Factors affecting early childhood development of children at the Bangkok Child Development Centers
Article Sidebar
Main Article Content
Abstract
Objective: The study of associating factors of the early childhood developmental delay and the early childhood development situation of children who received services at the Bangkok Child Development Centers.
Materials and Methods: The quantitative research was conducted by a cross-sectional study. By using a multi-stage sampling method, the sample was 450-children from the Bangkok Child Development Centersin 6 districts. The children's developmental assessment was performed with the Developmental Surveillance and Promotion Manual (DSPM) and Developmental Assessment For Intervention Manual (DAIM). The general information and child’s development-related factors were obtained from interviewing and the recorded data of the mother and child health handbook (pink book).The data were collected from March to August 2020 and analyzed by percentage and logistic regression analysis.
Results: Developmental delay was detected in 22.67% of population. Language-comprehension delay is the highest proportion (27.45%) followed by fine motor delay (24.51%). The factors associated with developmental delay were birth weight was less than 2500 g. (OR 1.92, 95% CI 1.51-2.86, p = 0.001), mother's education level was primary school or lower (OR 2.17, 95% CI 2.12-2.96, p < 0.001), insufficient family income to debt (OR 2.26,95% CI 1.46-3.50, p = 0.001) and monthly family income less than 6,000 baht (OR 2.98, 95% CI 2.13-3.03, p = 0.009), inappropriate use of electronic media (OR 2.51, 95% CI 2.13-2.85, p<0.001), poor quality play children (OR 1.55, 95% CI 1.17-1.87 ,p = 0.014) and parental concerns about child development (OR 1.75, 95% CI 1.41-2.09, p = 0.002).
Conclusions: Children who received services at the Bangkok Child Development Center showed developmental delay at 22.67%. The related factors were birth weight less than 2,500 grams, mother’s education level was at primary school education or under, low monthly family income and insufficient to debt, improper use of electronic media, poor quality of playing with children and parental concerns of child development.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
เอกสารอ้างอิง
Advancing Early Childhood Development:from Science to Scale. An Executive Summary for The Lancet’s Series. The Lancet. October, 2016.
Panit L, Wannapa K, Kronvika P, Chotiros P, Malulee S, Thanomrat P, et al. Situation of Thai childhood in 2014. Journal of Health Science. 2017;(26) ; supplement 2 : 199-208. (In Thai)
Jintana P, Wannisa K. To study the 6th of factors effecting to child development in Thailand in 2017. Nonthaburi : Bureau of Health Promotion, Department of Health; 2018. (In Thai)
Thaweesak S, editor. Implementation of early childhood development promotion in Bangkok; 2017 Dec 1; Bangkok; Meeting room, Building 2, Office of Ministry of Public Health, 2017. (In Thai)
Thanyaporn M and Adisuda F. Factors associating child development. In: Sureeluck S, Rawiwan R, Tippawan H, Banchaun B, Jariya J, Pat R, editors. Child Development and Behavior Volume 4. Bangkok: Thai society for pediatric child development and behavior; 2018. p.43-53. (In Thai)
Nichara R. Factors affecting child development. In: Nichara R, Chacriya T, Raviwan R, Thippawan H, Nitaya K, editors. Child Development and Behavior. Bangkok: Holistic Publishing; 2008. p. 395-414. (In Thai)
Kozuki N, Lee AC, Silveira MF, Cesar G Victora, Linda Adair, Jean Humphrey, et al. The associations of birth intervals with small- for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis. BMC Public Health. 2013; 13: 3.
Dickerson A and Popli G . Persistent poverty and children's cognitive development: evidence from the UK Millennium Cohort Study. Journal of the Royal Statistical Society. Series A. 2016; 535–558.
Isaranurug S , Nanthamongkolchai S and Kaewsiri D. Factors influencing development of children aged one to under six years old. J Med Assoc Thai. 2005 Jan;88(1):86-90.
Gwenn Schurgin O'Keeffe, Kathleen Clarke-Pearson and Council on Communications and Media. Clinical Report: The Impact of Social Media on Children, Adolescents, and Families. Pediatrics. Official Journal of The American Academy of Pediatrics. DOI: 10.1542/peds.2011-0054 Pediatrics published online Mar 28, 2011.
