Home environment: Short‐term trends and predictors in early childhood from an Indian community birth cohort.

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 childho...

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Publicado en:Child: Care, Health & Development Vol. 47; no. 3; pp. 336 - 349
Autores principales: Koshy, Beena, Karthikeyan, Arun, Bose, Anuradha, Roshan, Reeba, Ramanujam, Karthikeyan, Mohan, Venkata Raghava, John, Sushil, Kang, Gagandeep
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell May2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2021
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      pub: Wiley-Blackwell
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        atl: Home environment: Short‐term trends and predictors in early childhood from an Indian community birth cohort.
      aug:
        au:
          Koshy, Beena
          Karthikeyan, Arun
          Bose, Anuradha
          Roshan, Reeba
          Ramanujam, Karthikeyan
          Mohan, Venkata Raghava
          John, Sushil
          Kang, Gagandeep
        affil: Developmental Paediatrics Unit, Christian Medical College, Vellore, India
      sug:
        subj:
          Home Environment Trends
          Home Environment Psychosocial Factors
          Communities India
          Human
          India
          Infant
          Child, Preschool
          Child Development
          Prospective Studies
          Scales
          Multiple Linear Regression
          Socioeconomic Factors
          Mothers Education
          Depression
          Infant: 1-23 months
          Child, Preschool: 2-5 years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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