Abstract
The effects of place on human health and development have been extensively studied in recent years in the adult and adolescent populations, but minimal research has addressed neighborhood effects in early childhood. This analysis of the National Survey of Children’s Health 2011/2012 cross-sectional survey examined relationships between risk for developmental disability in early childhood and neighborhood characteristics in a nationally-representative sample of children ages 0–5 years. Parents reported on their child’s development using a well-validated parent report screening tool for developmental problems (the Parent’s Evaluation of Developmental Status tool), and neighborhood and family characteristics. Multinomial logistic regression analyses were conducted for each of three neighborhood variables: physical disorder, safety, and isolation. After controlling for parental and child characteristics, the three neighborhood variables were each significantly associated with moderate (but not severe) risk versus low to no risk for developmental disabilities. When all neighborhood characteristics were included simultaneously in the same model, only physical disorder remained statistically significant [OR 1.44 (95% CI 1.09–1.91)], though modestly attenuated. These results suggest that neighborhoods may have effects on early childhood development, after controlling for individual child, parental, and family characteristics.
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References
Barajas-Gonzalez, R. G., & Brooks-Gunn, J. (2014). Income, neighborhood stressors, and harsh parenting: Test of moderation by ethnicity, age, and gender. Journal of Family Psychology, 28(6), 855–866. https://doi.org/10.1037/a0038242.
Boardman, J. D., & Saint Onge, J. M. (2005). Neighborhoods and adolescent development. Children, Youth and Environments, 15(1), 138–164.
Brault, M. W. (2011). School-aged children with disabilities in U.S. metropolitan statistical areas: 2010. U.S. Census Bureau. Retrieved from http://www.census.gov/prod/2011pubs/acsbr10-12.pdf.
Brothers, K. B., Glascoe, F. P., & Robertshaw, N. S. (2008). PEDS: Developmental milestones—An accurate brief tool for surveillance and screening. Clinical Pediatrics, 47(3), 271–279. https://doi.org/10.1177/0009922807309419.
Centers for Disease Control and Prevention. (2014). Economic costs | Disability and health. Retrieved from https://www.cdc.gov/ncbddd/disabilityandhealth/economic-data.html.
Centers for Disease Control and Prevention. (2015). Causes and risk factors: Cerebral palsy. Retrieved January 16, 2015, from https://www.cdc.gov/ncbddd/cp/causes.html.
Centers for Disease Control and Prevention. (2016). Facts: Developmental disabilities. Retrieved from https://www.cdc.gov/ncbddd/developmentaldisabilities/facts.html.
Centers for Disease Control. (2018). Facts about developmental disabilities. Retrieved from https://urldefense.proofpoint.com/v2/url?u=https-3A__www.cdc.gov_ncbddd_developmentaldisabilities_facts.html&d=DwIFAg&c=vh6FgFnduejNhPPD0fl_yRaSfZy8CWbWnIf4XJhSqx8&r=cijxKIUfIjh6xB35XSxKelnSNfz2185wGO_qFr-DFH8&m=Qp5Cs63rvq2X4pTebmkbcoNM6kS_3nvnvGV1npC3nso&s=bFUdWaaf9kyIKIO-29wGQuQPh1sren4oWbAfJDQtNdE&e=.
Child and Adolescent Health Measurement Initiative (CAHMI). (2013). National Survey of Children’s Health, 2011/2012, (SAS) Indicator Data Set. Data Resource Center for Child and Adolescent Health supported by Cooperative Agreement from the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). Retrieved from www.childhealthdata.org.
Christian, H., Zubrick, S. R., Foster, S., Giles-Corti, B., Bull, F., Wood, L., et al. (2015). The influence of the neighborhood physical environment on early child health and development: A review and call for research. Health & Place, 33, 25–36. https://doi.org/10.1016/j.healthplace.2015.01.005.
Cotney, J., Muhle, R. A., Sanders, S. J., Liu, L., Willsey, A. J., Niu, W., et al. (2015). The autism-associated chromatin modifier CHD8 regulates other autism risk genes during human neurodevelopment. Nature Communications, 6, 6404. https://doi.org/10.1038/ncomms7404.
Data Resource Center for Child and Adolescent Health. (2015). Survey methods and documentation. Retrieved from http://childhealthdata.org/learn/methods.
Dundas, R., Leyland, A. H., & Macintyre, S. (2014). Early-life school, neighborhood, and family influences on adult health: A multilevel cross-classified analysis of the Aberdeen Children of the 1950s study. American Journal of Epidemiology, 180, 197–207. https://doi.org/10.1093/aje/kwu110.
Kakooza-Mwesige, A., Byanyima, R. K., Tumwine, J. K., Eliasson, A.-C., Forssberg, H., & Flodmark, O. (2016). Grey matter brain injuries are common in Ugandan children with cerebral palsy suggesting a perinatal aetiology in full-term infants. Acta Paediatrica, 105, 655–664. https://doi.org/10.1111/apa.13352.
Kingsbury, M., Kirkbride, J. B., McMartin, S. E., Wickham, M. E., Weeks, M., & Colman, I. (2015). Trajectories of childhood neighbourhood cohesion and adolescent mental health: Evidence from a national Canadian cohort. Psychological Medicine, 45(15), 3239–3248. https://doi.org/10.1017/S0033291715001245.
Leventhal, T., & Brooks-Gunn, J. (2000). The neighborhoods they live in: The effects of neighborhood residence on child and adolescent outcomes. Psychological Bulletin, 126(2), 309–337.
Rice, C. E., Van Naarden Braun, K., Kogan, M. D., Smith, C., Kavanagh, L., Strickland, B., & Blumberg, S. J. (2007). Screening for developmental delays among young children—National Survey of Children’s Health, United States, 2007. Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report. Retrieved from https://www.cdc.gov/mmwr/preview/mmwrhtml/su6302a5.htm.
Shonkoff, J. P. (2003). From neurons to neighborhoods: Old and new challenges for developmental and behavioral pediatrics. Journal of Developmental and Behavioral Pediatrics: JDBP, 24(1), 70–76.
Shonkoff, J. P. (2012). Leveraging the biology of adversity to address the roots of disparities in health and development. Proceedings of the National academy of Sciences of the United States of America, 109(Suppl 2), 17302–17307. https://doi.org/10.1073/pnas.1121259109.
Uwemedimo, O. T., Howlader, A., & Pierret, G. (2017). Parenting practices and associations with development delays among young children in Dominican Republic. Annals of Global Health, 83(3–4), 568–576. https://doi.org/10.1016/j.aogh.2017.10.007.
Zuberi, A., & Teixeira, S. (2017). Child health in low income neighborhoods: The unexpected relationship with neighborhood disorder and other aspects of distress. Journal of Community Psychology, 45(4), 459–472. https://doi.org/10.1002/jcop.21858.
Acknowledgements
The first author is supported by the National Institute of Nursing Research (NINR) of the National Institutes of Health (NIH) under Award Number [redacted]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. These findings were originally presented to the Council for the Advancement of Nursing Science and reviewed by our peers and colleagues. Our thanks to the reviewers and to the CANS audience for suggestions that have improved this paper. Funding for the National Survey of Children’s Health was provided by the Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB).
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Blair, L.M., Ford, J.L. Neighborhood Context and the Risk for Developmental Disabilities in Early Childhood. Matern Child Health J 23, 1213–1219 (2019). https://doi.org/10.1007/s10995-019-02757-w
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DOI: https://doi.org/10.1007/s10995-019-02757-w