Description

To et al identified psychosocial risk markers for poor developmental attainment in a young child. These can help to identify a child who may benefit from early interventions. The authors are from the Hospital for Sick Children, University of Toronto and the Institute for Clinical Evaluative Sciences in Toronto, Canada.


 

Subject selection: child 1 to 5 years of age

 

Outcome: poor developmental attainment (developing unusually slowly), defined as less than 1.5 standard deviation below age-adjusted means on tests

 

Measure: score on Motor and Social Developmental Scale, revised Peabody Picture Vocabulary Test or Canadian Achievement Tests (mathematics, reading/comprehension)

 

Risk factors for poor test performance:

(1) male gender for child (odds ratio 1.4 overall, 1.9 for ages 1-3, 0.9 for ages 4-5)

(2) maternal depression (odds ratio 1.6)

(3) low maternal education with less than a high school diploma (odds ratio 1.6)

(4) maternal immigrant status (odds ratio 1.9)

(5) low household income (odds ratio 1.4)

 

where:

• An immigrant family may be using a foreign language in the home.

 


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