Physical Discipline, Deprivation, and Differential Risk of Developmental Delay Across 17 Countries - 26/01/21
, Elizabeth Beatriz, PhD b, Ryan McBain, ScD c, Dana McCoy, PhD d, Margaret Sheridan, PhD e, Günther Fink, PhD fAbstract |
Objective |
Parenting behaviors have been studied largely 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 of children’s socioemotional 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 socioemotional developmental delay was indicated if a child could not accomplish 2 or more items within that specific subdomain. Overall risk for delay was indicated if a child was at risk in either subdomain. Associations among discipline, deprivation, and delay were assessed using multivariable logistic regression.
Results |
Five of the 7 exposures were associated with risk of overall developmental delay. Physical discipline (odds ratio [OR] = 1.49 [95% CI = 1.39, 1.59]; p < .001) had the largest association with risk for socioemotional delay. Not having books (OR = 1.62 [95% CI = 1.42, 1.84]; p < .001) and not counting with the child (OR = 1.47 [95% CI = 1.32, 1.64]; p < .001) had the largest associations with risk of cognitive delay.
Conclusion |
The exposures of physical discipline and deprivation measured here have distinct associations with risk of socioemotional and cognitive delay cross-nationally. Programmatic and clinical interventions should seek to act on adversities that are relevant to the targeted delay.
Le texte complet de cet article est disponible en PDF.Key words : physical discipline, deprivation, child development, cross-cultural mental health
Plan
| The authors have reported no funding for this work. |
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| Author Contributions |
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| Conceptualization: Salhi, Beatriz, McCoy, Sheridan, Fink |
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| Data curation: Salhi, Beatriz, McCoy |
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| Formal analysis: Salhi, Beatriz |
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| Investigation: Salhi |
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| Methodology: Salhi, McBain, McCoy, Sheridan, Fink |
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| Supervision: Fink |
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| Writing – original draft: Salhi |
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| Writing – review & editing: Salhi, Beatriz, McBain, McCoy, Sheridan, Fink |
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| ORCID |
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| Carmel Salhi, ScD: 0000-0002-7465-458X |
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| Elizabeth Beatriz, PhD: 0000-0003-4432-3170 |
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| Dana McCoy, PhD: 0000-0002-0896-1813 |
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| Margaret Sheridan, PhD: 0000-0002-0745-4342 |
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| Disclosure: Dr. Salhi has received research support from the National Institute of Mental Health (NIMH), the American Foundation for Suicide Prevention (AFSP), and RAND Corporation. Dr. Beatriz has received funding support from the Commonwealth of Massachusetts, the Family and Youth Services Bureau (FYSB) of the Administration for Children and Families, and the AFSP. Dr. McBain has received research support from the NIMH, the Assistant Secretary for Planning and Evaluation, the Health Resources and Services Administration, the Centers for Medicare and Medicaid Services, the Los Angeles County Department of Mental Health, and the US Department of Defense. He is a member of the advisory board of Water Ecuador. Dr. McCoy has received research support from the Institute of Education Sciences (IES), the NIMH, the Harvard Lemann Brazil Research Fund, the Bezos Foundation, the Bill and Melinda Gates Foundation, and Grand Challenges Canada. Dr. Sheridan has received research support from the NIMH, the National Science Foundation, and the North Carolina Translational and Clinical Sciences Institute. Dr. Fink has received research support from the Bill and Melinda Gates Foundation, the Botnar Research Center for Child Health, and the Eckenstein-Geigy Foundation. |
Vol 60 - N° 2
P. 296-306 - février 2021 Retour au numéro
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