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Family Care Behaviors and Early Childhood Development in Low- and Middle-Income Countries

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Abstract

Epidemiological evidence linking early childhood development (ECD) with family care behaviors is limited. This study assessed relationships of ECD with family care behaviors and child nutritional status in 77,315 children 36–59 months from 26 low- and middle-income countries from the Multiple Cluster Indicator Surveys round 4. We used UNICEF-recommended indicators for literacy–numeracy and learning development. Family care behaviors measured were provision of books and play materials, inadequate care, activities of adult caregivers with child, father’s involvement, attendance to early childhood education program, and violent discipline. Nutritional status was measured by height-for-age z-scores. Three-level linear mixed-model regression analysis was done separately for each ECD outcome. Both developmental domains were associated with family care behaviors, with strongest associations between literacy–numeracy and program attendance, provision of books, and stimulating activities. Differences in the proportion on track for literacy–numeracy were 0.176–0.277 for these three family care behaviors. The multivariable model controlling for maternal education and wealth showed that children with provision of books, program attendance, and four stimulating activities had a proportion of being on track for literac–numeracy that was 0.427 higher than children without these. Higher height-for-age was associated with higher prevalence of being on track for literacy–numeracy and learning development. This study provides epidemiological evidence on the importance of family care behaviors for ECD. ECD could be substantially fostered by interventions that promote appropriate family care behaviors and resources for learning stimulation even in contexts of socioeconomic and educational disadvantage.

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References

  • Akmatov, M. K. (2011). Child abuse in 28 developing and transitional countries—results from the multiple indicator cluster surveys. International Journal of Epidemiology, 40, 219–227.

    Article  PubMed  Google Scholar 

  • Belsky, J., Bell, B., Bradley, R. H., Stallard, N., & Stewart-Brown, S. L. (2007). Socioeconomic risk, parenting during the preschool years and child health age 6 years. The European Journal of Public Health, 17, 508–513.

    Article  PubMed  Google Scholar 

  • Bernal, R. (2008). The effect of maternal employment and child care on children’s cognitive development. International Economic Review, 49, 1173–1209.

    Article  Google Scholar 

  • Black, M. M., Sazawal, S., Black, R. E., Khosla, S., Kumar, J., & Menon, V. (2004). Cognitive and motor development among small-for-gestational-age infants: Impact of zinc supplementation, birth weight, and caregiving practices. Pediatrics, 113, 1297–1305.

    Article  PubMed  PubMed Central  Google Scholar 

  • Black, M. M., Walker, S. P., Fernald, L. C., Andersen, C. T., DiGirolamo, A. M., Lu, C., McCoy, D. C., Fink, G., Shawar, Y. R., Shiffman, J., Devercelli, A. E., Wodon, Q. T., Vargas- BarÓn, E., & Grantham-McGregor, S., International Child Development Steering Group. (2017). Early childhood development coming of age: Science through the life course. The Lancet, 389(10064), 77–90.

    Article  Google Scholar 

  • Bornstein, M. H., Britto, P. R., Nonoyama‐Tarumi, Y., Ota, Y., Petrovic, O., & Putnick, D. L. (2012). Child development in developing countries: Introduction and methods. Child Development, 83, 16–31.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bradley, R. H., & Corwyn, R. F. (2005). Caring for children around the world: A view from HOME. International Journal of Behavioral Development, 29, 468–478.

    Article  Google Scholar 

  • Bradley, R. H., Corwyn, R. F., McAdoo, H. P., & García Coll, C. (2001). The home environments of children in the United States part I: Variations by age, ethnicity, and poverty status. Child Development, 72, 1844–1867.

    Article  PubMed  Google Scholar 

  • Bradley, R. H., & Putnick, D. L. (2012). Housing quality and access to material and learning resources within the home environment in developing countries. Child Development, 83, 76–91.

    Article  PubMed  PubMed Central  Google Scholar 

  • Britto, P. R., & Ulkuer, N. (2012). Child development in developing countries: Child rights and policy implications. Child Development, 83, 92–103.

    Article  PubMed  Google Scholar 

  • Cox, D. R., & Snell, E. J. (1989). Analysis of binary data (2nd ed., p. 252). New York: CRC Press.

