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Exploratory application of the Ages and Stages (ASQ) child development screening test in a low-income Peruvian shantytown population

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dc.contributor.author Kyerematen, V.
dc.contributor.author Hamb, A.
dc.contributor.author Oberhelman, R.A.
dc.contributor.author Cabrera, L.
dc.contributor.author Bernabe-Ortiz, A.
dc.contributor.author Berry, S.J.
dc.date.accessioned 2020-06-10T18:11:37Z
dc.date.available 2020-06-10T18:11:37Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/8033
dc.description.abstract Objectives: Public health research on child health is increasingly focusing on the long-term impacts of infectious diseases, malnutrition and social deprivation on child development. The objectives of this exploratory study were to (1) implement the Ages and Stages Questionnaires (ASQ) in children aged 3 months to 5 years in a low-income Peruvian population and (2) to correlate outcomes of the ASQ with risk factors such as nutritional status, diarrhoea incidence and wealth index. Setting: Primary data collection was carried out in the Pampas de San Juan de Miraflores, a periurban lowincome community in Lima, Peru. Participants: The study population included 129 children selected through community census data, with a mean age of 22 months (SD 6.8) and with almost equal gender distribution (51% males). Intervention: A Peruvian psychologist administered the age-appropriate (ASQ2 for participants enrolled in 2009, ASQ3 for participants enrolled in 2010). Results of the ASQ are reported separately for five scales, including Communication, Gross Motor, Fine Motor, Problem Solving and Personal-Social. Primary and secondary outcome measures: For each scale, results are reported as normal or suspect, meaning that some milestone attainment was not evident and further evaluation is recommended. Results: Overall, 50 of 129 children (38.7%) had suspect results for at least one of the five scales, with the highest rates of suspect results on the Communication (15.5%) and Problem Solving scales (13.9%). Higher rates of suspect outcomes were seen in older children, both overall (p=0.06) and on Problem Solving (p=0.009), and for some scales there were trends between suspect outcomes and wealth index or undernutrition. Conclusions: The ASQ was successfully applied in a community-based study in a low-income Peruvian population, and with further validation, the ASQ may be an effective tool for identifying at-risk children in resource-poor areas of Latin America. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartof urn:issn:2044-6055
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Child, Preschool en_US
dc.subject Infant en_US
dc.subject Surveys and Questionnaires en_US
dc.subject Poverty en_US
dc.subject human en_US
dc.subject female en_US
dc.subject male en_US
dc.subject incidence en_US
dc.subject lowest income group en_US
dc.subject poverty en_US
dc.subject controlled study en_US
dc.subject major clinical study en_US
dc.subject outcome assessment en_US
dc.subject malnutrition en_US
dc.subject nutritional status en_US
dc.subject article en_US
dc.subject developmental screening en_US
dc.subject diarrhea en_US
dc.subject child en_US
dc.subject sex difference en_US
dc.subject preschool child en_US
dc.subject clinical evaluation en_US
dc.subject infant en_US
dc.subject questionnaire en_US
dc.subject trend study en_US
dc.subject risk factor en_US
dc.subject problem solving en_US
dc.subject child development en_US
dc.subject Child Development en_US
dc.subject patient selection en_US
dc.subject social interaction en_US
dc.subject exploratory research en_US
dc.subject Ages and Stages Questionnaire en_US
dc.subject communication skill en_US
dc.subject language development en_US
dc.subject motor performance en_US
dc.subject psychologist en_US
dc.subject rating scale en_US
dc.title Exploratory application of the Ages and Stages (ASQ) child development screening test in a low-income Peruvian shantytown population en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1136/bmjopen-2013-004132
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE

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