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Publications

Journal Article Epublish

PubMed: 39528977 DOI: 10.1186/s12887-024-05190-3

Role of home nurturing environment on early childhood neurodevelopment: a community-based survey in Shanghai, China.

BMC Pediatr 24(1):721

Authors: Chunhua Jiang, Xingying Li, Bing-Cheng Du, Jun Huang, Yun Li, Ying Zhang, Muxin Wei, Xiaoxi Xu, Yulin Yang, Hong Jiang

Affiliations

  • Department of Child Health Care, Minhang Maternal and Child Health Care Hospital, Minhang District, Shanghai, China.
  • School of Public Health, Key Laboratory of Health Technology Assessment (National Health Commission of the People's Republic of China), Fudan University, Xuhui District, Shanghai, China.
  • Department of Statistics, University of Toronto, Toronto, Canada.
  • Department of Environmental and Occupational health, Minhang Municipal Center for Disease Control & Prevention, Minhang District, Shanghai, China.
  • School of Public Health, Key Laboratory of Health Technology Assessment (National Health Commission of the People's Republic of China), Fudan University, Xuhui District, Shanghai, China. Department of Public Health, Maqiao Community Health Service Center, Minhang District, Shanghai, China.
  • Department of Child Health Care, Gumei Community Health Service Center, Minhang District, Shanghai, China.
  • Shanghai Center for Women and Children's Health, Putuo District, Shanghai, China.
  • School of Public Health, Key Laboratory of Health Technology Assessment (National Health Commission of the People's Republic of China), Fudan University, Xuhui District, Shanghai, China.

Abstract

BACKGROUND

Ages of 0-3 years are critical stages for children's neurodevelopment. However, the impact of the home nurturing environment on early childhood neurodevelopment remains unclear.

OBJECTIVE

To explore the role of the home nurturing environment on early childhood neurodevelopment and to provide evidence of an association between fostering quality home nurturing and achieving optimal neurodevelopment.

PARTICIPANTS AND SETTING

An online cross-sectional survey using the stratified sampling method was conducted from 16 June, 2021 to 18, February, 2022 in all 13 communities of Minhang District, Shanghai. A total of 2,402 children aged 0-3 years with balanced sex distribution were included.

METHODS

The quality of home nurturing environments was measured using validated Child Home Nurture Environment Scales. Neurodevelopment was measured using the Ages and Stages Questionnaire - Third edition (ASQ-3). Generalized Linear Mixed Modeling was used to analyze the association between the quality of home nurturing environments and neurodevelopment.

RESULTS

Among children aged 0-1, neglect or restriction was reported as the most prevalent problem (8.02%) among home nurturing environment dimensions, and was associated with an increased risk of suspected fine motor development delay (OR = 2.82, 95% CI: 1.18-6.69, P = 0.019). Among children aged 1-3, inadequate parental warmth, as the foremost (16.10%) problem, was associated with an increased risk of suspected gross motor development delay (OR = 4.12, 95% CI: 1.35-12.53, P = 0.013) and suspected personal-social development delay (OR = 12.50, 95%CI: 1.48-105.36, P = 0.020).

CONCLUSIONS

Poor home nurturing environments were associated with an increased risk of suspected early childhood neurodevelopment delay. There exists a need for services to guide for establishing a quality home nurturing environment.

MeSH

Aged, Pediatrics, Environment, Child, Neurodevelopment