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Household language, parent developmental concerns, and child risk for developmental disorder.

Abstract：

BACKGROUND:Provider elicitation of parent developmental and behavioral (DB) concerns is the foundation of DB surveillance. Language differences may affect whether providers assess parental DB concerns. OBJECTIVE:The aim of this study was to compare children in English versus Spanish primary language households by risk for DB disorder and provider elicitation of parental developmental and behavioral concerns. METHODS:The 2003 National Survey of Children's Health was used to compare 29,692 children, aged 0 to 71 months, who received preventive care in the previous 12 months and were in English versus Spanish primary language households. Using logistic regression, we tested the association of household primary language with child risk of developmental and behavioral disorder and parent-reported elicitation of developmental and behavioral concerns at health care visits. RESULTS:After adjusting for sociodemographic differences, children in Spanish primary language households were less likely than children in English primary language households to be at risk for DB disorder (40.5% vs 40.8%; AOR [adjusted odds ratio] 0.68, 95% confidence interval [CI], 0.55-0.85). Parents in Spanish primary language households reported less provider elicitation of developmental and behavioral concerns compared to all English primary language households (31.0% vs 43.7%; AOR 0.70, 95% CI, 0.57-0.85), but similar rates of elicitation compared to Hispanic English primary language households. Among households with children at moderate/high risk for DB disorder, parents in Spanish primary language households reported less elicitation of concerns than parents in English primary language households (AOR 0.63, 95% CI, 0.41-0.96). CONCLUSION:Parents in Spanish primary language households reported lower child risk for developmental and behavioral disorder and less provider elicitation of developmental and behavioral concerns. These findings suggest that primary language may affect risk for developmental and behavioral disorder and likelihood of DB surveillance in children.

journal_name

Acad Pediatr

journal_title

Academic pediatrics

authors

Zuckerman KE,Boudreau AA,Lipstein EA,Kuhlthau KA,Perrin JM

doi

10.1016/j.acap.2008.12.006

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

97-105

issue

eissn

1876-2859

issn

1876-2867

pii

S1876-2859(08)00310-0

journal_volume

pub_type

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Household language, parent developmental concerns, and child risk for developmental disorder.