{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:03:06Z","timestamp":1791248586647,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,9,17]],"date-time":"2014-09-17T00:00:00Z","timestamp":1410912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2014,10]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Premature infants with low birthweight (LBW) and asphyxia are at high risk of delay of language and visual\u2013motor development. Environmental risk factors contributing to the delay include parents' education, family income, number of children in the family, exclusive breast\u2010feeding, and the mother's parenting time. Lack of research in I<\/jats:styled-content>ndonesia on premature, LBW<\/jats:styled-content> and mild asphyxia children minimizes information to parents on the importance of an optimal environment. The aim of this study was to observe the role of the environment as a risk factor for delay in language and visual\u2013motor development.<\/jats:p><\/jats:sec>Methods<\/jats:title>A cross\u2010sectional study was carried out from J<\/jats:styled-content>une to D<\/jats:styled-content>ecember 2011 of 12\u201324\u2010month\u2010old children born premature, with LBW<\/jats:styled-content> and mild asphyxia at the H<\/jats:styled-content>asan S<\/jats:styled-content>adikin, B<\/jats:styled-content>andung C<\/jats:styled-content>ity, and M<\/jats:styled-content>uhammadiyah H<\/jats:styled-content>ospitals. Language and visual\u2013motor development were measured by Capute scales. Risk factors were analyzed using chi\u2010squared test and multivariate logistic regression analysis.<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 70 subjects, 49% had language and visual\u2013motor delay. Environmental factors related to the delay were low parental education, low family income, non\u2010exclusive breast\u2010feeding (P<\/jats:italic> < 0.001) and full\u2010time maternal parenting (P<\/jats:italic> < 0.05). On multivariate analysis non\u2010exclusive breast\u2010feeding was associated with a 175\u2010fold risk (prevalence rate [PR]<\/jats:styled-content>, 174.756; 95% confidence interval [CI]<\/jats:styled-content>: 10.407\u20132934.516, P<\/jats:italic> < 0.001), and low family income, a 0.042\u2010fold risk (PR<\/jats:styled-content> 0.042; 95%CI<\/jats:styled-content>: 0.005\u20130.321, P<\/jats:italic> < 0.05).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Low family income and non\u2010exclusive breast\u2010feeding are risk factors for delay in language and visual\u2013motor development in 12\u201324\u2010month\u2010old children born premature, with LBW<\/jats:styled-content> and mild asphyxia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12333","type":"journal-article","created":{"date-parts":[[2014,3,12]],"date-time":"2014-03-12T05:34:51Z","timestamp":1394602491000},"page":"720-725","source":"Crossref","is-referenced-by-count":9,"title":["Environment as a risk factor in delayed development in premature, low\u2010birthweight and mild asphyxia children"],"prefix":"10.1111","volume":"56","author":[{"given":"Hestu Putri","family":"Yanuarti","sequence":"first","affiliation":[{"name":"Department of Child Health Medical School Padjadjaran University Bandung Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kusnandi","family":"Rusmil","sequence":"additional","affiliation":[{"name":"Department of Child Health Medical School Padjadjaran University Bandung Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sjarif Hidajat","family":"Effendi","sequence":"additional","affiliation":[{"name":"Department of Child Health Medical School Padjadjaran University Bandung Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,17]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"1619","volume-title":"Avery's Neonatology: Pathophysiology and Management of the Newborn","author":"Bernbaum J","year":"2005"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-072169347-7.50034-2"},{"key":"e_1_2_5_4_1","first-page":"41","volume-title":"Nelson Textbook of Pediatrics","author":"Olsson J","year":"2007"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-56872010000100005"},{"key":"e_1_2_5_6_1","first-page":"698","volume-title":"Nelson Textbook of Pediatrics","author":"Stoll BJ","year":"2007"},{"key":"e_1_2_5_7_1","first-page":"930","article-title":"Early language delay and predictive factors in children aged 2 years","volume":"92","author":"Prathanee B","year":"2009","journal-title":"J. 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