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Chinese Journal of Evidence -Based Pediatric ›› 2017, Vol. 12 ›› Issue (2): 116-120.

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Comparison in development of young children aged 1 to 66 Months in urban and rural areas in China based on Ages and Stages Questionnaires (the third edition)

ZHU Xi-xiang1,9, LIU Fang2,9, SQUIRES Jane3,9, YUE Hong-ni4,9, XU Ru-chai5,9, LIU Yuan6,9, CHEN Jing7,9, BIAN Xiao-yan8   

  1. 1 Department of Maternal and Child Health Technical Guidance, Yunnan Maternal and Child Health Care Hospital, Kunming 650051, China; 2 Department of Child Health Care, Shiyan Maternal and Child Health Care Hospital, Shiyan  442000, China; 3 Early Intervention Program of University of Oregon, Eugene 97403, U.S.; 4 Department of Child Health Care, Huaian Maternal and Child Health Care Hospital, Huaian 223002, China; 5 Department of Child Health Care, Baoding Maternal and Child Health Care Hospital, Baoding 071000, China; 6 Department of Child Health Care, Maternal and Child Health Care Hospital, Ningxia Hui Autonomous Region, Yinchuan 750002, China; 7 Department of Child Health Care, Yingtan Maternal and Child Health Care Hospital, Yingtan 335001, China;  8 Department of Child Health Care, Shanghai Maternal and Child Health Center, Shanghai 200062, China; 9 Co-first author
  • Received:2017-04-25 Revised:2017-04-25 Online:2017-04-25 Published:2017-04-25
  • Contact: BIAN Xiao-yan，E-mail: xybian2000@163.com

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Abstract:

Objective: To investigate differences and characteristics of the development of children aged 1 to 66 months in urban and rural areas in China.MethodsData from the national norm group of Ages and Stages Questionnaires (Third Edition, Chinese) (ASQ-3) were used to compare the development of young children in urban and rural areas of China in the five developmental domains: communication, gross motor, fine motor, problem solving, and personal social. Twenty age intervals from 1 to 66 months were used for comparison. Data were analyzed using SAS 9.3 and MS Excel. Results: The urban group included 2,236 young children and the rural group included 2,216 young children, with 108-114 young children in each age interval. In communication domain, the urban group scored higher than the rural group in 19 age intervals, and significant differences were found in 6 age intervals. In gross motor domain, the urban group outperformed the rural group in 18 age intervals, and significant differences were found in 8 age intervals. In fine motor domain, the urban group scored higher than the rural group in 18 age intervals, and significant differences were found in 7 age intervals. The urban group scored higher than the rural group in all age intervals in problem solving domain, and significance were found in 11 age intervals. In personal social domain, the urban group scored higher than the rural group in 14 age intervals, and in 3 of them the differences were significant. When comparing the total score, the urban group outperformed the rural group in all age intervals, especially in age intervals older than 26 months; and 11 of the comparisons were significantly different. Conclusion: There were differences between young children's development in urban and rural areas in China. Young children in rural group scored lower than those in urban group in the same age interval. Using ASQ-3 is simple and convenient for children in rural areas, because it may help promote the use of parent-completed screening tools, and increase the awareness of early development of young children.