    Google Scholar 

  • Deaton, A. (1997). The analysis of household surveys: A microeconometric approach to development policy (p. 492). Washington: World Bank Publications.

    Book  Google Scholar 

  • Engle, P. L., Black, M. M., Behrman, J. R., De Mello, M. C., Gertler, P. J., Kapiriri, L., Martorell, R., & Young, M. E., International Child Development Steering Group. (2007). Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. The Lancet, 369, 229–242.

    Article  Google Scholar 

  • Engle, P. L., Young, M. E., & Tamburlini, G. (2013). The role of the health sector in early childhood development. Handbook of early childhood development research and its impact on global policy (pp. 183–201). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Frongillo, E. A., Tofail, F., Hamadani, J. D., Warren, A. M., & Mehrin, S. F. (2014). Measures and indicators for assessing impact of interventions integrating nutrition, health, and early childhood development. Annals of the New York Academy of Sciences, 1308, 68–88.

    Article  PubMed  Google Scholar 

  • Goldfeld, S., Woolcock, G., Katz, I., Tanton, R., Brinkman, S., O’Connor, E., Mathews, T., & Giles-Corti, B. (2015). Neighbourhood effects influencing early childhood development: Conceptual model and trial measurement methodologies from the kids in communities study. Social Indicators Research, 120, 197–212.

    Article  Google Scholar 

  • Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., & Strupp, B., International Child Development Steering Group. (2007). Developmental potential in the first 5 years for children in developing countries. The Lancet, 369, 60–70.

    Article  Google Scholar 

  • Grantham-McGregor, S. M., Fernald, L. C., & Sethuraman, K. (1999). Effects of health and nutrition on cognitive and behavioural development in children in the first three years of life. Part 1: Low birthweight, breastfeeding, and protein-energy malnutrition. Food and Nutrition Bulletin, 20, 53–75.

    Article  Google Scholar 

  • Grantham-McGregor, S. M., Walker, S. P., Chang, S. M., & Powell, C. A. (1997). Effects of early childhood supplementation with and without stimulation on later development in stunted Jamaican children. The American Journal of Clinical Nutrition, 66, 247–253.

    PubMed  Google Scholar 

  • Hamadani, J. D., Tofail, F., Hilaly, A., Huda, S. N., Engle, P., & Grantham-McGregor, S. M. (2010). Use of family care indicators and their relationship with child development in Bangladesh. Journal of Health, Population and Nutrition, 28, 23–33.

    Article  Google Scholar 

  • Heckman, J. J. (2013). Giving kids a fair chance (p. 148). Cambridge: MIT Press.

    Google Scholar 

  • Hellevik, O. (2009). Linear versus logistic regression when the dependent variable is a dichotomy. Quality & Quantity, 43, 59–74.

    Article  Google Scholar 

  • Janus, M., & Offord, D. R. (2007). Development and psychometric properties of the early development instrument (EDI): A measure of children’s school readiness. Canadian Journal of Behavioural Science/Revue Canadienne des Sciences du Comportement, 39, 1–22.

    Article  Google Scholar 

  • Kariger, P., Frongillo, E. A., Engle, P., Britto, P. M. R., Sywulka, S. M., & Menon, P. (2012). Indicators of family care for development for use in multicountry surveys. Journal of Health, Population and Nutrition, 30, 472–486.

    Google Scholar 

  • Lansford, J. E., & Deater‐Deckard, K. (2012). Childrearing discipline and violence in developing countries. Child Development, 83, 62–75.

    Article  PubMed  Google Scholar 

  • Lozoff, B., Wolf, A. W., Urrutia, J. J., & Viteri, F. E. (1985). Abnormal behavior and low developmental test scores in iron-deficient anemic infants. Journal of Developmental & Behavioral Pediatrics, 6, 69–75.

    Article  Google Scholar 

  • Maccoby, E. E., & Martin, J. A. (1983). Socialization in the context of the family: Parent-child interaction. Handbook of child psychology: formerly Carmichael’s Manual of child psychology/Paul H. Mussen, editor. http://www.agris.fao.org/agris-search/search.do?recordID=US201301452933.

