1. Socioeconomic factors in development and behavioural outcomes in Uruguayan children under 4 years old.  La situación conductual y del desarrollo en la primera infancia (0-4) y su asociación con factores socioeconómicos. Un análisis del caso uruguayo.
Peter Fitermann
Juan Mila
GEF-Grupo de Estudios de Familia - UDELAR
(English translation)

2. The objective of the assesment in early child development
Get free access databases about life conditions and context of children and child development (0-3 )
Collect detailed data about health , nutrition and child development and their causes.
Follow up of a Panel Sample (next wave: November 2015)
Have insights to monitor and design public policies

3. Instruments Sample: 0–47months N=1163.
Socioeconomic questionnaire with contextual information Anthropometric data: height, weight and head circumference Psychometric tests       ASQ: SE       ASQ 3 (from 3rd month )       CBCL (from 18th month)       EEDP (up to 23rd month)       TEPSI language (from the 24th month)       MSP instrument (Uruguay)       Bedregal Instrument(DIEH-Chile)

4. Socio-Emotional Development
Self-regulation
Compliance
Communication
Adaptative functioning
Autonomy
Affect
Interaction with people

5. ASQ:SE
SOCIO-EMOTIONAL
DEVELOPMENT

6. ASQ:SE
SOCIO-EMOTIONAL
DEVELOPMENT

7. ASQ:SE Frequencies and % USA Montevideo 6 m 15% 4% 12 m 12% 3% 18 m 9%
USA
Montevideo
ASQ 
Total
Risk
Risk %
Risk %
6 m 71 11
15%
101 4 4%
12 m 85 10
12%
132 3%
18 m 99 9 9%
192 5%
24 m
152 17
11%
188 19
10%
30 m
116
179 22
36 m 28
16%
244 27
48 m
174 20 50 6
TOTAL
876
105
1086 91 8%

8. ASQ: SE (age in monts)
Nomal range
Monitoring range

9. Socio-Emotional Development.
Risk Range
Normal Range
Above Poverty
Below
Poverty
Household Income by quintiles
Poverty

10. Boys
Girls
Below Poverty
Above Poverty
Monitoring Range
Monitoring Range

11. CBCL PREESCHOOLARS

13. CBCL 1 ½-5 preeschoolars Internalized Problems ( %) Externalized
Normal Distribution (Percentiles P83-P90)

14. It is premature to extract optimistic conclusions from the relatively low values from the ASQ:SE and CBCL 1.5 / 5. analysis. CBCL: Total and Internalized problems, parents have reported fewer symptoms and problem behaviors than the average founded in other societies; otherwise, the prevalence of Externalized Problems is similar to the values found in other societies.
ASQ:SE: low prevalence of difficulties are founded at low ages (less than 24 months)
Cbcl and ASQ:SE search for similar difficulties, sharing only aprox. 10 % of items. Both evaluate the emotional, social and behavioral areas. Both show slightly low means (raw scores).
Is the first use in our society in large scale and these results should be analyzed carefully.

15. URUGUAY

16. CBCL 1 1/2 - 5 Household Income quintiles
Household Income quintiles: from low income (1) to high (5)

17. CBCL Preschoolars -Clinical Range 18 -23 months 24 -35 months
Total
Total Problems
5.03
3.07
2.02
3.78
Internalized Problems
1.44
2.92
3.14
2.31
Externalized Problems
11.14
7.44
5.47
8.79

18. Probability of having problems in different domains, related with educational background (years) of principal caretaker.

19. ASQ:3
18 Questionnaires, 30 items each (aprox.) From 1 to 47 months in this study (66 months max. the instrument) 5 areas of develoment: Comunication Fine Motor skills Gross Motor skills Problem Resolution Social- Individual

22. Grafico 1.- Resultados globales para ASQ:3 Sub-muestra Montevideo, 1-47 meses, N=1163
Gross Motor
Gross Motor
Fine Motor

23. ASQ:3 % of children within Risk Range
<24 months >24 months <24 months >24 months <24 months >24 months <24 months >24 months <24 months >24 months
Communication
Gross Motor
Fine Motor
Problem
Solving
Socio-individual

24. Gross Motor Communication Problem Fine Motor Solving
<24 months >24 months <24 months >24 months <24 months >24 months <24 months >24 months <24 months >24 months Expected
Gross Motor
Problem
Solving
Communication
Fine Motor

26. Gross Motor Skills
Fine Motor Skills
Problem Solving
Communication
Social-Individual

27. ASQ:3 results by Household poverty condition
Pov Not Pov Pov Not Pov Pov Not Pov Pov Not Pov Pov Not Pov
Communication
Gross Motor
Fine Motor
Problem Solving
Risk Range
Monitoring Range

28. ASQ:3 Normal Range by Household income quintiles
Gross Motor
Problem
Solving
Communication
Fine Motor
Quintil 1
Quintil 2
Quintil 3
Quintil 4
Quintil 5

29. ASQ:3 allows to screen motor and psicological -cognitive, social and afective- basic skills
Near twice of % expected of children
in the Risk Range: %.
Aprox. 11% of children in Monitoring Range (acording to expected %)

30. ASQ:3.-
In four of the five areas evaluated, better performances are achieved in 3 years old children. By contrast, Problem Solving area (Cognitive) show an increased value of children in the Risk zone, reaching values of 8.6% in 3 years old children. In the next wave, the age range studied will include children up to 6 years old.

31. ASQ:3 and Household Income
Worst performances are found in lower income households in four areas: communication, fine motor skills, problem solving and social-individual. Only gross motor skills area show no differences in results by household income.

32. The following table summarizes the main findings by gender.
Statistical tests shows differences between genders are significant at 5% for all areas except Gross Motor. The results indicate a slight advantage in performance for girls. With different methodology, only found in the sample without expanding statistically significant differences in the 95% CI for the areas of communication and fine motor skills.
The following table summarizes the main findings by gender.
 Range 
Communication
Gross Motor Skills
Fine Motor Skills
Problem Solving
Social-individual
Boys
Girls
Risk
7,2%
3,4%
4,8%
6,4%
6,2%
2,5%
6,7%
3,8%
Monitoring
9,8%
9,0%
9,1%
6,3%
14,0%
8,5%
10,7%
8,9%
Normal
83,0%
87,6%
86,0%
87,3%
79,8%
89,0%
82,6%

33. Risk and Monitoring Ranges.
ASQ: Girls and Boys –
Risk and Monitoring Ranges.
Monitoring Range
Risk Range
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
Fine Motor
Communication
Gross Motor
Problem
Solving