Maternal socio-demographic and psychological predictors for risk of developmental delays among young children in Mongolia

Abstract Background Factors influencing child development are not well studied in developing settings, and especially in Mongolia. This cohort study examined the relationship between maternal socio-demographic and psychological conditions on risk of young child developmental delay. Methods A total o...

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Main Authors: Amarjargal Dagvadorj, Duurenbayar Ganbaatar, Olukunmi O. Balogun, Naohiro Yonemoto, Bayasgalantai Bavuusuren, Kenji Takehara, Rintaro Mori, Moe Akahira-Azuma
Format: Article
Language:English
Published: BMC 2018-02-01
Series:BMC Pediatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12887-018-1017-y
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spelling doaj-e091885118c34f5e8421cb32f4c3d39b2020-11-24T22:08:07ZengBMCBMC Pediatrics1471-24312018-02-011811810.1186/s12887-018-1017-yMaternal socio-demographic and psychological predictors for risk of developmental delays among young children in MongoliaAmarjargal Dagvadorj0Duurenbayar Ganbaatar1Olukunmi O. Balogun2Naohiro Yonemoto3Bayasgalantai Bavuusuren4Kenji Takehara5Rintaro Mori6Moe Akahira-Azuma7Department of Health Policy, National Center for Child Health and DevelopmentDepartment of Pediatrics, Mongolian National University of Medical ScienceDepartment of Health Policy, National Center for Child Health and DevelopmentDepartment of Biostatistics, School of Public Health, Kyoto UniversityDepartment of Pediatrics, Mongolian National University of Medical ScienceDepartment of Health Policy, National Center for Child Health and DevelopmentDepartment of Health Policy, National Center for Child Health and DevelopmentDepartment of Pediatrics, National Center for Global Health and MedicineAbstract Background Factors influencing child development are not well studied in developing settings, and especially in Mongolia. This cohort study examined the relationship between maternal socio-demographic and psychological conditions on risk of young child developmental delay. Methods A total of 150 children aged between 13 ~ 24 months old participated in this study. The participants were randomly selected from a pre-existing cohort of 1297 children who were involved in a study on infant bilirubin nomogram development conducted at a tertiary health facility in Mongolia between 2012 and 2013. Child development was evaluated using the Mongolian Rapid Baby Scale (MORBAS), a validated scale for child development. The potential factors for child developmental delay were assessed using a pre-tested questionnaire comprising of 52 questions. Fisher’s exact test and multivariable logistic regression analysis were conducted. Results Seventeen (11%) out of the 150 children that participated in the study were at risk of developmental delay. There was a negative association between the risk of child developmental delay and higher maternal education (AOR 0.15, 95% CI: 0.03–0.66). Increasing maternal age (AOR 1.12, 95%CI: 0.98–1.27), maternal depression symptoms (AOR 4.93, 95%CI: 0.93–26.10), child gender being female (AOR 0.25, 95%CI: 0.06–1.00) and being from single mother household (AOR 0.14, 95%CI: 0.01–1.11) were also predictors for risk of developmental delay – although the association was marginal. Conclusions Our findings suggest that being of underprivileged social status, and poor psychological condition of mothers in Mongolia possibly increases the risk of child developmental delays. Interventions targeting these modifiable predictors are needed to develop prevention strategies for child developmental delay.http://link.springer.com/article/10.1186/s12887-018-1017-yChild developmentDeveloping countryMaternal educationMongoliaRisk of child development
collection DOAJ
language English
format Article
sources DOAJ
author Amarjargal Dagvadorj
Duurenbayar Ganbaatar
Olukunmi O. Balogun
Naohiro Yonemoto
Bayasgalantai Bavuusuren
Kenji Takehara
Rintaro Mori
Moe Akahira-Azuma
spellingShingle Amarjargal Dagvadorj
Duurenbayar Ganbaatar
Olukunmi O. Balogun
Naohiro Yonemoto
Bayasgalantai Bavuusuren
Kenji Takehara
Rintaro Mori
Moe Akahira-Azuma
Maternal socio-demographic and psychological predictors for risk of developmental delays among young children in Mongolia
BMC Pediatrics
Child development
Developing country
Maternal education
Mongolia
Risk of child development
author_facet Amarjargal Dagvadorj
Duurenbayar Ganbaatar
Olukunmi O. Balogun
Naohiro Yonemoto
Bayasgalantai Bavuusuren
Kenji Takehara
Rintaro Mori
Moe Akahira-Azuma
author_sort Amarjargal Dagvadorj
title Maternal socio-demographic and psychological predictors for risk of developmental delays among young children in Mongolia
title_short Maternal socio-demographic and psychological predictors for risk of developmental delays among young children in Mongolia
title_full Maternal socio-demographic and psychological predictors for risk of developmental delays among young children in Mongolia
title_fullStr Maternal socio-demographic and psychological predictors for risk of developmental delays among young children in Mongolia
title_full_unstemmed Maternal socio-demographic and psychological predictors for risk of developmental delays among young children in Mongolia
title_sort maternal socio-demographic and psychological predictors for risk of developmental delays among young children in mongolia
publisher BMC
series BMC Pediatrics
issn 1471-2431
publishDate 2018-02-01
description Abstract Background Factors influencing child development are not well studied in developing settings, and especially in Mongolia. This cohort study examined the relationship between maternal socio-demographic and psychological conditions on risk of young child developmental delay. Methods A total of 150 children aged between 13 ~ 24 months old participated in this study. The participants were randomly selected from a pre-existing cohort of 1297 children who were involved in a study on infant bilirubin nomogram development conducted at a tertiary health facility in Mongolia between 2012 and 2013. Child development was evaluated using the Mongolian Rapid Baby Scale (MORBAS), a validated scale for child development. The potential factors for child developmental delay were assessed using a pre-tested questionnaire comprising of 52 questions. Fisher’s exact test and multivariable logistic regression analysis were conducted. Results Seventeen (11%) out of the 150 children that participated in the study were at risk of developmental delay. There was a negative association between the risk of child developmental delay and higher maternal education (AOR 0.15, 95% CI: 0.03–0.66). Increasing maternal age (AOR 1.12, 95%CI: 0.98–1.27), maternal depression symptoms (AOR 4.93, 95%CI: 0.93–26.10), child gender being female (AOR 0.25, 95%CI: 0.06–1.00) and being from single mother household (AOR 0.14, 95%CI: 0.01–1.11) were also predictors for risk of developmental delay – although the association was marginal. Conclusions Our findings suggest that being of underprivileged social status, and poor psychological condition of mothers in Mongolia possibly increases the risk of child developmental delays. Interventions targeting these modifiable predictors are needed to develop prevention strategies for child developmental delay.
topic Child development
Developing country
Maternal education
Mongolia
Risk of child development
url http://link.springer.com/article/10.1186/s12887-018-1017-y
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