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Place-Based Child Opportunity at Birth and Child Development from Infancy to Age 4.
Putnick, Diane L; Bell, Erin M; Tyris, Jordan; McAdam, Jordan; Ghassabian, Akhgar; Mendola, Pauline; Sundaram, Rajeshwari; Yeung, Edwina.
Afiliação
  • Putnick DL; Epidemiology Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD. Electronic address: putnickd@mail.nih.gov.
  • Bell EM; Department of Environmental Health Sciences, University at Albany School of Public Health, Albany, NY.
  • Tyris J; Epidemiology Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD; Division of Hospital Medicine, Children's National Hospital, Washington, DC.
  • McAdam J; Department of Environmental Health Sciences, University at Albany School of Public Health, Albany, NY.
  • Ghassabian A; Departments of Pediatrics, Environmental Medicine, and Population Health, New York University Grossman School of Medicine, New York, NY.
  • Mendola P; Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY.
  • Sundaram R; Biostatistics and Bioinformatics Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.
  • Yeung E; Epidemiology Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.
J Pediatr ; 267: 113909, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38220066
ABSTRACT

OBJECTIVE:

The objective of this study was to evaluate whether the children's neighborhood quality, as a measure of place-based social determinants of health, is associated with the odds of developmental delay and developmental performance up to the age of 4 years. STUDY

DESIGN:

Mothers of 5702 children from the Upstate KIDS Study, a longitudinal population-based cohort of children born from 2008 through 2010, provided questionnaire data and a subset of 573 children participated in a clinic visit. The Child Opportunity Index 2.0 was linked to home census tract at birth. Probable developmental delays were assessed by the Ages and Stages Questionnaire up to 7 times between 4 and 36 months, and developmental performance was assessed via the Battelle Developmental Inventory at the age of 4 years.

RESULTS:

In unadjusted models, higher neighborhood opportunity was protective against developmental delays and was associated with slightly higher development scores at age 4. After adjusting for family-level confounding variables, 10-point higher Child Opportunity Index (on a 100-point scale) remained associated with a lower odds of any developmental delay (OR = .966, 95% CI = .940-.992), and specifically delays in the personal-social domain (OR = .921, 95% CI = .886-.958), as well as better development performance in motor (B = 0.79, 95% CI = 0.11-1.48), personal-social (B = 0.64, 95% CI = 0.003-1.28), and adaptive (B = 0.69, 95% CI = 0.04-1.34) domains at age 4.

CONCLUSIONS:

Community-level opportunities are associated with some aspects of child development prior to school entry. Pediatric providers may find it helpful to use neighborhood quality as an indicator to inform targeted developmental screening.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desenvolvimento Infantil / Mães Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Child / Child, preschool / Female / Humans / Infant / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desenvolvimento Infantil / Mães Tipo de estudo: Prognostic_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Child / Child, preschool / Female / Humans / Infant / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos