Predictors of developmental surveillance completion at six months of age in south western Sydney

B J Overs1, S Woolfenden1,2, K Williams3,4,5

  • 1University of New South Wales, Sydney, NSW, Australia.

Insights

Higher maternal education and income predict better child developmental surveillance completion. Addressing socioeconomic and knowledge barriers can improve early identification of developmental problems.

Area of Science:

  • Child Development
  • Public Health
  • Pediatrics

Background:

  • Developmental surveillance programs aim for early identification of child developmental issues.
  • Evidence suggests suboptimal uptake of these crucial programs.
  • Understanding predictors of completion is vital for improving child health outcomes.

Purpose of the Study:

  • To identify factors influencing the completion of developmental surveillance at 6 months postpartum.
  • To analyze predictors for both attendance at developmental screening and completion of the Parents' Evaluation of Developmental Status (PEDS).

Main Methods:

  • A study involving 510 infants born in South Western Sydney, Australia.
  • Parents completed questionnaires regarding developmental screening attendance and PEDS completion at 6 months.
  • Multivariable logistic regression was used to model completion predictors.

Main Results:

  • Maternal education, income, and awareness of checks predicted surveillance attendance.
  • Higher income, awareness of checks, marital status, employment, English proficiency, full-term birth, and practitioner status predicted PEDS completion.
  • Low socioeconomic status and linguistic diversity were identified as barriers.

Conclusions:

  • Improving developmental surveillance rates may involve targeted parental and professional support.
  • Addressing socioeconomic and knowledge gaps is key to enhancing uptake within universal frameworks.
  • Early identification of developmental problems can be bolstered by optimizing surveillance completion.
Abstract

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