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Increased ST was significantly associated with developmental delay, in particular, in the domains of language acquisition and communication. In children aged ≥ 2 years, a delay in ≥ 3 domains was associated with ST (adjusted odds ratio [AOR] = 17.75, 95% CI 5.04-62.49, p less then 0.001), as was language delay (AOR = 52.92, 95% CI 12.33-227.21, p less then 0.001). In children aged less then 2 years, a delay in ≥ 2 domains was associated with ST (AOR = 16.79, 95% CI 2.26-124.4, p less then 0.001), as was language delay (AOR = 20.93, 95% CI