Universidade de Brasília, Brasília, DF, Brazil.
Bethany College, Lindsborg, KS, United State.
Rev Paul Pediatr. 2023 May 15;41:e2022104. doi: 10.1590/1984-0462/2023/41/2022104. eCollection 2023.
The aim of this study was to verify the adequacy of affordances in the home environment of children at risk of developmental delay and to identify factors associated with their frequency.
The cross-sectional study included 97 families who responded to the Affordances in the Home Environment for Motor Development - Infant Scale (AHEMD-IS) for 3-18 months (n=63), or AHEMD - Self-Report (AHEMD-SR) for 18-42 months (n=34). The Mann-Whitney U test was used to identify the differences between the frequencies of affordances between the groups. Multiple linear regression was used to verify the association between the child's sex, mother's marital status, education, socioeconomic level, child and mother's ages, house residents' number, per capita income, and AHEMD scores (α=0.05).
The home affordances' frequency in the AHEMD-IS ranged from less than adequate to excellent, while in the AHEMD-SR, the highest predominance was medium. The offer of stimuli in the AHEMD-IS was significantly higher. Higher socioeconomic level and house residents' number were associated with greater affordances.
The higher the socioeconomic level and house residents' number, the greater the affordances in the homes of children at risk of delay. It is necessary to provide families with some alternatives to make their home environments richer in affordances that favor child development.
本研究旨在验证发育迟缓风险儿童家庭环境中的适宜性，并确定与适宜性频率相关的因素。
这项横断面研究纳入了 97 个家庭，他们对 3-18 个月大的儿童（n=63）的运动发育家庭适宜性评估-婴儿量表（AHEMD-IS）或 18-42 个月大的儿童（n=34）的 AHEMD-自我报告量表（AHEMD-SR）进行了回应。采用曼-惠特尼 U 检验比较了两组家庭环境适宜性频率的差异。采用多元线性回归检验儿童性别、母亲婚姻状况、教育程度、社会经济水平、儿童和母亲年龄、家庭人口、人均收入以及 AHEMD 评分与适宜性的关系（α=0.05）。
AHEMD-IS 中的家庭适宜性频率从不足到优秀不等，而在 AHEMD-SR 中，中等水平的占比最高。AHEMD-IS 中的刺激提供明显更高。较高的社会经济水平和家庭人口数与更多的适宜性相关。
社会经济水平和家庭人口数越高，发育迟缓风险儿童的家庭环境中的适宜性越高。有必要为家庭提供一些替代方案，使他们的家庭环境更富有促进儿童发展的适宜性。
