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Predictors of developmental status in young children living in institutional care in Kazakhstan

Maria G Kroupina1, Liza Toemen, Musa M Aidjanov

  • 1International Adoption Medicine, University of Minnesota, Minneapolis, MN, 55455, USA, kroup003@umn.edu.

Maternal and Child Health Journal
|December 7, 2014
PubMed

Insights

Children in institutional care show developmental delays, with longer stays worsening outcomes. Stunting, anemia, and poor emotional regulation are key risk factors impacting development.

Area of Science:

  • Child Development
  • Pediatric Health
  • Institutional Care Impact

Background:

  • Institutionalized children face severe environmental adversity.
  • Early life adversity significantly impacts child development and well-being.
  • Understanding risk factors is crucial for intervention in institutional settings.

Purpose of the Study:

  • To assess the developmental status of children in Kazakh institutions.
  • To identify risk factors associated with developmental delays, stunting, and anemia.
  • To examine the impact of institutional care duration on child development.

Main Methods:

  • Utilized Bayley Scales of Infant Development for 103 children (aged 14.9 months).
  • Assessed emotional-behavioral regulation using Behavioral Rating Scales.
  • Measured physical growth (z scores) and anemia via blood tests.

Main Results:

  • Children in institutions exhibited compromised development, with duration of care correlating with delay severity.
  • Negative predictors included poor emotional-behavioral regulation, stunting, and age.
  • High rates of anemia and low birth weight were significant negative predictors of development.

Conclusions:

  • Institutional care negatively impacts child development and emotional regulation.
  • Stunting serves as an indicator of early adversity's effect on cognitive development.
  • Special attention is required for vulnerable children, like those with low birth weight.

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