Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic

<p>Background</p><p>According to the World Health Organization, >200 million children in low- and middle-income countries experience <a title="Learn more about Specific developmental disorder" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/sp...

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Autores principales:	Omolara Thomas Uwemedimo, Afrin Howlader, Giselina Pierret
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	child development discipline Dominican Republic early childhood global health parenting Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/ada86aa171e6440ca37b66933dfa9083
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spelling	oai:doaj.org-article:ada86aa171e6440ca37b66933dfa90832021-12-02T07:46:49ZParenting Practices and Associations with Development Delays among Young Children in Dominican Republic2214-999610.1016/j.aogh.2017.10.007https://doaj.org/article/ada86aa171e6440ca37b66933dfa90832017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/172https://doaj.org/toc/2214-9996<p>Background</p><p>According to the World Health Organization, >200 million children in low- and middle-income countries experience <a title="Learn more about Specific developmental disorder" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/specific-developmental-disorder">developmental delays</a>. However, household structure and parenting practices have been minimally explored as potential correlates of developmental delay in low- and middle-income countries, despite potential as areas for intervention.</p><p>Objective</p><p>The objective of the study was to examine associations of developmental delays with use of World Health Organization–recommended parenting practices among a clinic-based cohort of children aged 6-60 months attending in La Romana, Dominican Republic.</p><p>Methods</p><p>This study was conducted among 74 caregiver-child pairs attending the growth-monitoring clinic at Hospital Francisco Gonzalvo in June 2015. The Malawi <a title="Learn more about Developmental Assessment" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/developmental-assessment">Developmental Assessment</a> Tool was adapted and performed on each child to assess socioadaptive, fine motor, gross motor, and language development. The IMCI Household Level Survey Questionnaire was used to assess parenting practices. Fisher's exact test was used to determine associations significant at 'P' < .05. Significant variables were then entered into a multivariable logistic regression.</p><p>Findings</p><p>Almost two-thirds of children had a delay in at least 1 developmental domain. Most caregivers used scolding (43.2%) or spanking (44%) for child discipline. Children who were disciplined by spanking and scolding were more likely to have <a title="Learn more about Language delay" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/language-delay">language delay</a> ('P' = .007) and socioadaptive delay ('P' = .077), respectively. On regression analysis, children with younger primary caregivers had 7 times higher odds of language delay (adjusted <a title="Learn more about Odds ratio" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/odds-ratio">odds ratio</a> [AOR]: 7.35, 95% confidence interval [CI]: 1.52-35.61) and 4 times greater odds of any delay (AOR: 4.72, 95% CI: 1.01-22.22). In addition, children punished by spanking had 5 times higher odds of having language delay (AOR: 5.04, 95% CI: 1.13-22.39).</p><p>Conclusions</p>Parenting practices such as harsh punishment and lack of positive parental reinforcement were found to have strong associations with language and socioadaptive delays. Likewise, delays were also more common among children with younger caregivers.Omolara Thomas UwemedimoAfrin HowladerGiselina PierretUbiquity Pressarticlechild developmentdisciplineDominican Republicearly childhoodglobal healthparentingInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 568-576 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	child development discipline Dominican Republic early childhood global health parenting Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	child development discipline Dominican Republic early childhood global health parenting Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Omolara Thomas Uwemedimo Afrin Howlader Giselina Pierret Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic
description	<p>Background</p><p>According to the World Health Organization, >200 million children in low- and middle-income countries experience <a title="Learn more about Specific developmental disorder" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/specific-developmental-disorder">developmental delays</a>. However, household structure and parenting practices have been minimally explored as potential correlates of developmental delay in low- and middle-income countries, despite potential as areas for intervention.</p><p>Objective</p><p>The objective of the study was to examine associations of developmental delays with use of World Health Organization–recommended parenting practices among a clinic-based cohort of children aged 6-60 months attending in La Romana, Dominican Republic.</p><p>Methods</p><p>This study was conducted among 74 caregiver-child pairs attending the growth-monitoring clinic at Hospital Francisco Gonzalvo in June 2015. The Malawi <a title="Learn more about Developmental Assessment" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/developmental-assessment">Developmental Assessment</a> Tool was adapted and performed on each child to assess socioadaptive, fine motor, gross motor, and language development. The IMCI Household Level Survey Questionnaire was used to assess parenting practices. Fisher's exact test was used to determine associations significant at 'P' < .05. Significant variables were then entered into a multivariable logistic regression.</p><p>Findings</p><p>Almost two-thirds of children had a delay in at least 1 developmental domain. Most caregivers used scolding (43.2%) or spanking (44%) for child discipline. Children who were disciplined by spanking and scolding were more likely to have <a title="Learn more about Language delay" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/language-delay">language delay</a> ('P' = .007) and socioadaptive delay ('P' = .077), respectively. On regression analysis, children with younger primary caregivers had 7 times higher odds of language delay (adjusted <a title="Learn more about Odds ratio" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/odds-ratio">odds ratio</a> [AOR]: 7.35, 95% confidence interval [CI]: 1.52-35.61) and 4 times greater odds of any delay (AOR: 4.72, 95% CI: 1.01-22.22). In addition, children punished by spanking had 5 times higher odds of having language delay (AOR: 5.04, 95% CI: 1.13-22.39).</p><p>Conclusions</p>Parenting practices such as harsh punishment and lack of positive parental reinforcement were found to have strong associations with language and socioadaptive delays. Likewise, delays were also more common among children with younger caregivers.
format	article
author	Omolara Thomas Uwemedimo Afrin Howlader Giselina Pierret
author_facet	Omolara Thomas Uwemedimo Afrin Howlader Giselina Pierret
author_sort	Omolara Thomas Uwemedimo
title	Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic
title_short	Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic
title_full	Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic
title_fullStr	Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic
title_full_unstemmed	Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic
title_sort	parenting practices and associations with development delays among young children in dominican republic
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/ada86aa171e6440ca37b66933dfa9083
work_keys_str_mv	AT omolarathomasuwemedimo parentingpracticesandassociationswithdevelopmentdelaysamongyoungchildrenindominicanrepublic AT afrinhowlader parentingpracticesandassociationswithdevelopmentdelaysamongyoungchildrenindominicanrepublic AT giselinapierret parentingpracticesandassociationswithdevelopmentdelaysamongyoungchildrenindominicanrepublic
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Parenting Practices and Associations with Development Delays among Young Children in Dominican Republic

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