Child Mouthing of Soil and Contaminated Fomites and Unimproved Sanitation are Associated with Subsequent Poor Child Developmental Outcomes in Urban Bangladesh (CHoBI7 Program).
Objective: To evaluate the relationship between mouthing of soil and living in unsanitary conditions and child cognitive development in urban Bangladesh.Study Design: This prospective cohort study of 224 children under 5 years of age was conducted in urban Dhaka, Bangladesh. Developmental outcomes w...
| Publicado en: | Journal of Pediatrics Vol. 235; pp. 184 - 190 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
Aug2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151430690&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151430690 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00223476 04M jtl: Journal of Pediatrics issn: 00223476 maglogo: N pubinfo: dt: Aug2021 vid: 235 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 151430690 151430690 NLM33895208 151430690 10.1016/j.jpeds.2021.04.016 NLM33895208 151430690 ppf: 184 ppct: 6 formats: tig: atl: Child Mouthing of Soil and Contaminated Fomites and Unimproved Sanitation are Associated with Subsequent Poor Child Developmental Outcomes in Urban Bangladesh (CHoBI7 Program). aug: au: George, Christine Marie Parvin, Tahmina Islam Bhuyian, Md. Sazzadul Thomas, Elizabeth D. Monira, Shirajum Zohura, Fatema Hasan, M. Tasdik Perin, Jamie Alam, Munirul Tofail, Fahmida Islam Bhuyian, Sazzadul affil: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD sug: subj: Cross Infection Microbiology Sanitation Environmental Exposure Adverse Effects Environmental Microbiology Developmental Disabilities Etiology Child, Preschool Human Bangladesh Infant Urban Population Poverty Prospective Studies Female Male Developmental Disabilities Epidemiology Comparative Studies Multicenter Studies Randomized Controlled Trials Evaluation Research Validation Studies Child, Preschool: 2-5 years Infant: 1-23 months Female Male ab: Objective: To evaluate the relationship between mouthing of soil and living in unsanitary conditions and child cognitive development in urban Bangladesh.Study Design: This prospective cohort study of 224 children under 5 years of age was conducted in urban Dhaka, Bangladesh. Developmental outcomes were assessed by communication, fine motor, gross motor, personal social, problem solving, and combined developmental scores measured by the Extended Ages and Stages Questionnaire (EASQ) at a 12-month follow-up visit.Results: Children who had caregiver reports of puting soil in their mouths at the majority of surveillance visits had significantly lower combined EASQ Z scores (coefficient, -0.53; 95% CI, -0.83 to -0.22) at the 12-month follow-up visit. Children who had caregiver reports of putting visibly dirty objects in their mouths at the majority of visits had significantly lower combined EASQ Z scores (-0.50; 95% CI, -0.79 to -0.22). Children in households with unimproved sanitation had significantly lower combined EASQ Z scores (-0.63; 95% CI, -1.11 to -0.16).Conclusions: Children found to frequently put soil and visibly dirty objects in their mouths, and those who resided in households using unimproved sanitation, had lower subsequent cognitive developmental outcomes. These findings demonstrate the importance of interventions targeting child mouthing behaviors and sanitation infrastructure to decrease exposure to fecal pathogens and improve child cognitive developmental outcomes. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|