A community-based study of early childhood sensory stimulation in home environment associated with growth and psychomotor development in Pakistan


Avan, BI; Raza, SA; Kirkwood, BR; (2014) A community-based study of early childhood sensory stimulation in home environment associated with growth and psychomotor development in Pakistan. International journal of public health, 59 (5). 779-88. doi: 10.1007/s00038-013-0525-7. Epub 2013 Nov 9.. ISSN 1661-8556

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Abstract

OBJECTIVES: Sensory stimulation (SS) is a non-nutritional modifiable risk factor for early childhood development. We assessed SS in home environment and examined its influence on physical growth and psychomotor development (PD). METHODS: A cross-sectional study was conducted in 26 communities in Pakistan among children aged <3 (n = 1,219). They were assessed at home visits using (1) Bayley's Infant Developmental Scale for PD, (2) home observation for measurement of the environment inventory for SS, (3) anthropometry and (4) socio-economic questionnaire. RESULTS: In rural homes, SS provided was lower as compared to urban counterparts (Adj mean diff: 4.47, 95 % CI 3.78, 5.16) and showed an association with stunting (Adj mean diff: -1.30, 95 % CI -1.93, -0.66), and underweight (Adj mean diff: -1.04, 95 % CI -1.71, -0.38) not explained by type of neighbourhood or socio-economic status. SS was associated with PD more than combined contribution of socio-economic status and rural-urban factors (Adj mean diff: 0.47, 95 % CI 0.30, 0.63). CONCLUSIONS: SS in rural homes may be a significant factor influencing the child development. There is a need to corroborate these results by additional research for integration in health policy initiatives.

Item Type: Article
Keywords: Causality, Child Development/*physiology, Child, Preschool, Comorbidity, Cross-Sectional Studies, Developmental Disabilities/*epidemiology/prevention & control, Female, Humans, Infant, Infant, Newborn, Male, Pakistan/epidemiology, Physical Stimulation, Psychomotor Disorders/*epidemiology/prevention & control, Psychomotor Performance/physiology, Regression Analysis, Rural Population/*statistics & numerical data, Sensation Disorders/*epidemiology/prevention & control, Socioeconomic Factors, Surveys and Questionnaires, Thinness/*epidemiology, Urban Population/*statistics & numerical data
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
URI: http://researchonline.lshtm.ac.uk/id/eprint/3172389

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