BackgroundUndetected and untreated developmental problems can have a significant economic and social impact on society. Intervention to ameliorate potential developmental problems requires early identification of children at risk of future learning and behaviour difficulties. The objective of this study was to estimate the prevalence of risk for developmental problems among preschool children born to medically low risk women and identify factors that influence outcomes.MethodsMothers who had participated in a prenatal trial were followed up three years post partum to answer a telephone questionnaire. Questions were related to child health and development, child care, medical care, mother's lifestyle, well-being, and parenting style. The main outcome measure was risk for developmental problems using the Parents' Evaluation of Developmental Status (PEDS).ResultsOf 791 children, 11% were screened by the PEDS to be at high risk for developmental problems at age three. Of these, 43% had previously been referred for assessment. Children most likely to have been referred were those born preterm. Risk factors for delay included: male gender, history of ear infections, a low income environment, and a mother with poor emotional health and a history of abuse. A child with these risk factors was predicted to have a 53% chance of screening at high risk for developmental problems. This predicted probability was reduced to 19% if the child had a mother with good emotional health and no history of abuse.ConclusionOver 10% of children were identified as high risk for developmental problems by the screening, and more than half of those had not received a specialist referral. Risk factors for problems included prenatal and perinatal maternal and child factors. Assessment of maternal health and effective screening of child development may increase detection of children at high risk who would benefit from early intervention.Trial registrationCurrent Controlled Trials ISRCTN64070727

Most immigration studies focus on the negative consequences of immigration for families and for parenting. Immigration is also viewed as a factor that undermines fathers’ capacity to implement their fathering roles. The impact of immigration on fathers has received very little attention. This paper is based on 54 interviews with immigrant fathers to Canada and Israel. Based on qualitative data, the paper investigates immigrant fathers’ perceptions of fatherhood in the midst of cultural change. This paper challenges the widely held notion that immigration itself is a risk factor for fatherhood. It focuses rather on the systemic barriers and obstacles facing immigrant fathers in their new country and the positive opportunities this change presents. Implications for intervention and policies concerning immigrant families are discussed.

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