Abstract

Background: Transnational marriages are common as a result of globalization, and immigrant mothers face various degrees of differences in language and culture backgrounds. Mothers have great influences on the development of their children, but the effects of immigrant mothers' language and culture backgrounds on developmental delays (DD) are seldom studied. To evaluate the potential effects of immigrant mothers' language and culture backgrounds on DD of their children, we conducted a nationwide study in Taiwan.Methods: We analyzed the data from the national registry of DD in Taiwan from 2010 to 2013 and compared the incidence of DD in young children born to mothers from China, Vietnam, and Indonesia, where most of the immigrant mothers in Taiwan come from. Amongst the three countries, China is the closest to Taiwan in terms of language and culture, followed by Vietnam, and then Indonesia.Results: We identified 4,604 patients of DD in children under 7 years old. The incidence rates showed an increasing trend among children born to mothers from China, Vietnam, and Indonesia (p < 0.01 in all years). Using children born to mothers from Vietnam, whose incidence rate of DD was in the middle amongst the three groups, as the reference, we found the incidence rate ratios in children born to mothers from China ranged from 0.65 to 0.73, and those in children born to mothers from Indonesia ranged from 1.04 to 1.26.Conclusions: The findings support the important role of mothers' language and culture backgrounds in the development of children.

Highlights

  • Developmental delays (DD) in children are common all over the world and constitute an important issue in childhood health [1, 2]

  • We analyzed the data from the national registry of DD in Taiwan from 2010 to 2013 and compared the incidence of DD in young children born to mothers from China, Vietnam, and Indonesia, where most of the immigrant mothers in Taiwan come from

  • Using children born to mothers from Vietnam, whose incidence rate of DD was in the middle amongst the three groups, as the reference, we found the incidence rate ratios in children born to mothers from China ranged from 0.65 to 0.73, and those in children born to mothers from Indonesia ranged from 1.04 to 1.26

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Summary

Introduction

Developmental delays (DD) in children are common all over the world and constitute an important issue in childhood health [1, 2]. A child’s development is affected by a complex mix of factors, and maternal factors play an important role. Among these maternal factors, the biological factors include genetics, behaviors (such as abuse of drugs or alcohol), health, and exposure to environmental toxins. Mothers’ language and culture backgrounds could be considered as social factors, but their effects on child development were seldom studied. Mothers have great influences on the development of their children, but the effects of immigrant mothers’ language and culture backgrounds on developmental delays (DD) are seldom studied. To evaluate the potential effects of immigrant mothers’ language and culture backgrounds on DD of their children, we conducted a nationwide study in Taiwan

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