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Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts

Assessing the status and determinants of early child development (ECD) requires accurate and regularly updated measurements. Yet, little information has been published on the subject in low- and middle-income countries, particularly regarding the proximal determinants of childhood development in con...

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Autores principales: Serván-Mori, Edson, Quezada-Sánchez, Amado D., Fuentes-Rivera, Evelyn, Pineda-Antunez, Carlos, Hernández-Chávez, María del Carmen, García-Martínez, Angélica, García-Feregrino, Raquel, Madrigal, Abby, Guerrero, Bárbara, Medrano, Gerónimo, Schnaas, Lourdes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621868/
https://www.ncbi.nlm.nih.gov/pubmed/37917638
http://dx.doi.org/10.1371/journal.pone.0291300
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author Serván-Mori, Edson
Quezada-Sánchez, Amado D.
Fuentes-Rivera, Evelyn
Pineda-Antunez, Carlos
Hernández-Chávez, María del Carmen
García-Martínez, Angélica
García-Feregrino, Raquel
Madrigal, Abby
Guerrero, Bárbara
Medrano, Gerónimo
Schnaas, Lourdes
author_facet Serván-Mori, Edson
Quezada-Sánchez, Amado D.
Fuentes-Rivera, Evelyn
Pineda-Antunez, Carlos
Hernández-Chávez, María del Carmen
García-Martínez, Angélica
García-Feregrino, Raquel
Madrigal, Abby
Guerrero, Bárbara
Medrano, Gerónimo
Schnaas, Lourdes
author_sort Serván-Mori, Edson
collection PubMed
description Assessing the status and determinants of early child development (ECD) requires accurate and regularly updated measurements. Yet, little information has been published on the subject in low- and middle-income countries, particularly regarding the proximal determinants of childhood development in contexts of high social marginalization. This article analyzes the factors that favor or mitigate suboptimal ECD outcomes in Mexico. A cross-sectional study was conducted using recently collected data for 918 children aged 0–38 months from socially marginalized communities in 23 Mexican municipalities. The ECD outcomes of the children were estimated based on indicators of chronic undernutrition and neurodevelopment (normal, lagging and at risk of delay). The distribution of outcomes was described across the ECD proximal determinants analyzed, including the co-occurrence of chronic undernutrition and suboptimal neurodevelopment. Covariate-adjusted prevalence of the ECD outcomes and co-occurrences were calculated as post-estimations from a multiple multinomial logistic regression. The prevalence of chronic undernutrition was 23.5%; 45.9% of children were classified with neurodevelopmental lag, and 11% at risk of neurodevelopmental delay. The prevalence of stunting co-occurring with suboptimal neurodevelopment came to 15.4%. The results of the multinomial logistic regression model indicated that early gestational age, low birth weight, a low household socioeconomic level, being male and having numerous siblings were all associated with the co-occurrence of chronic undernutrition and suboptimal child neurodevelopment. This study identified important predictors of child development in the first three years of life, specifically in two of its principal indicators: nutritional and neurodevelopmental status. Most of the predictors observed can be improved by means of social programs and interventions. Trial registration: ClinicalTrials.gov ID: NCT04210362.
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spelling pubmed-106218682023-11-03 Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts Serván-Mori, Edson Quezada-Sánchez, Amado D. Fuentes-Rivera, Evelyn Pineda-Antunez, Carlos Hernández-Chávez, María del Carmen García-Martínez, Angélica García-Feregrino, Raquel Madrigal, Abby Guerrero, Bárbara Medrano, Gerónimo Schnaas, Lourdes PLoS One Research Article Assessing the status and determinants of early child development (ECD) requires accurate and regularly updated measurements. Yet, little information has been published on the subject in low- and middle-income countries, particularly regarding the proximal determinants of childhood development in contexts of high social marginalization. This article analyzes the factors that favor or mitigate suboptimal ECD outcomes in Mexico. A cross-sectional study was conducted using recently collected data for 918 children aged 0–38 months from socially marginalized communities in 23 Mexican municipalities. The ECD outcomes of the children were estimated based on indicators of chronic undernutrition and neurodevelopment (normal, lagging and at risk of delay). The distribution of outcomes was described across the ECD proximal determinants analyzed, including the co-occurrence of chronic undernutrition and suboptimal neurodevelopment. Covariate-adjusted prevalence of the ECD outcomes and co-occurrences were calculated as post-estimations from a multiple multinomial logistic regression. The prevalence of chronic undernutrition was 23.5%; 45.9% of children were classified with neurodevelopmental lag, and 11% at risk of neurodevelopmental delay. The prevalence of stunting co-occurring with suboptimal neurodevelopment came to 15.4%. The results of the multinomial logistic regression model indicated that early gestational age, low birth weight, a low household socioeconomic level, being male and having numerous siblings were all associated with the co-occurrence of chronic undernutrition and suboptimal child neurodevelopment. This study identified important predictors of child development in the first three years of life, specifically in two of its principal indicators: nutritional and neurodevelopmental status. Most of the predictors observed can be improved by means of social programs and interventions. Trial registration: ClinicalTrials.gov ID: NCT04210362. Public Library of Science 2023-11-02 /pmc/articles/PMC10621868/ /pubmed/37917638 http://dx.doi.org/10.1371/journal.pone.0291300 Text en © 2023 Serván-Mori et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Serván-Mori, Edson
Quezada-Sánchez, Amado D.
Fuentes-Rivera, Evelyn
Pineda-Antunez, Carlos
Hernández-Chávez, María del Carmen
García-Martínez, Angélica
García-Feregrino, Raquel
Madrigal, Abby
Guerrero, Bárbara
Medrano, Gerónimo
Schnaas, Lourdes
Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts
title Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts
title_full Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts
title_fullStr Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts
title_full_unstemmed Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts
title_short Proximal determinants of suboptimal early child development during the first three years of life in socially deprived Mexican contexts
title_sort proximal determinants of suboptimal early child development during the first three years of life in socially deprived mexican contexts
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621868/
https://www.ncbi.nlm.nih.gov/pubmed/37917638
http://dx.doi.org/10.1371/journal.pone.0291300
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