Government promotes developmental assessment and early intervention for more than ten years, and has good results. In recent years, bicultural family increased and children born to foreign women increased to more than 10%. Some studies pointed out that the children born to foreign spouse are prone to specific developmental delay. However, the research about this topic is still little and the conclusions vary. This study analyzes the demography and results of children with developmental delay between native and foreign spouse family. And the present study explores the physiological factors, family environmental factors, the similarities and differences between the types of developmental delay.
This study was performed in a Multidisciplinary Child Assessment Center in a regional education hospital. From 2005 to 2009, 482 children, aged less than 6 y/o (inclusive), diagnosed as developmental delay were enrolled, 404 born to native women, and 78 born to foreign women. The personal base data and results of assessment were analyzed by descriptive and logistic regression analysis. Diagnosis months was (42.57¡Ó16.79) months; male to female ratio was 2.33:1.
Among the factors to affect developmental delay, parity, paternal age, maternal age, with or without care in the intensive care unit, place of residence, father¡¦s occupation, father¡¦s education level, maternal education are significant differences (p <. 05) between the two groups. Children born to foreign spouse are referred more by the education and welfare system (15.4% vs. 11.3%; p<.05), and children born to native spouse are referred more by the health care system (12.3% v.s. 5.1%; p<.05).
The incidences, from high to low, of six types in the two groups are the same. They (native group v.s. foreign group, respectively) are language developmental delay (81.3% v.s. 84.6%), cognitive developmental delay (68.7% v.s. 79.2%, p=.046; if other factors are included and analyzed by logistic regression, the p value is >.05), motor developmental delay (62.8% v.s. 67.9%), emotional developmental delay (39.4% v.s. 46.2%), sensory perception developmental delay (1% v.s. 1.3%), and nonspecific developmental delay (1.5% v.s.3.8%). There are no significant difference between the two groups in the type of developmental delay (p>.05) and the amount of types of developmental delay (p=.113).
Impact of various factors on type of developmental delay was evaluated by logistic regression analysis. Diagnosis age is related to cognitive and emotional developmental delay. Father¡¦s education level is related to cognitive developmental delay. Mode of partum, and delay of initial crying after birth are related to language developmental delay. With or without related physiological disorders is related to language developmental delay and emotional developmental delay. Father¡¦s occupation is related to emotional developmental delay. Father¡¦s education level and occupation are more important than the mother¡¦s, and the impact is significant. The nationality of the mother is not significant in types of developmental delay.
In conclusion, in children diagnosed as developmental dealy, there are only few differences in physiological factors, but there are obvious differences in family environment factors between the two groups. The difference of family environment factors between these two groups is similar to the general community. The delay in the type of developmental delay and the amount of types of developmental delay are no significant difference. And some risk factors, particularly the role of the father, are related to particular types of developmental delay. These results will serve as the reference for Government in formulating health policy and social health promotion.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0214111-153600 |
| Date | 14 February 2011 |
| Creators | Su, Yu-Tsun |
| Contributors | Chen-kuang Niu, Yuan-yi Chia, Ying-chun Li |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0214111-153600 |
| Rights | not_available, Copyright information available at source archive |
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