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Developmental delay and its demographic and social predictors among preschool-age children in Palestine
Omar H Almahmoud1, Lubna Abushaikha2
1Nursing Department, Pharmacy, Nursing and Health Professions College, Birzeit University, Birzeit, Palestine.
Insights
A significant number of Palestinian preschoolers experience developmental delays (DD), particularly in motor and social skills. Factors like male gender, maternal employment, low income, and larger family size are linked to increased risk of global developmental delay (GDD).
Area of Science:
- Pediatric Health
- Developmental Psychology
- Public Health
Background:
- Developmental delay (DD) is a significant concern in early childhood, impacting long-term health and educational outcomes.
- Early identification and intervention are crucial for mitigating the effects of DD.
Purpose of the Study:
- To assess developmental outcomes in preschool-aged children in Palestine.
- To identify factors associated with developmental delay in this population.
Main Methods:
- A cross-sectional, descriptive-correlational study was conducted with 249 preschoolers in Ramallah governorate.
- Data were collected using the Ages and Stages Questionnaire, Arabic version-3.
- Statistical analysis, including binary logistic regression, was performed to identify predictors of DD.
Main Results:
- The overall prevalence of Global Developmental Delay (GDD) was 23.7%.
- The most common delays were observed in gross motor (25.3%), personal social (17.7%), and fine motor skills (16.5%).
- Significant predictors of GDD included male gender, mother's part-time work, low family income, and families with three or more children.
Conclusions:
- Preschoolers in Palestine exhibit a higher rate of DD compared to regional averages, with notable prevalence in motor and social skills.
- Child, maternal, and family characteristics are associated with an increased cumulative risk of DD.
- Pediatric nurses play a vital role in early detection through screening programs to reduce the long-term burden of DD.
Purpose:
This study was designed to assess the developmental outcomes among preschool-aged children and its associated factors in Palestine.
Methods:
A cross-sectional, descriptive-correlational design involved a representative sample of preschool-aged children from kindergarten in Ramallah governorate. Data were collected using the Ages and Stages Questionnaire, Arabic version-3. Associations between developmental delay (DD), parent, child and family characteristics were analyzed utilizing SPSS-25 version.
Results:
A total of 249 preschoolers participated in the study. The overall rate of children with Global Developmental Delay (GDD) was 23.7%. The most prevalent DD were in gross motor, personal social, and fine motor skills (25.3%, 17.7%, and 16.5%, respectively). Binary logistic regression analysis revealed that the male gender of a child (OR = 2.66, 95% CI [1.37, 5.19]), the mother's part-time work (OR = 6.01, 95% CI [1.68, 21.52]), low family income (OR = 3.67, 95% CI [1.05, 12.73]), and families with three or more children (OR = 1.43, 95% CI [1.15, 1.781]) were statistically significant independent predictors of GDD.
Conclusion:
The study findings revealed higher rate of DD among preschoolers in Palestine than regional areas, especially in gross motor, fine motor, and personal social skills, which has consequences for both national and global health. According to the results, factors related to the child, the mother and the family are associated with the cumulative risk of preschoolers having DD.
Implications:
It is a crucial role for pediatric nurses to detect DD early and its related risk factors through screening programs to limit the burden of problems in childhood and later adulthood.
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