A community-based study of early childhood sensory stimulation in home environment associated with growth and psychomotor development in Pakistan

作者：Avan Bilal Iqbal^*; Raza Syed Ahsan; Kirkwood Betty R

来源：International Journal of Public Health, 2014, 59(5): 779-788.

DOI：10.1007/s00038-013-0525-7

• Sensory stimulation
• Psychomotor development
• Physical growth
• Anthropometry
• Socio-economic status
• Rural-urban neighbourhood
• Developing countries

Sensory stimulation (SS) is a non-nutritional modifiable risk factor for early childhood development. We assessed SS in home environment and examined its influence on physical growth and psychomotor development (PD). %26lt;br%26gt;A cross-sectional study was conducted in 26 communities in Pakistan among children aged %26lt; 3 (n = 1,219). They were assessed at home visits using (1) Bayley%26apos;s Infant Developmental Scale for PD, (2) home observation for measurement of the environment inventory for SS, (3) anthropometry and (4) socio-economic questionnaire. %26lt;br%26gt;In rural homes, SS provided was lower as compared to urban counterparts (Adj mean diff: 4.47, 95 % CI 3.78, 5.16) and showed an association with stunting (Adj mean diff: -1.30, 95 % CI -1.93, -0.66), and underweight (Adj mean diff: -1.04, 95 % CI -1.71, -0.38) not explained by type of neighbourhood or socio-economic status. SS was associated with PD more than combined contribution of socio-economic status and rural-urban factors (Adj mean diff: 0.47, 95 % CI 0.30, 0.63). %26lt;br%26gt;SS in rural homes may be a significant factor influencing the child development. There is a need to corroborate these results by additional research for integration in health policy initiatives.

• 出版日期2014-10