Change Indicator

Children ages birth to 5 who are at risk for developmental delays, by income level in United States

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Definition and Source



Children ages 0 to 5 whose parents report they are at risk for developmental delay, by income level.

Parents of children ages 4 months and older were asked about specific concerns about their child. If parents answered that they had “a lot” or “a little” concern regarding any developmental areas that are considered predictive of delay at a given age, then the child was classified as being risk for delay. Predictive concerns items are based on a commonly used screener Parent’s Evaluation of Developmental Status (PEDS). For more information on PEDS see 

 Predictive concerns included how the child:

- talks and makes speech sounds (ages 4 mos – 5 yrs)

- gets along with others (ages 4 – 17 mos)

- understands what the parent says (ages 18 mos-5 yrs)

- uses his or her arms and legs (ages 3 – 5 yrs)

- uses his or her hands and fingers to do things (age 5 yrs only)

- is learning pre-school or school skills (age 5 yrs only)

Data Source

Child Trends analysis of data from the U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, National Survey of Children’s Health.
The national and state-level data used here come from the National Survey of Children’s Health (NSCH). The NSCH includes information on over 102,000 children under age 18, with roughly 2,000 children per state. Households were selected through a random-digit-dial sample, and one child was randomly selected in each household. Information on each child is based on responses of the parent or guardian in the household who was most knowledgeable about the sampled child’s health. Information was collected via a computer-assisted telephone interview. For more information on the NSCH, see:

Data for the 2011-2012 NSCH was collected February 2011 through June 2012..


Updated November 2014.
N.A. - Data not available.

Last Updated

November 2014