Journal article
Physical Discipline, Deprivation, and Differential Risk of Developmental Delay Across 17 Countries.
- Salhi C Bouvé College of Health Sciences, Northeastern University, Boston, MA. Electronic address: c.salhi@northeastern.edu.
- Beatriz E Massachusetts Department of Public Health, Boston, MA.
- McBain R RAND Corporation, Boston, MA.
- McCoy D Harvard Graduate School of Education, Cambridge, MA.
- Sheridan M University of North Carolina, Chapel Hill.
- Fink G Swiss Tropical and Public Health Institute, Basel, Switzerland, and the University of Basel, Switzerland.
- 2020-03-24
Published in:
- Journal of the American Academy of Child and Adolescent Psychiatry. - 2020
English
OBJECTIVE
Parenting behaviors have largely been studied in isolation with regard to child development in cross-national contexts. We examine and compare the relative strength of association between physical discipline and deprivation with risk for children's socio-emotional and cognitive developmental delay in a cross-national sample.
METHOD
The sample was drawn from the UNICEF Multiple Indicator Cluster Survey. Analyses used observations with data on parental physical discipline, parenting behaviors associated with deprivation, and child developmental outcomes. The present analysis included 29,792 children aged 36-59 months across 17 countries. Using the Early Child Development Index, risk for cognitive or socio-emotional developmental delay was indicated if a child could not accomplish 2 or more items within that specific sub-domain. Overall risk for delay was indicated if a child was at risk in either sub-domain. Associations between discipline, deprivation and delay were assessed using multivariable logistic regression.
RESULTS
Five of the seven exposures were associated with risk for overall developmental delay. Physical discipline (OR=1·49 [95% CI 1·39-1·59]; p<0·001) had the largest association with risk for socio-emotional delay. Not having books (OR=1·62 [95% CI 1·42-1·84]; p<0·001) and not counting with the child (OR=1·47 [95% CI 1·32-1·64]; p<0·001) had the largest associations with risk for cognitive delay.
CONCLUSION
The exposures of physical discipline and deprivation measured here have distinct associations with risk for socio-emotional and cognitive delay cross-nationally. Programmatic and clinical interventions should seek to act on adversities that are relevant to the targeted delay.
Parenting behaviors have largely been studied in isolation with regard to child development in cross-national contexts. We examine and compare the relative strength of association between physical discipline and deprivation with risk for children's socio-emotional and cognitive developmental delay in a cross-national sample.
METHOD
The sample was drawn from the UNICEF Multiple Indicator Cluster Survey. Analyses used observations with data on parental physical discipline, parenting behaviors associated with deprivation, and child developmental outcomes. The present analysis included 29,792 children aged 36-59 months across 17 countries. Using the Early Child Development Index, risk for cognitive or socio-emotional developmental delay was indicated if a child could not accomplish 2 or more items within that specific sub-domain. Overall risk for delay was indicated if a child was at risk in either sub-domain. Associations between discipline, deprivation and delay were assessed using multivariable logistic regression.
RESULTS
Five of the seven exposures were associated with risk for overall developmental delay. Physical discipline (OR=1·49 [95% CI 1·39-1·59]; p<0·001) had the largest association with risk for socio-emotional delay. Not having books (OR=1·62 [95% CI 1·42-1·84]; p<0·001) and not counting with the child (OR=1·47 [95% CI 1·32-1·64]; p<0·001) had the largest associations with risk for cognitive delay.
CONCLUSION
The exposures of physical discipline and deprivation measured here have distinct associations with risk for socio-emotional and cognitive delay cross-nationally. Programmatic and clinical interventions should seek to act on adversities that are relevant to the targeted delay.
- Language
-
- English
- Open access status
- closed
- Identifiers
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- DOI 10.1016/j.jaac.2020.02.016
- PMID 32201317
- Persistent URL
- https://sonar.ch/global/documents/232420
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