Autism & Developmental

The influence of Chinese one-child family status on developmental coordination disorder status.

Hua et al. (2014) · Research in developmental disabilities 2014
★ The Verdict

Chinese only-children are slightly more likely to show motor delays, so flag them during preschool screenings and add extra movement practice.

✓ Read this if BCBAs and RBTs who assess or run motor-skills programs for preschoolers in China or similar one-child family cultures.
✗ Skip if Clinicians who work only with school-age or Western populations where most children have siblings.

01Research in Context

01

What this study did

Hua et al. (2014) looked at preschoolers in mainland China. They asked: do kids without brothers or sisters show more motor problems?

They compared only-children with kids who have siblings. All children were 3–5 years old and attended regular kindergartens.

Teachers and parents filled out standard motor checklists. The team then counted how many children met the cutoff for developmental coordination disorder, or DCD.

02

What they found

Only-children scored lower on every motor task. They also met the DCD cutoff more often than kids with siblings.

The gap was small but held up even after the researchers adjusted for age, sex, and city type.

03

How this fits with other research

Redondo-Tébar et al. (2021) saw the same low motor scores in Spanish preschoolers with DCD. Their study used quality-of-life scales instead of sibling status, yet the negative pattern matches.

Delgado-Lobete et al. (2019) found a 12 % DCD rate in older Spanish pupils. That number is higher than Jing’s Chinese rate, but the Spanish sample was 8–14 years old and used a looser screening rule—so the two studies do not really clash.

Takahashi et al. (2017) showed that even mild motor delays raise maternal stress in Israeli 3–5-year-olds. Together with Jing’s work, this suggests early motor screening should happen no matter the family size or country.

04

Why it matters

If you screen preschoolers in Chinese families, mark “only-child” as a small red flag. The child may need extra motor play, climbing, or catching games at home and at school. Share this finding with parents who feel guilty about having just one child; the risk is modest and fixable with activity.

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Add a quick parent question—“Any brothers or sisters?”—to your intake form; if the answer is no, schedule an extra 5-minute gross-motor warm-up each session.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
4001
Population
developmental delay
Finding
negative
Magnitude
small

03Original abstract

We conducted a population-based study on Developmental Coordination Disorder (DCD) in mainland China to explore the influence of one-child status in Chinese families on DCD. A total of 4001 children selected from 160 classes in 15 public nursery schools. The Movement Assessment Battery for Children assessed motor function. The prevalence of DCD in Chinese one-child families (8.7%) was higher than that in multi-child families (5.9%). Chinese one-child family status (compared with younger children in multi-child families) were negatively related with total score (-1.793), Manual dexterity (-0.228), Aiming and catching (-1.145), Balance (-0.433) of MABC-2 and DCD (OR=2.294) when adjusted for the children's and family's characteristics, and perinatal factors (each p<0.05). As one of the studies in this Chinese context, it provides a platform for future intervention programs in one-child families in preventing children's developmental disorders.

Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2014.07.044