Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, South Carolina, USA.
International Food Policy Research Institute, Washington, District of Columbia, USA.
Child Care Health Dev. 2022 Jan;48(1):120-128. doi: 10.1111/cch.12911. Epub 2021 Sep 22.
Suboptimal child growth and development are significant problems in low- and middle-income countries. Maternal resources for care may help to improve growth and development. This study examined the association of maternal resources for care on child length, motor development and language development of children 12-23.9 months old.
We used baseline data from the Alive & Thrive household surveys collected in Bangladesh (n = 803) and Vietnam (n = 635). Resources for care were represented by maternal education, knowledge, height, well-nourishment, mental well-being, decision-making, employment, support in chores and perceived support. The regression analyses were adjusted for household wealth and other covariates on households, children and parents and accounted for geographical clustering.
Maternal height (Bangladesh β = 0.150 p < 0.001, Vietnam β = 0.156 p < 0.001), well-nourishment (Vietnam β = 0.882 p = 0.007) and mental well-being (Bangladesh β = 0.0649 p = 0.008, Vietnam β = 0.0742 p = 0.039) were associated with child length. Well-nourishment (Vietnam β = 0.670 p = 0.042) and support in chores (Bangladesh β = 0.0983 p = 0.021) were associated with child motor development. Mental well-being (Vietnam β = 0.0735 p = 0.013), decision-making autonomy (Bangladesh β = 0.0886 p = 0.029) and perceived support (Vietnam β = 0.445 p = 0.003) were associated with child language development.
Maternal height, well-nourishment, mental well-being, decision-making, support in chores and perceived social support were associated with child outcomes. Interventions that help to improve resources among mothers have potential to foster child growth and development.
儿童生长发育不良是中低收入国家面临的重大问题。孕产妇资源的投入有助于改善儿童的生长发育情况。本研究旨在探讨孕产妇资源对 12-23.9 月龄儿童的身高、运动发育和语言发育的影响。
本研究使用 Alive & Thrive 家庭调查的基线数据，该调查在孟加拉国（n=803）和越南（n=635）进行。孕产妇资源由母亲的教育程度、知识水平、身高、营养状况、心理健康、决策能力、就业状况、家务分担支持和感知支持来表示。回归分析调整了家庭、儿童和父母层面的家庭财富和其他协变量，并考虑了地理聚类。
母亲身高（孟加拉国β=0.150，p<0.001；越南β=0.156，p<0.001）、营养状况（越南β=0.882，p=0.007）和心理健康（孟加拉国β=0.0649，p=0.008；越南β=0.0742，p=0.039）与儿童身高有关。营养状况（越南β=0.670，p=0.042）和家务分担支持（孟加拉国β=0.0983，p=0.021）与儿童运动发育有关。心理健康（越南β=0.0735，p=0.013）、决策自主权（孟加拉国β=0.0886，p=0.029）和感知支持（越南β=0.445，p=0.003）与儿童语言发育有关。
母亲的身高、营养状况、心理健康、决策能力、家务分担支持和感知社会支持与儿童的结局有关。改善母亲资源的干预措施可能有助于促进儿童的生长发育。
