Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal

Gradients across socio-economic position exist for many measures of children's health and development in higher-income countries. These associations may not be consistent, however, among the millions of children living in lower- and middle-income countries. Our objective was to examine child develop...

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Main Authors: Fernald, Lia C. H., Kariger, Patricia K., Hidrobo, Melissa, Gertler, Paul J.
Format: Journal Article
Language:Inglés
Published: Proceedings of the National Academy of Sciences 2012
Subjects:
Online Access:https://hdl.handle.net/10568/153222
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author Fernald, Lia C. H.
Kariger, Patricia K.
Hidrobo, Melissa
Gertler, Paul J.
author_browse Fernald, Lia C. H.
Gertler, Paul J.
Hidrobo, Melissa
Kariger, Patricia K.
author_facet Fernald, Lia C. H.
Kariger, Patricia K.
Hidrobo, Melissa
Gertler, Paul J.
author_sort Fernald, Lia C. H.
collection Repository of Agricultural Research Outputs (CGSpace)
description Gradients across socio-economic position exist for many measures of children's health and development in higher-income countries. These associations may not be consistent, however, among the millions of children living in lower- and middle-income countries. Our objective was to examine child development and growth in young children across socio-economic position in four developing countries. We used cross-sectional surveys, child development assessments, measures of length (LAZ), and home stimulation (Family Care Index) of children in India, Indonesia, Peru, and Senegal. The Extended Ages and Stages Questionnaire (EASQ) was administered to parents of all children ages 3–23 mo in the household ( n =8,727), and length measurements were taken for all children 0–23 mo ( n = 11,102). Household wealth and maternal education contributed significantly and independently to the variance in EASQ and LAZ scores in all countries, while controlling for child's age and sex, mother's age and marital status, and household size. Being in the fifth wealth quintile in comparison with the first quintile was associated with significantly higher EASQ scores (0.27 to 0.48 of a standardized score) and higher LAZ scores (0.37 to 0.65 of a standardized score) in each country, while controlling for maternal education and covariates. Wealth and education gradients increased over the first two years in most countries for both EASQ and LAZ scores, with larger gradients seen in 16–23-mo-olds than in 0–7mo-olds. Mediation analyses revealed that parental home stimulation activities and LAZ were significant mediating variables and explained up to 50% of the wealth effects on the EASQ.
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spelling CGSpace1532222024-11-15T08:52:49Z Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal Fernald, Lia C. H. Kariger, Patricia K. Hidrobo, Melissa Gertler, Paul J. income distribution low-income countries poverty developing countries low income groups income children Gradients across socio-economic position exist for many measures of children's health and development in higher-income countries. These associations may not be consistent, however, among the millions of children living in lower- and middle-income countries. Our objective was to examine child development and growth in young children across socio-economic position in four developing countries. We used cross-sectional surveys, child development assessments, measures of length (LAZ), and home stimulation (Family Care Index) of children in India, Indonesia, Peru, and Senegal. The Extended Ages and Stages Questionnaire (EASQ) was administered to parents of all children ages 3–23 mo in the household ( n =8,727), and length measurements were taken for all children 0–23 mo ( n = 11,102). Household wealth and maternal education contributed significantly and independently to the variance in EASQ and LAZ scores in all countries, while controlling for child's age and sex, mother's age and marital status, and household size. Being in the fifth wealth quintile in comparison with the first quintile was associated with significantly higher EASQ scores (0.27 to 0.48 of a standardized score) and higher LAZ scores (0.37 to 0.65 of a standardized score) in each country, while controlling for maternal education and covariates. Wealth and education gradients increased over the first two years in most countries for both EASQ and LAZ scores, with larger gradients seen in 16–23-mo-olds than in 0–7mo-olds. Mediation analyses revealed that parental home stimulation activities and LAZ were significant mediating variables and explained up to 50% of the wealth effects on the EASQ. 2012-10-16 2024-10-01T13:55:48Z 2024-10-01T13:55:48Z Journal Article https://hdl.handle.net/10568/153222 en Open Access Proceedings of the National Academy of Sciences Fernald, Lia C. H.; Kariger, Patricia K.; Hidrobo, Melissa; Gertler, Paul J. 2012. Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal. Proceedings of the National Academy of Sciences of the United States of America (PNAS) 109(Supplement 2): 17273-17280
spellingShingle income distribution
low-income countries
poverty
developing countries
low income groups
income
children
Fernald, Lia C. H.
Kariger, Patricia K.
Hidrobo, Melissa
Gertler, Paul J.
Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal
title Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal
title_full Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal
title_fullStr Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal
title_full_unstemmed Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal
title_short Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal
title_sort socioeconomic gradients in child development in very young children evidence from india indonesia peru and senegal
topic income distribution
low-income countries
poverty
developing countries
low income groups
income
children
url https://hdl.handle.net/10568/153222
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