Factors Related to Suspected Delayed Development of Early Childhood in Well Child Clinic at Health Promoting Hospital, Khonkaen

Abstract

This analytical cross-sectional study aimed to determine the incidence and
related factors of suspected delayed development in early childhood. This study
was based on samples of 630 children, aged from 9 months to 5 years 11 months 29
days old, who visited Well Child Clinic at Health Promoting Hospital, Khonkaen from
March to May 2021. Data collection was done by using the questionnaire, completed
by parents or caregivers, gathering information from child health record books and
the children were evaluated their development by using the Developmental Surveillance and Promotion Manual (DSPM) and Developmental Assessment for Intervention
Manual (DAIM). The data were analyzed by descriptive statistics and multiple logistic
regression analysis was performed to compare the association among the groups.
The incidence of suspected delayed development was 17.5%. The highest incidence of suspected delayed development was in expressive language which accounts
for 11%. The incidence of suspected delayed development in receptive language, fne
motor, gross motor, personal and social was 9.0%, 7.1%, 6.0%, and 3.3%, respectively.
The signifcant factors related to the suspected delayed development of early
childhood were Obimin/Triferdine supplement during maternal pregnancy (Adjusted
OR = 2.66, 95%CI: 1.62–4.36, p-value < 0.001), gender of children (Adjusted OR = 2.44,
95%CI: 1.45–4.11, p-value = 0.001), age of children (Adjusted OR = 2.44, 95%CI: 1.45–4.11,
p-value = 0.001), breastfeeding (Adjusted OR = 1.81, 95%CI: 1.14–2.89, p-value = 0.012),
premature delivery (Adjusted OR = 3.17, 95%CI: 1.62–6.22, p-value = 0.001), height
for age (Adjusted OR = 3.47, 95%CI: 1.39–8.67, p-value = 0.008), maternal occupation
(Adjusted OR = 0.35, 95%CI: 0.16–0.77, p-value = 0.009), and underlying disease of
caregivers (Adjusted OR = 2.11, 95%CI: 1.25–3.55, p-value = 0.005). Therefore, screening
and planning for early appropriate intervention should be performed to prevent
developmental delay in early childhood.