Maternal nationality and developmental delays in young children: Analysis of the data from the national registry in Taiwan.
Taiwan’s registry shows fewer developmental-delay flags for kids of immigrant moms, likely reflecting under-detection, not better development.
01Research in Context
What this study did
The team pulled every birth record in Taiwan from 2009-2013. They asked one question: Do kids of immigrant moms get flagged for developmental delays more or less often?
Children were under six. A delay was counted if the child showed up in Taiwan’s national disability registry.
What they found
Kids with immigrant mothers were 32-a large share less likely to be listed with a delay. The gap stayed big across all five years.
In plain numbers, native-born moms had the higher registry rate, not the immigrant group.
How this fits with other research
Hwang et al. (2013) used the same Taiwan registry and also found group differences, but they tied autism risk to preterm birth, not mom’s origin.
Boxum et al. (2018) looked at bilingual toddlers with delays and saw no language harm from two languages. That study and this one both remind us: minority language background itself is not a delay risk.
Jashar et al. (2019) showed minority parents felt slightly less heard during autism checks. Together these papers hint that immigrant families may be under-represented in registries for both cultural and service-access reasons, not because their kids have fewer needs.
Why it matters
If you screen a Taiwanese immigrant family, don’t assume lower risk. The child may simply be outside the referral net. Use direct assessment plus parent interview, and provide materials in the home language. A BCBA can close the gap by actively inviting immigrant parents to share concerns and explaining how to access early-intervention services.
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02At a glance
03Original abstract
BACKGROUND: With globalization, transnational marriages become more and more common around the world. Children born to immigrant mothers might be more likely to have developmental delays, but studies on this topic are limited and with inconsistent results. AIMS: To determine whether children born to immigrant mothers are more likely to have developmental delays. METHODS AND PROCEDURES: We analyzed the data from the national registry of children with developmental delays from 2009 to 2013 and compared the incidence of developmental delays between children born to immigrant mothers and native mothers. We also performed stratified analyses by age, sex, and geographic area. OUTCOMES AND RESULTS: From 2009 to 2013, 78,946 new cases of developmental delays under 6 years of age were registered, including 5619 (7.1%) born to immigrant mothers. The incidence was higher in children born to native mothers in every year with rate ratios ranging from 1.32 to 1.48, and the differences reached statistical significance even after stratification by age, sex, and geographic area. CONCLUSIONS AND IMPLICATIONS: Children born to immigrant mothers had lower incidence of developmental delays in Taiwan. The result may help reduce the discrimination of foreign spouses and their children.
Research in developmental disabilities, 2016 · doi:10.1016/j.ridd.2016.02.003