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Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children

Background. Haiti lacks early childhood development data and guidelines in malnourished populations. Literature shows that developmental interventions are crucial for improving developmental outcomes malnourished children. This study examines the prevalence of early childhood development delays in a...

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Autores principales: She, Xinshu, Perera, Sajithya, Andre, Martine, St. Fleur, Jacklin, Hilaire, Johanne, Evans, Andrea, Long, Jack, Wing, Delight, Carpenter, Christopher, Wilson, Kim, Palfrey, Judith, Stulac, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9112296/
https://www.ncbi.nlm.nih.gov/pubmed/35592789
http://dx.doi.org/10.1177/2333794X221098311
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author She, Xinshu
Perera, Sajithya
Andre, Martine
St. Fleur, Jacklin
Hilaire, Johanne
Evans, Andrea
Long, Jack
Wing, Delight
Carpenter, Christopher
Wilson, Kim
Palfrey, Judith
Stulac, Sara
author_facet She, Xinshu
Perera, Sajithya
Andre, Martine
St. Fleur, Jacklin
Hilaire, Johanne
Evans, Andrea
Long, Jack
Wing, Delight
Carpenter, Christopher
Wilson, Kim
Palfrey, Judith
Stulac, Sara
author_sort She, Xinshu
collection PubMed
description Background. Haiti lacks early childhood development data and guidelines in malnourished populations. Literature shows that developmental interventions are crucial for improving developmental outcomes malnourished children. This study examines the prevalence of early childhood development delays in a cohort of malnourished Haitian children and their associations with parental depression and self-efficacy. Methods. We used cross-sectional data from 42 patients 6 months to 2 years old in Saint-Marc, Haiti. We assessed their developmental status using the Ages and Stages Questionnaire. Parents were surveyed on depression symptoms and self-efficacy using validated surveys developed for low-resource settings. Demographic and socio-economic data were included. Prevalence of early childhood development delays and high parental depression risk were calculated. Multivariable logistic regression analyses were used to test whether parental depression risk and low self-efficacy were associated with a higher risk for childhood developmental delays. Results. Among participants, 45.2% (SD = 7.7%) of children with a recorded ASQ met age-specific cutoffs for developmental delay in one or more domains. 64.3% (SD = 7.4%) of parents were at high risk for depression. 47.6% (SD = 7.7%) of parents reported relatively low self-efficacy. Multivariable analysis showed that low parental self-efficacy was strongly associated with developmental delays (OR 17.5, CI 1.1-270.0) after adjusting for socioeconomic factors. Parental risk for depression was associated with higher odds (OR 4.6, CI 0.4-50.6) of children having developmental delays but did not reach statistical significance in this study. Conclusion. Parental self-efficacy was protectively associated with early childhood developmental delays in malnourished Haitian children. More research is needed to design contextually appropriate interventions.
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spelling pubmed-91122962022-05-18 Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children She, Xinshu Perera, Sajithya Andre, Martine St. Fleur, Jacklin Hilaire, Johanne Evans, Andrea Long, Jack Wing, Delight Carpenter, Christopher Wilson, Kim Palfrey, Judith Stulac, Sara Glob Pediatr Health Original Research Article Background. Haiti lacks early childhood development data and guidelines in malnourished populations. Literature shows that developmental interventions are crucial for improving developmental outcomes malnourished children. This study examines the prevalence of early childhood development delays in a cohort of malnourished Haitian children and their associations with parental depression and self-efficacy. Methods. We used cross-sectional data from 42 patients 6 months to 2 years old in Saint-Marc, Haiti. We assessed their developmental status using the Ages and Stages Questionnaire. Parents were surveyed on depression symptoms and self-efficacy using validated surveys developed for low-resource settings. Demographic and socio-economic data were included. Prevalence of early childhood development delays and high parental depression risk were calculated. Multivariable logistic regression analyses were used to test whether parental depression risk and low self-efficacy were associated with a higher risk for childhood developmental delays. Results. Among participants, 45.2% (SD = 7.7%) of children with a recorded ASQ met age-specific cutoffs for developmental delay in one or more domains. 64.3% (SD = 7.4%) of parents were at high risk for depression. 47.6% (SD = 7.7%) of parents reported relatively low self-efficacy. Multivariable analysis showed that low parental self-efficacy was strongly associated with developmental delays (OR 17.5, CI 1.1-270.0) after adjusting for socioeconomic factors. Parental risk for depression was associated with higher odds (OR 4.6, CI 0.4-50.6) of children having developmental delays but did not reach statistical significance in this study. Conclusion. Parental self-efficacy was protectively associated with early childhood developmental delays in malnourished Haitian children. More research is needed to design contextually appropriate interventions. SAGE Publications 2022-05-12 /pmc/articles/PMC9112296/ /pubmed/35592789 http://dx.doi.org/10.1177/2333794X221098311 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
She, Xinshu
Perera, Sajithya
Andre, Martine
St. Fleur, Jacklin
Hilaire, Johanne
Evans, Andrea
Long, Jack
Wing, Delight
Carpenter, Christopher
Wilson, Kim
Palfrey, Judith
Stulac, Sara
Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children
title Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children
title_full Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children
title_fullStr Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children
title_full_unstemmed Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children
title_short Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian Children
title_sort associations between parental depression, self-efficacy, and early childhood development in malnourished haitian children
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9112296/
https://www.ncbi.nlm.nih.gov/pubmed/35592789
http://dx.doi.org/10.1177/2333794X221098311
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