of experimental and control group were compared.
Results:
In the retrospective study that included only children from disadvantaged families, 136 (26.7%) children had height/length, 173 (34%) had weight, and 86 (16.9%) children had head circumference below 10th percentile. Delay in psychomotor/intellectual development was established in 177 (34.8%) children. Children from families with social risk have significantly more often height/length, weight, head circumference and developmental delay than theoretically expected. In the prospective study 40 (44.4%) children from experimental group had height/length, 29 (32.2%) had weight, 20 (22.2%) children had head circumference below 10th percentile, and 17 (26.2%) had delay in psychomotor/intellectual development. Children from disadvantaged families (experimental group) significantly more often had delay in growth and development comparing with children from families without social risk (control group).
Conclusion:
Children from disadvantaged families significantly more often exhibit delay in growth and development, comparing with children of the same age from families without social risk. Therefore, pediatricians should consider social risk factors whenever treating children with growth or developmental delay.
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