Denver developmental screening test: Cultural variations in Southeast Asian children

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    For low-income countries, including Cambodia, the lack of cultural and language-specific tools for identifying and characterizing disability can be problematic [5]. Various studies in different populations have shown that direct application of predominantly western tools and their performance reference charts can be inappropriate and invalid [6–13]; for instance, the Khmer language has no plural form of a word. The notion that Cambodia needs its own population-specific developmental screening tool had been explored in studies conducted at a children hospital in Siem Reap province [14].

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    Culture can also clearly play a role in personal and social interactions. This pilot study supports the evidence that western tools, specifically the DDST II, may not be appropriate to screen non-western children for developmental delay, particularly in developing countries like Cambodia [8–15,17]. This study attempted to take a first step by creating a tool which can be used in a future large-scale study with normally developing Cambodian children.

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From the Bureau of Maternal and Child Health, Minneapolis Health Department; the Southeast Asian Refugee Studies Project, Center for Urban and Regional Affairs, and the Department of Pediatrics, University of Minnesota Hospitals.

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