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What factors are associated with poor developmental attainment in young Canadian children?
Teresa To1, Astrid Guttmann, Paul T Dick
1Population Health Sciences Program, Research Institute, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8. teresa.to@sickkids.ca
Insights
Low income, immigrant mothers, and low maternal education are linked to poor developmental attainment in Canadian children. These factors highlight the need for targeted developmental services for at-risk populations.
Area of Science:
- Child Development
- Public Health
- Socioeconomic Determinants of Health
Background:
- Poor developmental attainment (PDA) affects Canadian children.
- Biological, home environment, and socio-demographic factors are potential contributors to PDA.
Purpose of the Study:
- To determine the association between PDA and various factors in Canadian children.
- To identify key risk factors for developmental delays in young children.
Main Methods:
- Utilized cross-sectional data from the National Longitudinal Survey of Children and Youth (Cycles 1994/95 and 1996/97).
- Included children aged 1-5 years.
- Defined PDA using percentile cutoffs for developmental skills and vocabulary tests; employed multiple logistic regression analysis.
Main Results:
- PDA prevalence varied by Canadian region, sex, and age.
- In 1-year-olds, low birthweight, male sex, and immigrant mothers increased PDA odds.
- In 4-5-year-olds, immigrant mothers and mothers with low educational attainment significantly increased PDA odds.
- Low income was a consistent predictor of PDA across all age groups.
Conclusions:
- Strong associations found between PDA and low household income, maternal low educational attainment, and immigrant mothers.
- These findings underscore the necessity of targeted developmental assessments and services for vulnerable populations.
Background:
This study was undertaken to determine the association between poor developmental attainment (PDA) and biological, home environment and socio-demographic factors in a population-based sample of Canadian children.
Methods:
Cross-sectional data from two cycles (1994/95 and 1996/97) of the National Longitudinal Survey of Children and Youth were used. Children aged 1-5 years were included. PDA was defined as < or = 15th percentile for motor and social developmental skills (1-3 year olds) or Peabody Picture Vocabulary Test (4-5 year olds). Multiple logistic regression was used.
Results:
The proportion of children with PDA varies across Canada, between males and females, and by age. Among 1 year olds in Cycle I, having a low birthweight (OR=3.3; 95% CI: 2.1-5.2), being male (OR=1.6; 95% CI: 1.2-2.2) and having a mother who is an immigrant (OR=1.6; 95% CI: 1.1-2.2) increased the odds of PDA. Similar results were observed in Cycle II. Among children aged 4-5 years in Cycle II, having a mother who is an immigrant (OR=5.3; 95% CI: 4.1-6.9) and a mother with low educational attainment (OR=2.8; 95% CI: 2.1-3.9) increased the odds of PDA. Low income was a significant predictor of PDA across all age groups.
Interpretation:
The strong and consistent associations with living in a low-income household, having a mother with low educational attainment or a mother who is an immigrant highlight the need for targeting developmental assessments and services to this population.
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