Clinical profile of young children with mental retardation and developmental delay in Hong Kong.
OBJECTIVE
To report the clinical profile of children with mental retardation and developmental delay diagnosed by the Child Assessment Service.


METHODS
Retrospective study.


METHODS
Child Assessment Service, Department of Health, Hong Kong.


METHODS
Data pertaining to the children with mental retardation and developmental delay were drawn from an in-house clinical information system in the year 2004.


METHODS
Clinical profiles including: sources, reasons and age of referral, diagnosis, gender ratio, co-morbidities, and socio-economic background.


RESULTS
In 2004, 23% (1463 of 6439) of Child Assessment Service referrals were diagnosed to have mental retardation or developmental delay. The Family Health Service was the major source of referral (64%). The majority (93%) of children were referred before the age of 6 years. The most common reason for referral was language delay (39%). More boys were affected (3 boys: 1 girl). The two most common co-morbidities were autistic spectrum disorders (33% in mental retardation and 19% in developmental delay) and discrepant language delay (17% in mental retardation and 47% in developmental delay). The socio-economic status of these families was higher than those in the general population.


CONCLUSIONS
The data presented here provide information on the descriptive epidemiology of mental retardation and developmental delay among Hong Kong children. Since mental retardation and developmental delay are common developmental disabilities in Hong Kong, public health education to promote and ensure early screening and identification of cases is an important prelude to early training and guidance for families with children having these conditions.
Tang
Kitty M L
KM
Child Assessment Service, Department of Health, Hong Kong. kitty_tang@dh.gov.hk
Chen
Theresa Y K
TY
Lau
Vanessa W Y
VW
Wu
Morris M F
MM
D001321:Autistic Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data; D002675:Child, Preschool; D015897:Comorbidity; D003430:Cross-Sectional Studies; D002658:Developmental Disabilities / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006723:Hong Kong; D006801:Humans; D007223:Infant; D008607:Intellectual Disability / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012744:Sex Ratio; D012959:Socioeconomic Factors