Prevalence of developmental delays and participation in early intervention services for young children
Prevalence of developmental delays and participation in early intervention services for young children
复制标题
DOI：
10.1542/peds.2007-1680
复制
发表时间：
2008-06-01
期刊：
影响因子：
8
通讯作者：
Robinson, Cordelia C.
中科院分区：
文献类型：
--
作者：
Rosenberg, Steven A.;Zhang, Duan;Robinson, Cordelia C.
目标.本研究的目的是使用2001年出生在美国的儿童的全国代表性纵向样本来估计C部分早期干预的合格率，估计发育迟缓服务的获得率，并检查与获得服务相关的因素。这项研究的数据是作为儿童早期纵向研究，出生队列的一部分收集的，该研究从儿童9个月和24个月大的参与者那里获得数据。描述性分析被用来产生国家估计的发展迟缓，这将使儿童有资格获得C部分服务和参与率的早期干预服务的患病率。进行逻辑回归分析，以检查儿童发育迟缓，种族，保险的可用性，和贫困状况是否与接受服务的可能性。结果表明，样本中约有13%的儿童患有发育迟缓，这使他们有资格接受C部分早期干预。在24个月时，只有10%的发育迟缓儿童得到了服务。发育迟缓的儿童比那些没有发育迟缓的儿童更有可能接受服务;黑人儿童接受服务的可能性低于其他种族和种族群体的儿童。使儿童有资格获得C部分服务的发育迟缓的患病率比以前认为的要高得多。此外，大部分合资格接受丙部服务的儿童，并非因其发展问题而接受服务。需要制定战略，监测早期干预服务的入学模式，并接触更多的少数民族儿童，特别是黑人儿童。
OBJECTIVES. The objective of this study was to use a nationally representative longitudinal sample of children born in the United States in 2001 to estimate rates of eligibility for Part C early intervention, to estimate rates of access to services for developmental delays, and to examine factors that are associated with access to services.METHODS. Data for this study were collected as part of the Early Childhood Longitudinal Study, Birth Cohort, which obtained data from participants when children were 9 and 24 months of age. Descriptive analyses were used to generate national estimates of the prevalence of developmental delays that would make children eligible for Part C services and rates of participation in early intervention services. Logistic regression analyses were conducted to examine whether child developmental delay, race, insurance availability, and poverty status were associated with the probability of receiving services.RESULTS. Results indicated that similar to 13% of children in the sample had developmental delays that would make them eligible for Part C early intervention. At 24 months, only 10% of children with delays received services. Children with developmental delays were more likely to receive services than those who do not have delays; black children were less likely to receive services than children from other ethnic and racial groups.CONCLUSIONS. The prevalence of developmental delays that make children eligible for Part C services is much higher than previously thought. Moreover, the majority of children who are eligible for Part C services are not receiving services for their developmental problems. Strategies need to be developed to monitor patterns of enrollment in early intervention services and reach out to more minority children, particularly black children.