Risk of behavioural and developmental difficulties in early childhood in the Australian Capital Territory

IF 1.8 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-08-06 DOI:10.1111/cch.13314
Kathleen O'Brien, Jason Agostino, Karen Ciszek, Kirsty A. Douglas
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Abstract

Aim

We aimed to estimate the prevalence of risk for developmental and behavioural problems for children in their first year of full-time primary education in the Australian Capital Territory (ACT).

Methods

We conducted an analysis of the 2014–2017 Kindergarten Health Check (KHC), an annual series of complete enumeration surveys of all children in their first year of full-time primary education in the ACT. Risk for developmental and behavioural problems was determined using the Parents' Evaluation of Developmental Status (PEDS) questionnaire.

Results

19 414 children (mean age 5.56 years; 51.4% boys; 2.3% Aboriginal and Torres Strait Islander; 18.4% quintile of greatest relative disadvantage) who participated in the 2014–2017 KHC were included in the study (87%). More than half of ACT children in their first year of primary education had low/no developmental risk identified through the PEDS questionnaire, with 1 in 10 at high risk.

Conclusions

Those more likely to have a high risk PEDS score were boys, those from the areas experiencing relative disadvantage, and Aboriginal and Torres Strait Islander children. While we can identify children at risk through screening, the greater challenge remains to identify and address the underlying causes of healthy inequalities, even within highly socioeconomically advantaged communities.

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澳大利亚首都地区幼儿期行为和发育困难的风险。
目的:我们旨在估算澳大利亚首都地区(ACT)全日制小学一年级儿童发育和行为问题的风险发生率:我们对 2014-2017 年的幼儿园健康检查(KHC)进行了分析,这是一项针对澳大利亚首都地区所有接受全日制小学教育的一年级儿童进行的年度系列全面查点调查。结果显示,19 414 名儿童(平均年龄为 5 岁)出现了发育和行为问题:19 414 名儿童(平均年龄为 5.56 岁;51.4% 为男孩;2.3% 为土著居民和托雷斯海峡岛民;18.4% 为处于最不利相对状况的五分之一人口)参加了 2014-2017 年的 KHC 研究(87%)。一半以上的澳大利亚首都地区小学一年级儿童通过PEDS调查问卷确定了低/无发育风险,每10人中就有1人处于高风险:更有可能获得高风险 PEDS 分数的是男孩、来自相对贫困地区的儿童以及土著和托雷斯海峡岛民儿童。虽然我们可以通过筛查来识别高风险儿童,但更大的挑战仍然是识别和解决健康不平等的根本原因,即使在社会经济条件非常优越的社区也是如此。
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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