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Table 4 Concordance between concerns of parents and problems assessed by CHPs on various domains, respectively (n = 4,107) (= 100%))

From: Parents' concerns about children are highly prevalent but often not confirmed by child doctors and nurses

Domain

Prevalence rates of

Parents have any concerns @

Parent have no concerns @

P #

 

Any parental concern

CHP assessed problem

CHP: problems

CHP: no problems

CHP: problems

CHP: no problems

 

Behavioural problems

1004 (25.6%)

295 (7.2%)

101 (2.5%)

901 (22.2%)

161 (4.0%)

2891 (71.3%)

 

   rate of problems $

  

22.8%

15.2%

6.8%

4.3%

< 0.0001

Emotional problems

622 (15.2%)

265 (6.5%)

82 (2.0%)

539 (13.3%)

213 (5.3%)

3213 (79.4%)

 

   rate of problems ^

  

47.6%

29.4%

13.3%

5.6%

< 0.0001

Parenting in general

851 (20.8%)

239 (5.9%)

134 (3.3%)

744 (18.3%)

102 (2.5%)

3077 (75.8%)

 

Developmental delay

510 (12.5%)

77 (1.9%)

39 (1.0%)

470 (11.6%)

38 (0.9%)

3507 (86.5%)

 

Consequences of disease

610 (15.0%)

56 (1.6%)

31 (0.8%

577 (14.3%)

22 (0.5%)

3414 (84.4%)

 

   rate of problems

  

83.3%

32.6%

22.7%

7.4%

< 0.0001

  1. @Total numbers of children with parent-reported problems and with CHP assessed problems are slightly lower than columns 2 and 3 (prevalence rates), respectively, because of some omissions in the cross-tabulations. Non-italicised percentages indicate the proportion of all children that is in that category. Italicised percentages indicate the percentage of the children in that category that has a score is in the highest decile on the CBCL/ITSEA.
  2. $ Score in highest decile of externalizing problems on ITSEA (age 14 months) or CBCL (3 years 9 months and over).
  3. ^ Score in highest decile of internalizing problems on ITSEA (age 14 months) or CBCL (3 years 9 months and over).
  4. # P value for differences across the categories of concern in rates of parent-reported problems.
  5. & All kappas: p < 0.0001