  • Maggi, S., Irwin, L. J., Siddiqi, A., & Hertzman, C. (2010). The social determinants of early child development: An overview. Journal of Paediatrics and Child Health, 46, 627–635.

    Article  PubMed  Google Scholar 

  • Maulik, P. K., & Darmstadt, G. L. (2009). Community-based interventions to optimize early childhood development in low resource settings. Journal of Perinatology, 29, 531–542.

    Article  PubMed  Google Scholar 

  • McCoy, D. C., Peet, E. D., Ezzati, M., Danaei, G., Black, M. M., Sudfeld, C. R., Fawzi, W., & Fink, G. (2016). Early childhood developmental status in low-and middle-income countries: National, regional, and global prevalence estimates using predictive modeling. PLoS Medicine, 13, e1002034 doi:10.1371/journal.pmed.1002034.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mei, Z., & Grummer-Strawn, L. M. (2007). Standard deviation of anthropometric Z-scores as a data quality assessment tool using the 2006 WHO growth standards: A cross country analysis. Bulletin of the World Health Organization, 85, 441–448.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rabe-Hesketh, S., & Skrondal, A. (2008). Multilevel and longitudinal modeling using Stata (p. 598). College Station, TX: Stata Press.

    Google Scholar 

  • Santos, D. N., Assis, A. M. O., Bastos, A. C. S., Santos, L. M., Santos, C. A. S., Strina, A., Prado, M. S., Almeida-Filho, N. M., Rodrigues, L. C., & Barreto, M. L. (2008). Determinants of cognitive function in childhood: A cohort study in a middle income context. BMC Public Health, 8, 202.

    Article  PubMed  PubMed Central  Google Scholar 

  • Spencer, N. (2000). Poverty and child health (p. 352). Oxford: Radcliffe Medical Press.

    Google Scholar 

  • UNICEF (2008). The state of the world’s children. http://www.unicef.org/sowc/.

  • UNICEF (2012a). Multiple indicator cluster surveys tools. http://www.mics.unicef.org/tools.

  • UNICEF (2012b). MICS4 data processing workshops. Workshops. http://www.mics.unicef.org/workshops#data-processing-workshops.

  • UNICEF. (2013). The formative years: UNICEF’s work on measuring early childhood development. New York: UNICEF.

    Google Scholar 

  • Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S., Maternal and Child Undernutrition Study Group. (2008). Maternal and child undernutrition: Consequences for adult health and human capital. The Lancet, 371, 340–357.

    Article  Google Scholar 

  • Wachs, T. D., & Rahman, A. (2013). The nature and impact of risk and protective influences on children’s development in low-income countries. Handbook of early childhood development research and its impact on global policy (pp. 85–122). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Walker, S. P., Wachs, T. D., Gardner, J. M., Lozoff, B., Wasserman, G. A., Pollitt, E., & Carter, J. A., International Child Development Steering Group. (2007). Child development: Risk factors for adverse outcomes in developing countries. The Lancet, 369, 145–157.

    Article  Google Scholar 

  • Yousafzai, A. K., Rasheed, M. A., Rizvi, A., Armstrong, R., & Bhutta, Z. A. (2014). Effect of integrated responsive stimulation and nutrition interventions in the lady health worker programme in Pakistan on child development, growth, and health outcomes: a cluster-randomised factorial effectiveness trial. The Lancet, 384, 1282–1293.

    Article  Google Scholar 

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Acknowledgements

This work was supported by a grant from the Sackler Institute for Nutrition Science at the New York Academy of Sciences.

Author Contributions

E.A.F.: designed the study, guided the data analyses, and wrote the paper. S.K.: organized the data, conducted the data analysis, and collaborated with the writing of the study. S.B.: conducted the literature review and drafted parts of the paper. F.C.: collaborated with the interpretation of results and writing of the study.

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Correspondence to Edward A. Frongillo.

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The authors declare that they have no competing interests.

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All procedures were in accordance with the ethical standards of the institutional review board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

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Frongillo, E.A., Kulkarni, S., Basnet, S. et al. Family Care Behaviors and Early Childhood Development in Low- and Middle-Income Countries. J Child Fam Stud 26, 3036–3044 (2017). https://doi.org/10.1007/s10826-017-0816-3

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