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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Psychomotor development index in children younger than 6 years from Argentine provinces
Horacio Lejarraga1, Diana M Kelmansky2, Alicia Masautis3
1Universidad de Buenos Aires. cursotesis07@gmail.com.
Insights
A new psychomotor development index (PDI) was created for Argentine provinces. This tool, reflecting child development milestones, correlates strongly with infant mortality, offering a valuable public health indicator.
Area of Science:
- Pediatrics
- Public Health
- Developmental Psychology
Background:
- Psychomotor development is crucial for child well-being.
- Assessing developmental progress across regions is essential for targeted health interventions.
Purpose of the Study:
- To establish a Psychomotor Development Index (PDI) for each Argentine province.
- To provide a novel health indicator for national statistics.
Main Methods:
- Utilized data from 13,323 children under 6 from the 2004 National Survey on Nutrition and Health (ENNyS).
- Calculated PDI based on the attainment of 10 developmental milestones using logistic regression.
- Defined PDI as 100*(1+b), where 'b' reflects the deviation from national median age for milestone attainment.
Main Results:
- Provincial PDI scores varied from 72.1 to 106.4.
- A significant negative correlation (r=-0.85) was observed between PDI and infant mortality rates.
- Most provinces exhibited delays in milestone attainment, indicated by negative PDI values.
Conclusions:
- The PDI serves as a positive health indicator for Argentina.
- It is a low-cost, easily collectible, and reliable tool for national health statistics.
- The PDI's correlation with infant mortality highlights shared socio-biological determinants.
Objective:
To obtain a psychomotor development index (PDI) for each Argentine province.
Population And Methods:
Using a national, probabilistic, and stratified sample of 13 323 male and female children younger than 6 years selected for the National Survey on Nutrition and Health (Encuesta Nacional de Nutrición y Salud, ENNyS 2004), we estimated the PDI per province based on compliance with 10 developmental milestones. The median age at attainment (median age) of each milestone was estimated adjusting a logistic regression. The PDI was estimated as 100* (1 + b), where "b" is the regression coefficient of y= a + b x, where "y" is the median age as per the national reference (x) minus the median age at attainment of a milestone. The theoretical value expected for the PDI was 100.
Results:
The PDI per province ranged between 72.1 and 106.4. Most provinces showed a negative regression coefficient, which indicated a progressive increase of the delay in the age at attainment of milestones. The correlation coefficient between the PDI per province and infant mortality in 2005was extremely high: -0.85, suggesting that both indicators share similar biological and social determinants. The PDI was negative because the higher the mortality, the lower the PDI.
Conclusion:
We have now a positive health indicator available in Argentina: the psychomotor development index, which is a low-cost, easy to collect, and reliable tool that may be used in national health statistics.
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