Prevalence of delayed neurodevelopment in children from Bogotá, Colombia, South America

Background: Undiagnosed children with neurodevelopment delay disorders (NDD) frequently experience school difficulties, leading to school desertion or academic failure with subsequent familial, social and work-related problems. Methods: In 2004-2005, we conducted a cross-sectional study to determine...

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Autores:
Tipo de recurso:
Fecha de publicación:
2007
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/22650
Acceso en línea:
https://doi.org/10.1159/000109499
https://repository.urosario.edu.co/handle/10336/22650
Palabra clave:
Article
Colombia
Controlled study
Convenience sample
Female
Groups by age
Growth retardation
Hearing
Human
Major clinical study
Male
Motor performance
Nerve cell differentiation
Nervous system development
Parent
Preschool child
Prevalence
Rating scale
Social adaptation
Social interaction
Socioeconomics
South america
Teacher
Child behavior disorders
Colombia
Cross-sectional studies
Developmental disabilities
Female
Humans
Infant
Language development disorders
Male
Motor skills disorders
Prevalence
Socioeconomic factors
Urban health
Child development
Colombia
Infant development
Preschool children
preschool
prevalence
Child
Developmental delay
Rights
License
Abierto (Texto Completo)
Description
Summary:Background: Undiagnosed children with neurodevelopment delay disorders (NDD) frequently experience school difficulties, leading to school desertion or academic failure with subsequent familial, social and work-related problems. Methods: In 2004-2005, we conducted a cross-sectional study to determine the prevalence of developmental delay among preschoolers in Bogotá (Colombia); convenience samples in several socioeconomic areas of the city were screened to define the prevalence of NDD. Parents and teachers were interviewed to identify children with possible NDD. Selected children were evaluated with a neurodevelopmental abbreviated scale (EAD-1). Results: We screened 2,043 preschool children aged less than 60 months; 288 suspected cases were examined individually using the EAD-1 scale. One or more abnormal items (alert category) were found in 67 (23.3%) children, for an estimated prevalence of 32.8‰ children less than 5 years of age, including deficits in gross motor function (9.3‰), personal-social interactions (9.8‰), fine motor skills (10.3‰), auditory language delay (18.6‰) and overall delay (10.8‰). Conclusions: There is limited information regarding the prevalence of neurodevelopmental delay in nonindustrialized countries. The prevalence obtained in Bogotá, Colombia, is within the expected range; however, we identified NDD among apparently healthy children from nurseries and kindergartens, who had previously been undiagnosed and untreated. Lack of evaluation of developmental milestones in children in Colombia is a substantial public health problem that will require effective intervention. Copyright © 2007 S. Karger AG.