PDF(Pubmed)
Abstract：
UNASSIGNED: This study aims to identify the contexts, environments, and nurturing care predictors that determine whether a child is developmentally on track in Ceará, Brazil.
UNASSIGNED: We analysed data from a cross-sectional study conducted with caregivers of 6,447 children aged 0-59 months during a vaccination campaign in Ceará in October 2019. The validated Child Development Assessment Questionnaire was used to assess early childhood development (ECD) and children with a z-score ≥ -1 SD were considered developmentally on track. We conducted logistic regression models to understand the effects of contexts, environments, and nurturing care domains on ECD.
UNASSIGNED: Children in the early years (< 36 months) were more likely to meet the ECD milestones if they were not born with low birth weight (AOR: 0·64; 95% CI: 0·42-0·97), were exposed to manufactured toys in their house (2·68; 1·97-3·66), their heads of household were employed (1·61; 1·16-2·23), and their caregivers had read the Child Health Handbook (1·42; 1·13-1·77) and engaged them in stimulating activities (1·71; 1·26-2·32). Children aged 36-59 months were more likely to meet the ECD milestones if they were breastfed (never: ref. / < 3 months: 3·72; 1·91-7·26 / 3-5 months: 3·21; 1·74-5·93 / 6-11 months: 3·73; 1·95-7·16 / ≥ 12 months: 3·89; 2·25-6·72), had books at home (0: ref / 1-3: 1·71; 1·22-2·40 / 4-6: 2·24; 1·27-3·94 / 7+: 2·71; 1·05-7·00), and their caregivers received information about ECD (1·49; 1·11-2·01) and engaged them in stimulating activities (1·80; 1·27-2·56). Children aged 36-59 months were less likely to meet developmental milestones if they watched TV or used tablets/smartphones for more than two hours per day (0·61; 0·44-0·84), played with household objects (0·62; 0·41-0·92), participated in governmental early childhood programmes aimed at vulnerable families (0·62; 0·45-0·86), had families that participated in income transfer programmes (0·68; 0·47-0·99) (families living in poverty or extreme poverty), and their caregivers considered slapping (0·67; 0·48-0·94) a necessary disciplinary method.
UNASSIGNED: Having favourable socioeconomic conditions, breastfeeding, the absence of harsh discipline, caregivers who provide responsive care, and the provision of opportunities for early learning are the key factors that increase the likelihood of a child achieving their full developmental potential in Ceará, Brazil.
UNASSIGNED: This study was supported by the Maria Cecília Souto Vidigal Foundation (F0245), Brazil. The funder had no role in the design, analysis, or writing of this article.
UNASSIGNED: We analysed data from a cross-sectional study conducted with caregivers of 6,447 children aged 0-59 months during a vaccination campaign in Ceará in October 2019. The validated Child Development Assessment Questionnaire was used to assess early childhood development (ECD) and children with a z-score ≥ -1 SD were considered developmentally on track. We conducted logistic regression models to understand the effects of contexts, environments, and nurturing care domains on ECD.
UNASSIGNED: Children in the early years (< 36 months) were more likely to meet the ECD milestones if they were not born with low birth weight (AOR: 0·64; 95% CI: 0·42-0·97), were exposed to manufactured toys in their house (2·68; 1·97-3·66), their heads of household were employed (1·61; 1·16-2·23), and their caregivers had read the Child Health Handbook (1·42; 1·13-1·77) and engaged them in stimulating activities (1·71; 1·26-2·32). Children aged 36-59 months were more likely to meet the ECD milestones if they were breastfed (never: ref. / < 3 months: 3·72; 1·91-7·26 / 3-5 months: 3·21; 1·74-5·93 / 6-11 months: 3·73; 1·95-7·16 / ≥ 12 months: 3·89; 2·25-6·72), had books at home (0: ref / 1-3: 1·71; 1·22-2·40 / 4-6: 2·24; 1·27-3·94 / 7+: 2·71; 1·05-7·00), and their caregivers received information about ECD (1·49; 1·11-2·01) and engaged them in stimulating activities (1·80; 1·27-2·56). Children aged 36-59 months were less likely to meet developmental milestones if they watched TV or used tablets/smartphones for more than two hours per day (0·61; 0·44-0·84), played with household objects (0·62; 0·41-0·92), participated in governmental early childhood programmes aimed at vulnerable families (0·62; 0·45-0·86), had families that participated in income transfer programmes (0·68; 0·47-0·99) (families living in poverty or extreme poverty), and their caregivers considered slapping (0·67; 0·48-0·94) a necessary disciplinary method.
