Home environment: Short-term trends and predictors in early childhood from an Indian community birth cohort.
early childhood
home environment
maternal education
socio-economic status
Journal
Child: care, health and development
ISSN: 1365-2214
Titre abrégé: Child Care Health Dev
Pays: England
ID NLM: 7602632
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
revised:
18
12
2020
received:
23
04
2020
accepted:
20
12
2020
pubmed:
31
12
2020
medline:
26
10
2021
entrez:
30
12
2020
Statut:
ppublish
Résumé
Early childhood home environment is intricately linked to child development and later cognitive and academic skills. There is limited literature evaluating home environmental trends and predictors in the low- and middle-income country settings. Determine the trends of early childhood home environment changes between 6 and 36 months of age, and the factors associated with these changes. Longitudinal community-based birth cohort follow-up study in a semi-urban slum in Vellore, South India. Consecutive sampling of a birth cohort between March 2010 and February 2012. Home environment was objectively assessed using the 'Home Observation for the Measurement of the Environment' (HOME) scale. Predictors of change in the home environment over time also were analyzed. Multivariable linear regression models and linear mixed effect models were used to identify the factors associated with HOME score at individual time points and over-a-time period, respectively. The birth cohort enrolled 251 children with a follow-up of 235, 228 and 218 children at 6, 24 and 36 months, respectively. The socio-economic status (SES) was the single biggest predictor for the HOME score at each time point, with increasing strength over time. Maternal education predicted home environment at 24 months, while maternal depression was negatively associated at 6 and 24 months of age. SES and maternal factors contributed to the overall change in the HOME score. Maternal factors predicted relational home environmental change over time. SES and maternal factors consistently predicted early childhood home environment at 6, 24 and 36 months of age and its change over time. It is important to support maternal education and wellbeing along with socio-economic measures to optimize early childhood environment.
Sections du résumé
BACKGROUND
Early childhood home environment is intricately linked to child development and later cognitive and academic skills. There is limited literature evaluating home environmental trends and predictors in the low- and middle-income country settings.
AIMS
Determine the trends of early childhood home environment changes between 6 and 36 months of age, and the factors associated with these changes.
STUDY DESIGN
Longitudinal community-based birth cohort follow-up study in a semi-urban slum in Vellore, South India.
SUBJECTS
Consecutive sampling of a birth cohort between March 2010 and February 2012.
OUTCOME MEASURES
Home environment was objectively assessed using the 'Home Observation for the Measurement of the Environment' (HOME) scale. Predictors of change in the home environment over time also were analyzed. Multivariable linear regression models and linear mixed effect models were used to identify the factors associated with HOME score at individual time points and over-a-time period, respectively.
RESULTS
The birth cohort enrolled 251 children with a follow-up of 235, 228 and 218 children at 6, 24 and 36 months, respectively. The socio-economic status (SES) was the single biggest predictor for the HOME score at each time point, with increasing strength over time. Maternal education predicted home environment at 24 months, while maternal depression was negatively associated at 6 and 24 months of age. SES and maternal factors contributed to the overall change in the HOME score. Maternal factors predicted relational home environmental change over time.
CONCLUSION
SES and maternal factors consistently predicted early childhood home environment at 6, 24 and 36 months of age and its change over time. It is important to support maternal education and wellbeing along with socio-economic measures to optimize early childhood environment.
Identifiants
pubmed: 33377201
doi: 10.1111/cch.12846
pmc: PMC8048661
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
336-348Informations de copyright
© 2020 The Authors. Child: Care, Health and Development published by John Wiley & Sons Ltd..
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