title: [Health checkup for 3- to 4-year-old children: results of screening tests performed in 1999 by physicians in the Maternal and Infant Welfare program in the Gironde region].
abstract: BACKGROUND
  In the Gironde region, the physicians of the Mother and Infant Welfare department in charge of the 3- to 4-year-old childrens' health checkup have set up a public health approach which led to new practical methods of screening tests in 1999. These have been used to evaluate the children's health problems of that age group in the region.
  
  
  METHODS
  This study concerned 12,421 children born in 1995, attending the nursery schools of Gironde, who underwent a health checkup (visual and hearing screening test, language and behaviour exploration) in 1999.
  
  
  RESULTS
  Among them, 5,208 children failed screenings. One child out of six had language disorders, one child out of seven presented amblyopia, one out of eight suffered from behavioral problems and one child out of nine from a hearing defect. Furthermore, one out of three children who failed the test had several problems.
  
  
  CONCLUSIONS
  This study has enabled us to objectify the frequency of the troubles and their association, this information being particularly useful for evaluating these children's health needs and to help improve their healthcare management.
authors.affiliation: Service de protection maternelle et infantile, direction Solidarité Gironde, esplanade Charles-de-Gaulle, 33074 Bordeaux, France. spetitcarrie@yahoo.fr
authors.forename: S
authors.initials: S
authors.lastname: Petit-Carrié
authors.forename: M
authors.initials: M
authors.lastname: Salamon
authors.forename: S M
authors.initials: SM
authors.lastname: Tison
authors.forename: C
authors.initials: C
authors.lastname: Poisot
authors.forename: E
authors.initials: E
authors.lastname: Bouzigon
authors.forename: C
authors.initials: C
authors.lastname: Stessin
mesh_terms: D002653:Child Behavior Disorders / Q000175:diagnosis / Q000453:epidemiology; D002662:Child Health Services; D002669:Child Welfare; D002675:Child, Preschool; D005260:Female; D005602:France; D006301:Health Services Needs and Demand; D006311:Hearing Disorders / Q000175:diagnosis / Q000453:epidemiology; D006801:Humans; D007806:Language Disorders / Q000175:diagnosis / Q000453:epidemiology; D008297:Male; D008403:Mass Screening; D008427:Maternal Health Services; D015995:Prevalence