American Academy of pediatrics, Council on Children with disabilities. Identifying
Infants and young children with developmental disorders in the medical home: an
algorithm for developmental surveillance and screening. Pediatrics 2006 ; 118 : 405-20.
Leonard, H. & Wen, X. (2002) The epidemiology of mental retardation: challenges and
opportunities in the new millennium. Ment Retard Dev Disabil Res Rev 8, 117-134.
Shevell, M., Ashwal, S., Donley, D., Flint, J., Gingold, M., Hirtz, D., Majnemer, A.,
Noetzel, M. & Sheth, R.D. (2003) Practice parameter: evaluation of the child with global
developmental delay: report of the Quality Standards Subcommittee of the American Academy of
Neurology and The Practice Committee of the Child Neurology Society. Neurology 60, 367-380.
Walker SP,Wachs TD. Gardner JM,Lozoff B, Wasserman GA et al. Child development: risk
factors for adverse outcomes in developing countries. Lancet 2007:369:145-57.
Raviwan R. Language Delays. In: Thippawan H, Raviwan R, Chacriya T, Adisuda F, Sureeluck S,
Pongsak N, editors. Child Development and Behavior in Clinical Practice. Bangkok: Beyond
Enterprise; 2011: p. 285-298. (In Thai)
National Statistical Office Ministry of Digital Economy and Society. Chapter 2 major findings. In: The 2019 Household socio-economic survey whole kingdom. Bangkok: National Statistical Office (NSO); 2020 : p. 19-36. (In Thai)
National Statistical Office of Thailand. 2020. Thailand Multiple Indicator Cluster Survey 2019, Survey Findings Report. Bangkok, Thailand: National Statistical Office of Thailand; 2020.
Pat R. Speech and Language Disorder. In: Sureeluck S, Rawiwan R, Tippawan H, Banchaun B, Jariya J, Pat R, editors. Child Development and Behavior Volume 4. Bangkok: Thai society for pediatric child development and behavior; 2018. p.411-34. (In Thai)
Weerasak C. Electronic Screen Media and Development & Learning.In : Effects of Electronic Screen Media on Children and Adolescents. Bangkok: Beyond Enterprise; 2011: p. 67-109. (In Thai)
Kozuki N, Lee AC, Silveira MF, Cesar G Victora, Linda Adair, Jean Humphrey, et al. The associations of birth intervals with small- for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis. BMC Public Health 2013; 13.
Dickerson A and Popli G . Persistent poverty and children's cognitive development: evidence from the UK Millennium Cohort Study. Journal of the Royal Statistical Society. Series A. 2016; 535–558.
Robert H. Bradley and Robert F. Corwyn. Socioeconomic Status and Child Development. Annu. Rev.Psychol.2002;53:371-99.
Isaranurug S , Nanthamongkolchai S and Kaewsiri D. Factors influencing development of children aged one to under six years old. J Med Assoc Thai. 2005 Jan;88(1):86-90.
Peel ED, McCoy DC, Danaei G, et al. Early childhood development and schooling attainment: longitudinal evidence from British, Finnish and Philippine birth cohorts. PloS One 2015;10:e0137219.
Noppawan S. Guidelines for the implementation of the early childhood development project to support the National Strategy 2014. Bangkok: The Agricultural Cooperative Federation of Thailand; 2014. p.1-5. (In Thai)
Sirikul I, Sutham N, Daungporn K. Project on the Intellectual Development of Children of the Countries of Thailand Phase 1: Situation Analysis. Bangkok : Faculty of Public Health, Mahidol University, 2001. (In Thai)
FP Glascoe. Using parents' concerns to detect and address development and behavioral problems. Pediatrics. 1995, 95 (6) 829-36.
Chia Ying C, Wen Yu L, Chee Jen C. The Relationship Between Parental Concerns and Final Diagnosis in Children With Developmental Delay. Journal of Child Neurology. 2010;26:413-19.
FP Glascoe. Parents' Concerns About Children's Development: Prescreening Technique or Screening Test?. Pediatrics April 1997, 99 (4) 522-528.