Fatores associados ao atraso no desenvolvimento em crianças, Rio Grande, Rio Grande do Sul, Brasil

Abstract

Estudo analítico com o objetivo de avaliar os fatores associados ao atraso no desenvolvimento em crianças entre 8 a 12 meses de idade indicadas como de risco ao nascer no município do Rio Grande, Rio Grande do Sul, Brasil. Foram utilizados como instrumentos o Teste de Triagem de Desenvolvimento de Denver II (TTDD II), a avaliação antropométrica e questionários estruturados. Participaram 220 crianças consideradas de risco ou não ao nascer. Foi encontrada uma prevalência de 20,5% de suspeita de atraso no desenvolvimento neuropsicomotor. As crianças que apresentaram risco de um TTDD II suspeito faziam parte de famílias de mais baixa renda; eram filhos de mães que haviam realizado menos de seis consultas de pré-natal e apresentavam índice peso-idade inadequado. Os dados sugerem a necessidade de um replanejamento das políticas de saúde infantil, visto que outros critérios poderiam ser incluídos nas condições de risco para a criança ao nascer.

Association between family poverty and the neuropsychomotor development of children in the administrative districts of Belém

“…The results of this study are consistent with previous research using the Denver II (9,11,12,29,30,31). These studies show an association between predictors of poverty or socioeconomic status of the family and the acquisition of neurodevelopmental milestones, especially language.…”

“…With regard to the scores obtained through the Denver II by AD, it was found that the district that presented the highest percentage of suspected delay was the DABEL district and the lower percentage was the DABEN district, contrary to that indicated in the literature (8,9,31,33). The DABEL district, located in the central region of Belém, encompasses neighborhoods with better infrastructure, with the highest construction standards and greater availability of services, commerce and public facilities and presents a higher index of general well-being (17).…”

Triagem do desenvolvimento neuropsicomotor de crianças brasileiras: uma revisão sistemática da literatura

“…In typical children assessed in clinics, 12.8% were suspected of being delayed, especially in the gross motor skill area 27 . Atypical conditions of children in clinics or hospitals 7,28,16,[29][30][31][32][33] such as low weight at birth and prematurity were correlated with suspicion of delayed NPMD 7,32 , particularly in the gross motor skill and language areas. Neurological changes and changes in the transfontanelar ultrasound, respiratory failure and hospitalization in ICU, have also contributed to a worse performance of the DDST II in all areas 30,33 .…”

O contexto ambiental e o desenvolvimento na primeira infância: estudos brasileiros

“…Other studies 8,21,[23][24][25][26][27][28]29 investigated the relationship between the risk factors existing in the home environment and child development. These studies, in most cases, found a relationship between the children's poor performance in tests and the following risk factors: low maternal schooling 8,[25][26][27][28] ; the mother having done less than six antenatal consultations [25][26]29 ; unemployed parent 27 ; belonging to the lower strata of the economic classification 8,[25][26][27][28][29] ; having a mother who does not work outside the home 8 ; father's low schooling 24 ; having many siblings 28 ; less support from parents in caring for the child 28 and lower psychosocial stimulation in the home environment [25][26] .…”