Factors associated with risk of developmental delay in preschool children in a setting with high rates of malnutrition: a cross-sectional analysis of data from the IHOPE study, Madagascar.

BMC Pediatrics
Ann C MillerLisy Ratsifandrihamanana

Abstract

50% of Malagasy children have moderate to severe stunting. In 2016, a new 10 year National Nutrition Action Plan (PNAN III) was initiated to help address stunting and developmental delay. We report factors associated with risk of developmental delay in 3 and 4 year olds in the rural district of Ifanadiana in southeastern Madagascar in 2016. The data are from a cross-sectional analysis of the 2016 wave of IHOPE panel data (a population-representative cohort study begun in 2014). We interviewed women ages 15-49 using the MICS Early Child Development Indicator (ECDI) module, which includes questions for physical, socio-emotional, learning and literacy/numeracy domains. We analyzed ECDI data using standardized z scores for relative relationships for 2 outcomes: at-risk-for-delay vs. an international standard, and lower-development-than-peers if ECDI z scores were > 1 standard deviation below study mean. Covariates included demographics, adult involvement, household environment, and selected child health factors. Variables significant at alpha of 0.1 were included a multivariable model; final models used backward stepwise regression, clustered at the sampling level. Of 432 children ages 3 and 4 years, 173 (40%) were at risk for dela...Continue Reading

References

Sep 22, 2006·The Journal of Nutrition·Jena D HamadaniSally M Grantham-McGregor
Jan 9, 2007·Lancet·Sally Grantham-McGregorUNKNOWN International Child Development Steering Group
Mar 14, 2007·Lancet·Sally Grantham-McGregor, UNKNOWN International Child Development Committee
Nov 21, 2007·Developmental Psychology·Greg J DuncanCrista Japel
Jun 17, 2011·Developmental Science·Lia C H FernaldLisy Ratsifandrihamanana
Dec 28, 2011·Pediatrics·Jack P ShonkoffUNKNOWN Section on Developmental and Behavioral Pediatrics
Jun 2, 2017·Social Science & Medicine·Yvette EfevberaGünther Fink
Jun 4, 2018·International Journal of Epidemiology·Jessica E MillerDavid Burgner
May 31, 2019·European Journal of Clinical Nutrition·C SchefflerA Pulungan
Jan 29, 2020·European Journal of Clinical Nutrition·Conny TanjungDamayanti Rusli Sjarif

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