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      Fatores associados ao desenvolvimento neuropsicomotor em crianças de 6-18 meses de vida inseridas em creches públicas do Município de João Pessoa, Paraíba, Brasil Translated title: Factors associated with neurodevelopment in children 6-18 months of age in public daycare centers in João Pessoa, Paraíba State, Brazil Translated title: Los factores asociados con el desarrollo neurológico en los niños de 6-18 meses presentes en guarderías públicas de la ciudad de João Pessoa, Paraíba, Brasil

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          Abstract

          O estudo objetivou verificar a prevalência de alteração no desenvolvimento neuropsicomotor em lactentes inseridos nas creches públicas de João Pessoa, Paraíba, Brasil, e analisar fatores associados ao desenvolvimento infantil. Realizou-se um estudo seccional com o censo de crianças entre 6 e 18 meses de vida inseridas nas creches. O desenvolvimento infantil foi avaliado pelo Teste de Triagem de Denver II. Variáveis de natureza biológica, materna, social, demográfica e relativas à creche foram investigadas através de questionário e formulário. As associações foram ajustadas por regressão logística. A prevalência de alteração no desenvolvimento foi 52,7%. Associou-se à alteração no desenvolvimento a criança ter mais que 12 meses de idade (RC = 4,3), o parto vaginal (RC = 4,4), a fototerapia (RC = 7,9) e a creche não ter apoio da Estratégia Saúde da Família (RC = 2,9). Os achados sugerem que o desenvolvimento infantil é o reflexo das condições familiares, bem como da assistência recebida pelos serviços de educação e saúde.

          Translated abstract

          This study aimed to determine the prevalence of altered neurodevelopment in children in public daycare centers in João Pessoa, Paraíba State, Brazil, and to analyze factors associated with child development. A cross-sectional study was conducted in a sample of children 6 to 18 months of age enrolled in daycare. Child development was assessed by the Denver II Screening Test. Biological, riables were studied with a questionnaire and form. Associations were adjusted using logistic regression. Altered development was present in 52.7% of the children and was associated with age > 12 months (OR = 4.3), vaginal delivery (OR = 4.4), neonatal phototherapy (OR = 7.9), and daycare centers not supported by the Family Health Strategy (OR = 2.9). The findings suggest that child development reflects the family’s conditions and the care received from educational and healthcare services.

          Translated abstract

          El objetivo del estudio fue determinar la prevalencia de desarrollo neurológico alterado en los bebés presentes en guarderías públicas en João Pessoa, Paraíba, Brasil, y analizar los factores asociados con el desarrollo del niño. Se realizó un estudio transversal con el censo de los niños entre 6 y 18 meses de vida que se encontraban siendo cuidados en guarderías. El desarrollo se evaluó mediante la Prueba de Detección de Denver II. Variables biológicas, maternas, sociales, demográficos y relacionadas con el cuidado de niños se investigaron mediante un cuestionario. Las asociaciones se ajustaron mediante regresión logística. La prevalencia de un desarrollo anormal fue de un 52,7%. Asociado a un cambio en el desarrollo de los niños que tienen más de 12 meses de edad (OR = 4,3), parto vaginal (OR = 4,4), fototerapia (OR = 7,9) y no contar con el apoyo de una guardería en el ámbito de estrategia de salud familiar (OR = 2,9). Los resultados sugieren que el desarrollo infantil es un reflejo de las condiciones de la familia y el cuidado que recibe servicios de educación y salud.

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          Are there long-term effects of early child care?

          Effects of early child care on children's functioning from 4(1/2) years through the end of 6th grade (M age=12.0 years) were examined in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (n=1,364). The results indicated that although parenting was a stronger and more consistent predictor of children's development than early child-care experience, higher quality care predicted higher vocabulary scores and more exposure to center care predicted more teacher-reported externalizing problems. Discussion focuses on mechanisms responsible for these effects, the potential collective consequences of small child-care effects, and the importance of the ongoing follow-up at age 15.
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            The Denver II: a major revision and restandardization of the Denver Developmental Screening Test.

            Since the Denver Developmental Screening Test was first published 23 years ago, it has been utilized worldwide and restandardized in more than a dozen countries. Concerns raised through the years by test users about specific items and features of the Denver Developmental Screening Test, coupled with a need for more current norms, have prompted a major revision and restandardization of the test. For the revision, 336 potential items were administered to more than 2000 children. The average number of times each item was administered was 540. Using regression analysis, composite norms for the total sample and norms for subgroups (based on gender, ethnicity, maternal education, and place of residence), were used to determine new age norms. The final selection of the 125 Denver II items was based on the following criteria: ease of administration and scoring, item appeal to child and examiner, item test-retest and inter-rater reliability, minimal "refusal" scores, minimal "no opportunity" scores, minimal subgroup differences, and a smooth step-like progression of ages at which 90% of children could perform the tasks. The major differences between the Denver II and the Denver Developmental Screening Test are: 1) an 86% increase in language items; 2) two articulation items; 3) a new age scale; 4) a new category of item interpretation to identify milder delays; 6) a behavior rating scale; and 7) new training materials.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                csp
                Cadernos de Saúde Pública
                Cad. Saúde Pública
                Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz (Rio de Janeiro )
                1678-4464
                September 2015
                : 31
                : 9
                : 1881-1893
                Affiliations
                [1 ] Universidade Federal da Paraíba Brazil
                [2 ] Fundação Oswaldo Cruz Brazil
                [3 ] Universidade Federal de Alagoas Brazil
                Article
                S0102-311X2015000901881
                10.1590/0102-311X00104814
                26578013
                4fbae0c5-cbf2-446a-97c0-64140045d422

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=0102-311X&lng=en
                Categories
                Health Policy & Services

                Public health
                Child Development,Infant,Risk Factors,Child Day Care Centers,Desarrollo Infantil,Lactante,Factores de Riesgo,Jardines Infantiles,Desenvolvimento Infantil,Lactente,Fatores de Risco,Creches

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