Screening of Neurodevelopmental Delays in Four Communities of Mexico and Cuba

Objective Nursing personnel applied a computerized evaluation instrument, Neuropediatric Development (NPED), and compared the prevalence of deviations from normal neurodevelopment in four communities of two Latin American countries, Mexico and Cuba. At the same time the feasibility of introducing th...

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Bibliographic Details
Published in:Public health Nursing 2012-03, Vol.29 (2), p.105-115
Main Authors: Guadarrama-Celaya, Francia, Otero-Ojeda, Gloria A., Bernardo Pliego-Rivero, F., del Rosario Porcayo-Mercado, María, Ricardo-Garcell, Josefina, Cecilia Pérez-Ábalo, María
Format: Article
Language:English
Subjects:
Child Development
Child, Preschool
Community health care
Cuba
Developmental Disabilities - diagnosis
Developmental Disabilities - epidemiology
Female
Humans
Infant
language development
Language Development Disorders - diagnosis
Language Development Disorders - epidemiology
Male
Mass Screening - methods
Medical screening
Mexico
neurodevelopmental delay
Neurological disorders
Nurses
Nursing
Prevalence
psychomotor development
Psychomotor Disorders - diagnosis
Psychomotor Disorders - epidemiology
screening
Sensation Disorders - diagnosis
Sensation Disorders - epidemiology
sensory development
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Summary:Objective Nursing personnel applied a computerized evaluation instrument, Neuropediatric Development (NPED), and compared the prevalence of deviations from normal neurodevelopment in four communities of two Latin American countries, Mexico and Cuba. At the same time the feasibility of introducing this tool into Mexican local health centers was assessed. Design and Sample The NPED screening tool was applied to 400 children 1–60 months old from two suburban and one urban communities of Mexico and one urban community of Cuba. Measures The NPED instrument was developed at the Neurosciences Centre of Cuba (Santos, & Pérez‐Ábalo, 2011; Santos, Pérez‐Abalo, & Álvarez, 2007), and explores three neurodevelopmental areas: language/communication, psychomotor, and sensory maturation (hearing/vision). Results Global (21.5%), language (16.5%), psychomotor (5.8%), and sensory (vision/audition; 2.3%/7%) failures were observed. Among Mexican communities, apart from the hearing test in which the urban community showed a significantly higher percentage of failures (p 
ISSN:0737-1209
1525-1446
DOI:10.1111/j.1525-1446.2011.00982.x