Predictive value of preschool surveillance in detecting learning difficulties.
The Hall report specified the early detection of mild to moderate learning difficulties as one aim of child health surveillance (CHS).
This study examines the efficacy of preschool CHS in the early recognition of children with these disorders.
Design-A retrospective case-control study
Subjects-All children (n=408) with mild to moderate learning difficulties born between 1 July 1983 and 30 June 1984 and resident in North and West Belfast.
Controls-2406 birth records and 150 full child health records controlled for age and geographical area.
The prevalence of mild to moderate learning difficulties in North and West Belfast was 16%. Only 6% of children with learning difficulties were identified by the CHS in the preschool period, although the detection rate for children eventually requiring placement in schools for moderate learning difficulties was better.
Coverage of the CHS ranged from 90% at the 2 year examination to 98% at the 4 year examination.
Perinatal variables associated with learning difficulties after multiple logistic regression analysis were lower social class (odds ratio (OR) 3.9), prematurity<35 weeks (OR 3.0), male sex (OR 1.6), and birth to an unmarried mother (OR 0.6).
Independent preschool variables identified by the CHS were speech delay (OR 3.3), poor parenting skills (OR 4.0), behaviour problems (OR 2.8), enuresis (OR 2.4), poor visual acuity (OR 1.8), and otitis media with effusion (OR 1.4). (...)
Mots-clés Pascal : Trouble apprentissage, Enfant, Homme, Irlande du Nord, Royaume Uni, Europe, Dépistage, Age préscolaire, Programme sanitaire, Evaluation, Diagnostic, Précoce, Nourrisson, Développement psychomoteur, Trouble développement
Mots-clés Pascal anglais : Learning disability, Child, Human, Northern Ireland, United Kingdom, Europe, Medical screening, Preschool age, Sanitary program, Evaluation, Diagnosis, Early, Infant, Psychomotor development, Developmental disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0326328
Code Inist : 002B18D04C. Création : 10/04/1997.