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Social inequalities in maternal opinion of child development in southern Brazil
Author(s) -
Lourdes Drachler Maria,
Ganzo De Castro Aerts Denise,
Mendonça De Souza Rosana,
Carlos De Carvalho Leite José,
Justo Giugliani Elsa,
Marshall Tom
Publication year - 2005
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2005.tb02057.x
Subject(s) - medicine , predictive value , population , family income , low income , test (biology) , predictive validity , child development , pediatrics , demography , environmental health , clinical psychology , psychiatry , paleontology , socioeconomics , sociology , economics , biology , economic growth
Aims and methods: Concurrent validity of maternal opinion of child development was estimated in a cross‐sectional, population‐based survey of 6–59‐mo children ( n =3025), using a standard measure devised from the Denver Developmental Screening Test. Results: Sensitivity, specificity and negative predictive value increased with maternal education and family income. Positive predictive value was higher in low‐income families and children with impairments, low birthweight and long hospital stays. Conclusion: Children at social and clinical risk should be assessed more carefully, even if maternal report is normal or advanced.