A systematic review of the prevalence of parental concerns measured by the Parents’ Evaluation of Developmental Status (PEDS) indicating developmental risk

BMC Pediatrics

Lynn Kemp¹  Nicholas Spencer⁴  Andrew Hayen¹  Katrina Williams²  Valsamma Eapen³  Susan Woolfenden¹ 

[1] School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia;Royal Children’s Hospital and Murdoch Children’s Research Institute, University of Melbourne, Melbourne, Australia;School of Psychiatry, University of New South Wales, Sydney, Australia;Warwick Medical School, University of Warwick, Coventry, UK

关键词: Child health;    Developmental risk;    Risk factors;    Parents Evaluation of Developmental Status (PEDS);    Parental concerns;    Prevalence;   

Others  :  1130623
DOI  :  10.1186/1471-2431-14-231

 received in 2014-04-04, accepted in 2014-09-02,  发布年份 2014

【 摘 要 】

Background

Parental concerns about their children’s development can be used as an indicator of developmental risk. We undertook a systematic review of the prevalence of parents’ concerns as an indicator of developmental risk, measured by the Parents’ Evaluation of Developmental Status (PEDS) and associated risk factors.

Methods

Electronic databases, bibliographies and websites were searched and experts contacted. Studies were screened for eligibility and study characteristics were extracted independently by two authors. A summary estimate for prevalence was derived. Meta-regression examined the impact of study characteristics and quality. Meta-analysis was used to derive pooled estimates of the impact of biological and psychosocial risk factors on the odds of parental concerns indicating high developmental risk.

Results

Thirty seven studies were identified with a total of 210,242 subjects. Overall 13.8% (95% CI 10.9 -16.8%) of parents had concerns indicating their child was at high developmental risk and 19.8% (95% CI 16.7-22.9%) had concerns indicating their child was at moderate developmental risk. Male gender, low birth weight, poor/fair child health rating, poor maternal mental health, lower socioeconomic status (SES), minority ethnicity, not being read to, a lack of access to health care and not having health insurance were significantly associated with parental concerns indicating a high developmental risk.

Conclusions

The prevalence of parental concerns measured with the PEDS indicating developmental risk is substantial. There is increased prevalence associated with biological and psychosocial adversity.

Trial registration

PROSPERO Registration: CRD42012003215.

【 授权许可】

   
2014 Woolfenden et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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