Children at risk for developmental delay can be recognised by stunting, being underweight, ill health, little maternal schooling or high gravidity

被引:31
作者
Abubakar, Amina [1 ,7 ]
Holding, Penny [2 ,7 ]
Van de Vijver, Fons J. R. [3 ]
Newton, Charles [4 ,5 ,7 ]
Van Baar, Anneloes [6 ]
机构
[1] Tilburg Univ, Dept Dev Clin & Cross Cultural Psychol, NL-5000 LE Tilburg, Netherlands
[2] Case Western Reserve Univ, Cleveland, OH 44106 USA
[3] North West Univ, Potchefstroom, South Africa
[4] London Sch Hyg & Trop Med, London, England
[5] Univ London, Inst Child Hlth, London WC1E 7HU, England
[6] Univ Utrecht, NL-3508 TC Utrecht, Netherlands
[7] KEMRI Wellcome Trust Res Programme, Ctr Geog Med Res Coast, Kilifi, Kenya
基金
英国惠康基金;
关键词
Latent growth curves; children; Africa; stunting; underweight; maternal schooling; health; DEVELOPING-COUNTRIES; COGNITIVE-DEVELOPMENT; EDUCATION; POVERTY; ENVIRONMENT; IMPAIRMENT;
D O I
10.1111/j.1469-7610.2009.02193.x
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Aims: To investigate markers of risk status that can be easily monitored in resource-limited settings for the identification of children in need of early developmental intervention. Methods: Eighty-five children in Kilifi, Kenya, aged between 2 and 10 months at recruitment, were involved in a 10-month follow-up. Data on developmental outcome were collected through parental report using a locally developed checklist. We tested for the unique and combined influence of little maternal schooling and higher gravidity, anthropometric status (being underweight and stunting) and poor health on the level of developmental achievement and the rate of acquisition of developmental milestones. Results: A model with all five predictors showed a good fit to the data (chi 2(21, N = 85) = 23.00, p = .33). Maternal schooling and gravidity and child's stunting were found to predict the rate of developmental achievements (beta = .24, beta = .31, and beta = .41, respectively). Being underweight, ill-health, stunting and gravidity predicted initial developmental status (beta = -.26, beta = -.27, beta = -.43, and beta = -.27). Conclusions: Slow rates of developmental achievement can be predicted using these easy-to-administer measures and the strongest relationship with risk was based on a combination of all measures.
引用
收藏
页码:652 / 659
页数:8
相关论文
共 42 条
  • [1] The effects of poverty on child health and development
    Aber, JL
    Bennett, NG
    Conley, DC
    Li, JL
    [J]. ANNUAL REVIEW OF PUBLIC HEALTH, 1997, 18 : 463 - 483
  • [2] Socioeconomic status, anthropometric status, and psychomotor development of Kenyan children from resource-limited settings: A path-analytic study
    Abubakar, Amina
    de Vijver, Fons Van
    Van Baar, Anneloes
    Mbonani, Leonard
    Kalu, Raphael
    Newton, Charles
    Holding, Penny
    [J]. EARLY HUMAN DEVELOPMENT, 2008, 84 (09) : 613 - 621
  • [3] Aiken LS., 1991, MULTIPLE REGRESSION
  • [4] Health, disease and healthcare in Africa
    Aikins, Ama De-Graft
    Marks, David F.
    [J]. JOURNAL OF HEALTH PSYCHOLOGY, 2007, 12 (03) : 387 - 402
  • [5] Family environment and child's cognitive development:: an epidemiological approach
    Andrade, SA
    Santos, DN
    Bastos, AC
    Pedromônico, MRM
    de Almeida, N
    Barreto, ML
    [J]. REVISTA DE SAUDE PUBLICA, 2005, 39 (04): : 606 - 611
  • [6] Arbuckle J, 2003, AMOS 5.0: User's guide
  • [7] Bayley N., 2006, Bayley scales of infant and toddler development, third edition: Administration manual, V3rd ed
  • [8] Bronfenbrenner U., 1993, Heredity, environment, and the question" how?": A first approximation
  • [9] Bronfenbrenner W., 1979, The ecology of human development: Experiments by nature and design, DOI DOI 10.4159/9780674028845
  • [10] WHO growth standards for infants and young children
    de Onis, M.
    Garza, C.
    Onyango, A. W.
    Rolland-Cachera, M. -F.
    [J]. ARCHIVES DE PEDIATRIE, 2009, 16 (01): : 47 - 53