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Published in: International Journal of Public Health 3/2017

01-04-2017 | Original Article

Time trends and determinants of multiple development delays in Bavarian preschool children: a retrospective analysis from 1997 to 2010

Authors: Heribert Ludwig Stich, Riccardo Caniato, Alexander Krämer, Bernhard Baune

Published in: International Journal of Public Health | Issue 3/2017

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Abstract

Objectives

The aim of this study was to identify the time trends of multiple developmental delays and to determine the strength of selected factors influencing preschool child’s development.

Methods

We reviewed the records of 13,876 preschoolers in a district of Lower Bavaria to determine prevalence and time trends of combined developmental delays from 1997 to 2010. The effect of age, sex and nationality on development was estimated by using regression models.

Results

The largest increase was in the area of psychosocial development (1997:3.8 % versus 2010:13.8 %), followed by twofold combined delays in motor (2.6 versus 14.4 % in 2009) and twofold delays (1.3 versus 6.2 %) in cognition. Youngest children (4.26–5.49 years) had the highest risk for twofold delays in motor (4.78; 95 % CI 3.30–6.92), whereas strongest protection was observed for girls (0.28; 95 % CI 0.22–0.36) for threefold delays in motor and for a German nationality (0.30; 95 % CI 0.20–0.43) for fourfold delays in cognition.

