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Boletín médico del Hospital Infantil de México
Print version ISSN 1665-1146
Abstract
RIZZOLI-CORDOBA, Antonio et al. Population-based study of child developmental screening in Mexican PROSPERA beneficiaries younger than 5 years old. Bol. Med. Hosp. Infant. Mex. [online]. 2015, vol.72, n.6, pp.409-419. ISSN 1665-1146. https://doi.org/10.1016/j.bmhimx.2015.10.003.
Background:
Evaluación del Desarrollo Infantil or Child Development Evaluation (CDE) test, a screening tool designed and validated in Mexico, classifies child development as normal (green) or abnormal (developmental lag or yellow and risk of delay or red). Population-based results of child development level with this tool are not known. The objective of this work was to evaluate the developmental level of children aged 1-59 months living in poverty (PROSPERA program beneficiaries) through application of the CDE test.
Methods:
CDE tests were applied by specifically trained and standardized personnel to children <5 years old who attended primary care facilities for a scheduled appointment for nutrition, growth and development evaluation from November 2013 to May 2014.
Results:
There were 5,527 children aged 1-59 months who were evaluated; 83.8% (n = 4,632) were classified with normal development (green) and 16.2% (n = 895) as abnormal: 11.9% (n = 655) as yellow and 4.3% (n = 240) as red. The proportion of abnormal results was 9.9% in children <1 year of age compared with 20.8% at 4 years old. The most affected areas according to age were language at 2 years (9.35%) and knowledge at 4 years old (11.1%). Gross motor and social areas were more affected in children from rural areas; fine motor skills, language and knowledge were more affected in males.
Conclusions:
The proportion of children with abnormal results is similar to other population-based studies. The highest rate in older children reinforces the need for an early-based intervention. The different pattern of areas affected between urban and rural areas suggests the need for a differentiated intervention.
Keywords : CDE test; Screening; Child development; PROSPERA Program; Population-based study.