Désavantages sociaux et diagnostic développemental chez les pré-scolaires

Aperçu: G.M.

Entre 2012 et 2015, 845 enfants d'âge préscolaire ont été évalués par l'équipe d'évaluation des enfants à l'hôpital de Campbelltown. Une travailleuse sociale a interviewé 469 familles et ces enfants étaient admissibles à l'inclusion dans l'étude. Le trouble du spectre de l'autisme (TSA) a été confirmé chez 290 enfants. Parmi ceux qui n'ont pas de TSA, 72 n'ont pas eu de retard de développement global (GDD) et ont été exclus de l'étude. Les 107 autres enfants avec GDD ont été utilisés comme groupe témoin. 

Les enfants avec un diagnostic de TSA étaient plus susceptibles d'être masculins (et leurs parents étaient plus susceptibles d'avoir un score de stress cliniquement significatif  

Les enfants avec GDD étaient plus susceptibles de vivre dans une banlieue défavorisée , plus susceptibles d'avoir un seul parent et beaucoup plus susceptibles d'avoir eu des liens avec des services de protection de l'enfance .

J Paediatr Child Health. 2017 Apr 11. doi: 10.1111/jpc.13505.

Social disadvantage and developmental diagnosis in pre-schoolers

Kayrouz N¹, Milne SL¹, McDonald JL¹.

Author information

1

The Child Assessment Team, Department of Community Paediatrics, Campbelltown Hospital, Sydney, New South Wales, Australia.

Abstract

AIM:

To explore the association between social disadvantage and developmental diagnoses in pre-school children.

METHODS:

Between 2012 and 2015, 845 pre-school children were assessed by the Child Assessment Team at Campbelltown Hospital. A social worker interviewed 469 families and these children were eligible for inclusion in the study. Autism spectrum disorder (ASD) was confirmed in 290 children. Of those without ASD, 72 did not have global developmental delay (GDD) and were excluded from the study. The remaining 107 children with GDD were used as the comparison group. Social risk factors in the two groups were compared using χ ² tests. Variables with statistical significance were then entered into a logistic regression.

RESULTS:

After logistic regression, children with ASD were more likely to be male (odds ratio (OR) 3.1, 95% CI 0.195-0.529; P < 0.001) and their parents were more likely to have a clinically significant stress score (OR 1.3, 95% CI 0.334-0.992; P = 0.047). Children with GDD were more likely to live in a disadvantaged suburb (OR 1.7, 95% CI 1.042-2.940; P = 0.034), more likely to have a sole parent (OR 1.8, 95% CI 1.062-3.082; P = 0.029) and much more likely to have had involvement with child protection services (OR 3.9, 95% CI 2.044-7.416; P < 0.001).

CONCLUSIONS:

Children with GDD without autism were more likely to be disadvantaged and to have had contact with child protection services than children with ASD. This has implications for the assessment, early intervention and support services for children with disabilities and their families.

© 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

PMID: 28398695

DOI: 10.1111/jpc.13505