Title |
Escrutinio poblacional del nivel de desarrollo infantil en menores de 5 años beneficiarios de PROSPERA en México
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Published in |
Boletín Médico del Hospital Infantil de México, December 2015
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DOI | 10.1016/j.bmhimx.2015.10.003 |
Pubmed ID | |
Authors |
Antonio Rizzoli-Córdoba, Liliana Martell-Valdez, Ismael Delgado-Ginebra, Miguel Ángel Villasís-Keever, Hortensia Reyes-Morales, Gabriel O'Shea-Cuevas, Daniel Aceves-Villagrán, Joaquín Carrasco-Mendoza, Víctor Manuel Villagrán-Muñoz, Elizabeth Halley-Castillo, Guillermo Vargas-López, Onofre Muñoz-Hernández |
Abstract |
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. 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. 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. 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Mexico | 2 | 67% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 2 | 67% |
Members of the public | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 98 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 18 | 18% |
Researcher | 12 | 12% |
Student > Master | 12 | 12% |
Student > Bachelor | 11 | 11% |
Student > Ph. D. Student | 7 | 7% |
Other | 17 | 17% |
Unknown | 21 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 29 | 30% |
Nursing and Health Professions | 12 | 12% |
Social Sciences | 10 | 10% |
Psychology | 6 | 6% |
Neuroscience | 5 | 5% |
Other | 12 | 12% |
Unknown | 24 | 24% |