UNASSIGNED: Having favourable socioeconomic conditions, breastfeeding, the absence of harsh discipline, caregivers who provide responsive care, and the provision of opportunities for early learning are the key factors that increase the likelihood of a child achieving their full developmental potential in Ceará, Brazil.
UNASSIGNED: This study was supported by the Maria Cecília Souto Vidigal Foundation (F0245), Brazil. The funder had no role in the design, analysis, or writing of this article.
摘要：
未经评估：本研究旨在确定背景，环境，和培养护理预测因子，确定孩子在塞阿拉的发育是否正常，巴西。
UNASSIGNED：我们分析了一项横断面研究的数据，该研究是在2019年10月在塞阿拉进行的疫苗接种活动中，对6,447名0-59个月儿童的照顾者进行的。经过验证的儿童发育评估问卷用于评估早期儿童发育（ECD），z评分≥-1SD的儿童被认为是发育正常的。我们进行了逻辑回归模型来了解环境的影响，环境，并在ECD上培育护理领域。
UNASSIGNED：早年（<36个月）的儿童如果不是低出生体重的，则更有可能达到ECD里程碑（AOR：0·64；95％CI：0·42-0·97），在他们的房子里暴露于人造玩具(2·68；1·97-3·66)，他们的户主受雇(1·61；1·16-2·23)，他们的照顾者阅读了《儿童健康手册》(1·42;1·13-1·77)，并参与刺激活动(1·71;1·26-2·32)。如果母乳喂养，36-59个月的儿童更有可能达到ECD里程碑（从不：ref。/<3个月：3·72；1·91-7·26/3-5个月：3·21；1·74-5·93/6-11个月：3·73；1·95-7·16/≥12个月：3·89；2·25-6·72），家里有书(0:ref/1-3:1·71;1·22-2·40/4-6:2·24;1·27-3·94/7+:2·71;1·05-7·00)，他们的照顾者获得了有关ECD的信息(1·49;1·11-2·01),并参与刺激活动(1·80;1·27-2·56).如果36-59个月的儿童每天看电视或使用平板电脑/智能手机超过两小时，他们不太可能达到发展里程碑（0·61;0·44-0·84），玩家用物品(0·62；0·41-0·92)，参加了针对弱势家庭的政府幼儿计划（0·62；0·45-0·86），有参加收入转移方案的家庭（0·68；0·47-0·99）（生活在贫困或极端贫困中的家庭），他们的照顾者认为拍打（0·67；0·48-0·94）是必要的纪律方法。
未经批准：具有良好的社会经济条件，母乳喂养,缺乏严苛的纪律，提供响应式护理的护理人员，提供早期学习的机会是增加儿童在塞阿拉实现其全部发展潜力的可能性的关键因素，巴西。
UNASSIGNED：这项研究得到了玛丽亚·塞西利亚·苏托·维迪加尔基金会（F0245）的支持，巴西。资助者在设计中没有作用，分析,或写这篇文章。
UNASSIGNED：我们分析了一项横断面研究的数据，该研究是在2019年10月在塞阿拉进行的疫苗接种活动中，对6,447名0-59个月儿童的照顾者进行的。
UNASSIGNED：早年（<36个月）的儿童如果不是低出生体重的，则更有可能达到ECD里程碑（AOR：0·64；95％CI：0·42-0·97），
未经批准：具有良好的社会经济条件，
UNASSIGNED：这项研究得到了玛丽亚·塞西利亚·苏托·维迪加尔基金会（F0245）的支持，
