Rocha Hermano A L, Correia Luciano L, Leite Álvaro J M, Rocha Sabrina G M O, Albuquerque Lucas de S, Machado Márcia M T, Campos Jocileide S, E Silva Anamaria C, Sudfeld Christopher R
Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA.
Department of Maternal and Child Health, Federal University of Ceará, Fortaleza 60020-181, CE, Brazil.
Children (Basel). 2022 Aug 18;9(8):1246. doi: 10.3390/children9081246.
Parenting practices have been identified as a key determinant of children’s developmental outcomes. The aim of this study was to evaluate the association of parenting practices with child development in a cross-sectional population-based study in a low-income state in northeastern Brazil. The study included data on 3566 caregiver−child pairs, and the children were aged 0−66 months. Positive parenting behaviors (PPBs) were conceptualized in areas of interactive play, social development, and speech and language interactions. Child development was evaluated using the Brazilian Ages and Stages Questionnaire. Linear regression analysis was used to assess the relationships. We found that a greater number of PPBs was associated with better child development domain scores. Among infants < 1 year, each additional PPB was associated with a 0.32 standardized mean difference (SMD) greater communication (95% CI: 0.24−0.41) and 0.38 SMD greater problem-solving scores (95% CI: 0.24−0.52). Among children aged 4−6 years old, each additional PPB was associated with improved communication (SMD: 0.22; 95% CI: 0.13−0.32), problem solving (SMD: 0.21; 95% CI: 0.10−0.32) and personal−social domain scores (SMD: 0.26; 95% CI: 0.17−0.36). Our findings indicate that PPB were robustly associated with better outcomes across developmental domains among Brazilian children. Programs and interventions that support PPB can contribute to improvements in development outcomes.
育儿方式已被确定为儿童发展结果的关键决定因素。本研究的目的是在巴西东北部一个低收入州开展的一项基于人群的横断面研究中，评估育儿方式与儿童发展之间的关联。该研究纳入了3566对照顾者与儿童的数据，儿童年龄在0至66个月之间。积极育儿行为（PPB）在互动游戏、社会发展以及言语和语言互动等方面进行了概念化。使用巴西年龄与阶段问卷对儿童发展进行评估。采用线性回归分析来评估两者之间的关系。我们发现，更多的积极育儿行为与更好的儿童发展领域得分相关。在1岁以下的婴儿中，每增加一项积极育儿行为，沟通方面的标准化平均差（SMD）就会增加0.32（95%置信区间：0.24 - 0.41），解决问题的得分增加0.38 SMD（95%置信区间：0.24 - 0.52）。在4至6岁的儿童中，每增加一项积极育儿行为，沟通（SMD：0.22；95%置信区间：0.13 - 0.32）、解决问题（SMD：0.21；95%置信区间：0.10 - 0.32）和个人 - 社会领域得分（SMD：0.26；95%置信区间：0.17 - 0.36）都会得到改善。我们的研究结果表明，在巴西儿童中，积极育儿行为与各发展领域更好的结果密切相关。支持积极育儿行为的项目和干预措施有助于改善发展结果。
