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儿童早期发展及其与产妇生育次数的关系。

Early childhood development and its association with maternal parity.

机构信息

Department of Public Health, La Trobe University, Melbourne, Victoria.

Department of Population Sciences, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.

出版信息

Child Care Health Dev. 2023 Jan;49(1):80-89. doi: 10.1111/cch.13011. Epub 2022 Apr 9.


DOI:10.1111/cch.13011
PMID:35384014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10084392/
Abstract

BACKGROUND: Maternal parity, which is usually measured as the number of children born to a mother, has a substantial impact on the social and environmental factors around children and their development. This paper estimates the Early Childhood Development Index (ECDI) of 3- and 4-year-old children in Bangladesh and examines the relationship between maternal parity and early childhood development. METHODS: The study analysed nationally representative data from the Bangladesh Multiple Indicator Cluster Survey 2019. The dataset had 9453 children aged from 36 to 59 months. The ECDI was computed following the UNICEF's approach involving psychometric computation of four domains of development: physical, literacy-numeracy, learning and social-emotional. Since the dataset has a hierarchical structure, we used multilevel logistic regression. RESULTS: A quarter (25%) of the children were not on track in their early childhood development. Seventy-one percent were not developmentally on track in the literacy-numeracy domain, 27% were not in the social-emotional and smaller percentages were not in learning (9%) and physical (1%) domains. There was a significant negative association between maternal parity and ECDI (adjusted odds ratio [AOR] 0.95; 95% CI: 0.91-0.99). Attendance at early childhood education programmes was significantly associated with early childhood development (AOR 1.73; 95% CI: 1.47-2.03). Also, female children, those who were not stunted, located in rural areas, received parental stimulation activities, lived in relatively wealthy households or had mothers who had received secondary or further education were more likely than others to be on track of early childhood development. CONCLUSIONS: Early childhood development is negatively correlated with maternal parity. The literacy-numeracy domain constitutes the major developmental delay. Programmes for parental awareness should be widely expanded.

摘要

背景:母亲生育子女数量(通常以母亲所生孩子的数量来衡量)对儿童及其发展的社会和环境因素有重大影响。本文估算了孟加拉国 3 岁和 4 岁儿童的早期儿童发展指数(ECDI),并考察了母亲生育子女数量与儿童早期发展之间的关系。

方法:本研究分析了 2019 年孟加拉国多指标类集调查的全国代表性数据。该数据集包含 9453 名 36 至 59 个月大的儿童。ECDI 是根据联合国儿童基金会(UNICEF)的方法计算得出的,该方法涉及对发展的四个领域(身体、读写算、学习和社会情感)进行心理测量计算。由于数据集具有层次结构,我们使用了多层次逻辑回归。

结果:四分之一(25%)的儿童在早期儿童发展方面没有取得进展。71%的儿童在读写算领域没有取得发展,27%的儿童在社会情感方面没有取得发展,较小比例的儿童在学习(9%)和身体(1%)领域没有取得发展。母亲生育子女数量与 ECDI 呈显著负相关(调整后的优势比[OR]为 0.95;95%置信区间:0.91-0.99)。参加早期儿童教育方案与早期儿童发展显著相关(调整后的 OR 为 1.73;95%置信区间:1.47-2.03)。此外,女童、未发育迟缓、居住在农村地区、接受父母刺激活动、生活在相对富裕家庭或母亲接受过中等或高等教育的儿童,比其他儿童更有可能在早期儿童发展方面取得进展。

结论:早期儿童发展与母亲生育子女数量呈负相关。读写算领域构成了主要的发育迟缓领域。应广泛扩大父母意识计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6de/10084392/fca9e750a9e7/CCH-49-80-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6de/10084392/fca9e750a9e7/CCH-49-80-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6de/10084392/fca9e750a9e7/CCH-49-80-g001.jpg

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本文引用的文献

[1]
Early childhood suspected developmental delay in 63 low- and middle-income countries: Large within- and between-country inequalities documented using national health surveys.

J Glob Health. 2020-6

[2]
Socio-demographic factors associated with normal linear growth among pre-school children living in better-off households: A multi-country analysis of nationally representative data.

PLoS One. 2020-3-11

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Determinants of Cognitive Development in the Early Life of Children in Bhaktapur, Nepal.

Front Psychol. 2019-12-6

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Risk and protective factors for child development: An observational South African birth cohort.

PLoS Med. 2019-9-27

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Multiple Indicator Cluster Surveys: Delivering Robust Data on Children and Women across the Globe.

Stud Fam Plann. 2019-9-5

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Social Determinants of Health and Related Inequalities: Confusion and Implications.

Front Public Health. 2019-2-8

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Association between stunting and early childhood development among children aged 36-59 months in South Asia.

Matern Child Nutr. 2018-11

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Significant cognitive delay among 3- to 4-year old children in low- and middle-income countries: prevalence estimates and potential impact of preventative interventions.

Int J Epidemiol. 2018-10-1

[9]
Paternal Stimulation and Early Child Development in Low- and Middle-Income Countries.

Pediatrics. 2016-9-6

[10]
Risk and protective factors in early child development: Results from the All Our Babies (AOB) pregnancy cohort.

Res Dev Disabil. 2016-11

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