Global developmental delay and its determinants among urban infants and toddlers: A cross sectional study.

Abstract
Objective To estimate the prevalence of global developmental delay among children under 3 years of age and study the determinant factors. Methods Cross sectional descriptive study was conducted in field practice areas of the Department of Community Medicine, JN Medical College, Aligarh, India. A total of 468 (243 boys and 225 girls) children aged 0–3 years were included. Developmental screening was performed for each child. A multitude of biological and environmental factors were analysed. Results As many as 7.1% of the children screened positive for global developmental delay. Maximum delay was observed in the 0–12 months age group (7.0%). Undernutrition and prematurity were the two most prevalent etiological diagnoses (21% each). Stunting and maternal illiteracy were the microenvironmental predictors on stepwise binary logistic regression while prematurity and a history of seizures emerged significant biological predictors. Conclusions Developmental delay can be predicted by specific biological and environmental factors which would help in initiating appropriate interventions.
Description
Keywords
Global developmental delay, Biological, Microenvironmental factors
Citation
Sachdeva Sandeep, Amir Ali, Alam Seema, Khan Zulfia, Khalique Najam, Ansari M A. Global developmental delay and its determinants among urban infants and toddlers: A cross sectional study. Indian Journal of Pediatrics. 2010 Sept; 77(9): 975-980.