Desenvolvimento neuropsicomotor: O teste de Denver na triagem dos atrasos cognitivos e neuromotores de pré-escolares

Abstract

This study investigated the prevalence of abnormal neuropsychomotor developmental performance and associated factors in children enrolled in the public preschool system in Feira de Santana, Bahia State, Brazil, 2009 (N = 438). This was a cross-sectional epidemiological study with random sampling of schools and children. The study analyzed associated factors with a questionnaire applied to mothers and the Denver Developmental Screening Test (DDST) II in the preschool children. Statistical analysis used the χ ;2; test with 95% confidence interval and α = 5%. Prevalence of abnormal developmental performance was 46.3%. According to logistic regression analysis, variables showing statistically significant association were: male gender (PR = 1.43; p = 0.00), age five years (PR = 1.42; p = 0.00), lack of prenatal care (PR = 1.41; p = 0.00), first prenatal visit ≥ 3 months gestation (PR = 1.25; p = 0.00), and alcohol consumption during pregnancy (PR = 1.55; p = 0.00). Prevalence of abnormal development was high, thus highlighting the need for early prenatal care, warnings against alcohol consumption during pregnancy, and early childhood monitoring, aimed at prevention or early treatment.