Examining the Contribution of the Neighborhood Built Environment to the Relationship Between Neighborhood Disadvantage and Early Childhood Development in 205,000 Australian Children.

OBJECTIVE: We examined associations between neighborhood built environment features and early childhood development (ECD), and tested the contribution of the built environment to associations between neighborhood disadvantage and ECD. METHODS: Spatial neighborhood built environment measures were lin...

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Publicado en:Academic Pediatrics Vol. 23; no. 3; pp. 631 - 646
Autores principales: Villanueva, Karen, Badland, Hannah, Alderton, Amanda, Higgs, Carl, Turrell, Gavin, Goldfeld, Sharon
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
      vid: 23
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      pub: Elsevier B.V.
      place: New York, New York
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        174961647
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        10.1016/j.acap.2022.11.014
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        atl: Examining the Contribution of the Neighborhood Built Environment to the Relationship Between Neighborhood Disadvantage and Early Childhood Development in 205,000 Australian Children.
      aug:
        au:
          Villanueva, Karen
          Badland, Hannah
          Alderton, Amanda
          Higgs, Carl
          Turrell, Gavin
          Goldfeld, Sharon
        affil: Centre for Urban Research, Royal Melbourne Institute of Technology (RMIT) University, Melbourne, Victoria, Australia
      sug:
        subj:
          Neighborhood Characteristics Psychosocial Factors
          Built Environment Psychosocial Factors
          Child Development Evaluation
          Human
          Male
          Female
          Child, Preschool
          Child
          Australia
          Funding Source
          Child Health
          Psychological Well-Being
          Semantic Web
          Social Determinants of Health
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Male
          Female
      ab: OBJECTIVE: We examined associations between neighborhood built environment features and early childhood development (ECD), and tested the contribution of the built environment to associations between neighborhood disadvantage and ECD. METHODS: Spatial neighborhood built environment measures were linked to participant addresses in the 2015 Australian Early Development Census (AEDC) for children ~5 years old living in Australia's 21 most populous cities. The 2015 AEDC contains teacher-reported national data on five key child development domains for children in their first year of formal full-time schooling (approximately 5 years old). AEDC scores were classified as 'developmentally vulnerable' (≤10th centile). Using multilevel modeling, 44 built environment measures were tested with developmental vulnerability on at least one domain of the AEDC, adjusting for socioeconomic factors and neighborhood disadvantage. RESULTS: The dataset consisted of 205,030 children; 89.2% living in major cities. In major cities, children with more early childhood education and care services (OR 0.997) and pre school services (OR 0.991) exceeding Australian standards, and access to healthier food outlets within 3200 m of their home (OR 0.999) had decreased odds of developmental vulnerability, controlling for socioeconomic factors and neighborhood disadvantage. Neighborhood disadvantage remained significantly associated with developmental vulnerability after adjustment for child/family variables and neighborhood built environment characteristics. CONCLUSIONS: The neighborhood built environment had small effects on the neighborhood disadvantage--ECD relationship at the national level. Few built environment measures were associated with ECD. Small effects at the population level may have wide-ranging impacts; modifying the built environment at scale are promising levers for supporting good child outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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