Child development in a birth cohort: effect of child stimulation is stronger in less educated mothers
Aluísio JD Barros1,*, Alícia Matijasevich1, Iná S Santos1 and Ricardo Halpern2
1 Centro de Pesquisas Epidemiológicas, Universidade Federal de Pelotas, Pelotas, Brazil.
2 Departamento de Pediatria e Puericultura, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil.
IJE Advance Access published online on August 28, 2009
International Journal of Epidemiology, doi:10.1093/ije/dyp272 - 2009
“……Child health has improved in many developing countries, bringing new challenges, including realization of the children's full physical and intellectual potential. This study explored child development within a birth cohort, its psychosocial determinants and interactions with maternal schooling and economic position.
All children born in
Child development was strongly associated with socio-economic position, maternal schooling and stimulation. Having been told a story and owning a book were the least frequent markers among children with score 1. These children were 8.3 times more likely to present low performance than those who scored 5. The effect of stimulation was much stronger among children from mothers with a low level of schooling—one additional point added 1.7 on the child's development for children of low-schooling mothers, whereas only 0.6 was added for children of high-schooling mothers.
Our stimulation markers cannot be directly translated into intervention strategies, but strongly suggest that suitably designed cognitive stimulation can have an important effect on children, especially those from mothers with low schooling….”
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