Conclusions

According to this study, multiple disabilities in development were increasing in preschool children. These children can be considered as a risk group who therefore require measures in Public Health.
Literature
go back to reference Bavarian Health and Food Safety Authority (2006) Health of preschool children in Bavaria. Results of school entry examination for the school year 2004/2005. Statistical-epidemiological report. Volume 1 of the series school entrance examination in Bavaria. (German) Bavarian Health and Food Safety Authority (2006) Health of preschool children in Bavaria. Results of school entry examination for the school year 2004/2005. Statistical-epidemiological report. Volume 1 of the series school entrance examination in Bavaria. (German)
go back to reference Bavarian Health and Food Safety Authority (2013) Health of preschool children in Bavaria. Results of school entry examination for the school year 2008/2009. Statistical-epidemiological report. Volume 4 of the series school entrance examination in Bavaria (German) Bavarian Health and Food Safety Authority (2013) Health of preschool children in Bavaria. Results of school entry examination for the school year 2008/2009. Statistical-epidemiological report. Volume 4 of the series school entrance examination in Bavaria (German)
go back to reference Bavarian Law of Education and Instruction (2011) Bavarian Law of Education and Instruction (BayEUG) of March 9, 1960. BayRS 2230-1-1-UK. (Last amended on July 20, 2011) Bavarian Law of Education and Instruction (2011) Bavarian Law of Education and Instruction (BayEUG) of March 9, 1960. BayRS 2230-1-1-UK. (Last amended on July 20, 2011)
go back to reference Bavarian State Office for Statistics (2015) Statistics municipal 2014. District of Dingolfing-Landau 09 279. A selection of important statistical data. (German) Bavarian State Office for Statistics (2015) Statistics municipal 2014. District of Dingolfing-Landau 09 279. A selection of important statistical data. (German)
go back to reference Bavarian State Office for Statistics (2016) Bavaria in numbers. J Stat Edition 01/2016. (German) Bavarian State Office for Statistics (2016) Bavaria in numbers. J Stat Edition 01/2016. (German)
go back to reference Campbell TF, Dollaghan CA, Rockette HE, Paradise JL, Feldman HM, Shriberg LD, Sabo DL, Kurs-Lasky M. (2003) Risk factors of speech delay of unknown origin in 3-year-old children. Child Dev 74:346-357. doi: 0009-3920/2003/7402-0002 Campbell TF, Dollaghan CA, Rockette HE, Paradise JL, Feldman HM, Shriberg LD, Sabo DL, Kurs-Lasky M. (2003) Risk factors of speech delay of unknown origin in 3-year-old children. Child Dev 74:346-357. doi: 0009-3920/2003/7402-0002
go back to reference Dewey D, Kaplan BJ, Crawford SG, Wilson BN (2002) Developmental coordination disorder: associated problems in attention, learning, and psychosocial adjustment. Hum Mov Sci 21:905–918CrossRefPubMed Dewey D, Kaplan BJ, Crawford SG, Wilson BN (2002) Developmental coordination disorder: associated problems in attention, learning, and psychosocial adjustment. Hum Mov Sci 21:905–918CrossRefPubMed
go back to reference Flehmig I, Schloon M, Uhde J, Bemuth Hv (1973) Denver Development Scales. Club of Spastics in Harburg, Hamburg (German) Flehmig I, Schloon M, Uhde J, Bemuth Hv (1973) Denver Development Scales. Club of Spastics in Harburg, Hamburg (German)
go back to reference Flender J (2005) Early detection of children with defined disturbances. Kinder- und Jugendarzt 36:154–159 (German) Flender J (2005) Early detection of children with defined disturbances. Kinder- und Jugendarzt 36:154–159 (German)
go back to reference Frankenberg WK, Dobbs JB (1967) The Denver developmental screening test. J Pediatr 71:181–191CrossRef Frankenberg WK, Dobbs JB (1967) The Denver developmental screening test. J Pediatr 71:181–191CrossRef
go back to reference Karch D (1990) Treatment of developmental disorders—principles, methods, and indication. Offentl Gesundh Wes 52:491–495 (German) Karch D (1990) Treatment of developmental disorders—principles, methods, and indication. Offentl Gesundh Wes 52:491–495 (German)
go back to reference Landgren M, Pettersson R, Kjellman B, Gillberg C (1996) ADHD, DAMP, and other neurodevelopmental/psychiatric disorders in 6-year-old children: epidemiology and co-morbidity. Dev Med Child Neurol 38:891–906CrossRefPubMed Landgren M, Pettersson R, Kjellman B, Gillberg C (1996) ADHD, DAMP, and other neurodevelopmental/psychiatric disorders in 6-year-old children: epidemiology and co-morbidity. Dev Med Child Neurol 38:891–906CrossRefPubMed
go back to reference Nicholoson RI, Fawcett AJ (1994) Comparison of deficits in cognitive motor skills among children with dyslexia. Ann Dyslexia 44:145–164. doi:10.1007/BFO2648159 Nicholoson RI, Fawcett AJ (1994) Comparison of deficits in cognitive motor skills among children with dyslexia. Ann Dyslexia 44:145–164. doi:10.​1007/​BFO2648159
go back to reference Robert Koch-Institute (2007) Results of the child and youth health survey. Bundesgesundheitsbla 50:529–908 (German) CrossRef Robert Koch-Institute (2007) Results of the child and youth health survey. Bundesgesundheitsbla 50:529–908 (German) CrossRef
go back to reference Stich HL (2009) Disorders in preschool children. A differentiated analysis of prevalences of developmental delays over a ten-year period. Kinder- und Jugendmedizin 9:42–88 (German) Stich HL (2009) Disorders in preschool children. A differentiated analysis of prevalences of developmental delays over a ten-year period. Kinder- und Jugendmedizin 9:42–88 (German)
go back to reference Task Force “School and Youth Health Care in the Public Health Services” (1997) The school entry examination. (German) Task Force “School and Youth Health Care in the Public Health Services” (1997) The school entry examination. (German)
go back to reference Tebruegge M, Nandini V, Ritchie J (2004) Does routine child health surveillance contribute to the early detection of children with pervasive developmental disorders?—an epidemiological study in Kent, UK. BMC Pediatr 4:4CrossRefPubMedPubMedCentral Tebruegge M, Nandini V, Ritchie J (2004) Does routine child health surveillance contribute to the early detection of children with pervasive developmental disorders?—an epidemiological study in Kent, UK. BMC Pediatr 4:4CrossRefPubMedPubMedCentral
go back to reference Tervo R (2003) Identifying patterns of development delays can help diagnose neurodevelopmental disorders. Pediatr Perspec 13:2–6 Tervo R (2003) Identifying patterns of development delays can help diagnose neurodevelopmental disorders. Pediatr Perspec 13:2–6
go back to reference Thompson T, Caruso M, Ellerbeck K (2003) Sex matters in autism and other developmental disabilities. J Learn Disabil 7:345–362CrossRef Thompson T, Caruso M, Ellerbeck K (2003) Sex matters in autism and other developmental disabilities. J Learn Disabil 7:345–362CrossRef
go back to reference Tirosh E, Berger J, Cohen-Ophir M, Davidovitch M, Cohen A (1998) Learning disabilities with and without attention-deficit hyperactivity disorder: parents’ and teachers’ perspectives. J Child Neurol 13:270–276CrossRefPubMed Tirosh E, Berger J, Cohen-Ophir M, Davidovitch M, Cohen A (1998) Learning disabilities with and without attention-deficit hyperactivity disorder: parents’ and teachers’ perspectives. J Child Neurol 13:270–276CrossRefPubMed
go back to reference Valtonen R, Ahonen T, Lyytinen P, Lyytinen H (2004) Co-occurrence of developmental delays in a screening study of 4-year-old Finnish children. Dev Med Child Neurol 46:436–443CrossRefPubMed Valtonen R, Ahonen T, Lyytinen P, Lyytinen H (2004) Co-occurrence of developmental delays in a screening study of 4-year-old Finnish children. Dev Med Child Neurol 46:436–443CrossRefPubMed
go back to reference Viholainen H, Ahonen T, Cantell M, Lyytinen P, Lyytinen H (2002) Development of early motor skills and language in children at risk for familial dyslexia. Dev Med Child Neurol 44:761–769CrossRefPubMed Viholainen H, Ahonen T, Cantell M, Lyytinen P, Lyytinen H (2002) Development of early motor skills and language in children at risk for familial dyslexia. Dev Med Child Neurol 44:761–769CrossRefPubMed
go back to reference Webster RI, Majnemer A, Platt RW, Shevell MI (2005) Motor function at school age in children with a preschool diagnosis of developmental language impairment. J Pediatr 146:80–85CrossRefPubMed Webster RI, Majnemer A, Platt RW, Shevell MI (2005) Motor function at school age in children with a preschool diagnosis of developmental language impairment. J Pediatr 146:80–85CrossRefPubMed
go back to reference Wohlfeil A (1991) Developmental delays in children starting school with the resultant performance deficits. Offentl Gesundh Wes 53:175–180 (German) Wohlfeil A (1991) Developmental delays in children starting school with the resultant performance deficits. Offentl Gesundh Wes 53:175–180 (German)
go back to reference Yochman A, Ornoy A, Parush S (2006) Co-occurrence of developmental delays among preschool children with attention-deficit-hyperactivity disorder. Dev Med Child Neurol 48:483–488CrossRefPubMed Yochman A, Ornoy A, Parush S (2006) Co-occurrence of developmental delays among preschool children with attention-deficit-hyperactivity disorder. Dev Med Child Neurol 48:483–488CrossRefPubMed
go back to reference Zimmer R (2002) Health promotion in kindergarten. Bundesgesundheitsbla 45:964–969 (German) CrossRef Zimmer R (2002) Health promotion in kindergarten. Bundesgesundheitsbla 45:964–969 (German) CrossRef
Metadata
Title
Time trends and determinants of multiple development delays in Bavarian preschool children: a retrospective analysis from 1997 to 2010
Authors
Heribert Ludwig Stich
Riccardo Caniato
Alexander Krämer
Bernhard Baune
Publication date
01-04-2017
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 3/2017
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-016-0839-3

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