Associations Between Parental Depression, Self-efficacy, and Early Childhood Development in Malnourished Haitian
Xinshu She1, Sajithya Perera2, Martine Andre3
1Stanford U School of Medicine, Stanford, CA, USA.
Insights
Parental self-efficacy is linked to better early childhood development in malnourished Haitian children. Improving parental confidence may help prevent developmental delays in vulnerable populations.
Area of Science:
- Global Health
- Child Development
- Pediatrics
Background:
- Haiti faces a critical lack of data and guidelines for early childhood development, particularly in malnourished populations.
- Early childhood developmental interventions are vital for improving outcomes in malnourished children.
- This study investigates developmental delays in Haitian children and their connection to parental mental health and self-efficacy.
Purpose of the Study:
- To determine the prevalence of early childhood developmental delays in a cohort of malnourished Haitian children.
- To examine the association between parental depression and self-efficacy and childhood developmental delays.
- To inform the development of contextually relevant interventions for early childhood development in Haiti.
Main Methods:
- Cross-sectional study involving 42 malnourished children aged 6 months to 2 years in Saint-Marc, Haiti.
- Developmental status assessed using the Ages and Stages Questionnaire (ASQ).
- Parental depression symptoms and self-efficacy measured using validated surveys for low-resource settings; multivariable logistic regression used for analysis.
Main Results:
- 45.2% of children exhibited developmental delays in at least one domain.
- A significant majority of parents (64.3%) were at high risk for depression.
- Low parental self-efficacy was strongly associated with developmental delays (OR 17.5), while parental depression risk showed a non-significant association (OR 4.6).
Conclusions:
- Parental self-efficacy demonstrated a protective association against early childhood developmental delays in malnourished Haitian children.
- Findings highlight the importance of parental factors in child development within resource-limited settings.
- Further research is recommended to create culturally appropriate interventions to support early childhood development.
Abstract:
Background. Haiti lacks early childhood development data and guidelines in malnourished populations. Literature shows that developmental interventions are crucial for improving developmental outcomes malnourished children. This study examines the prevalence of early childhood development delays in a cohort of malnourished Haitian children and their associations with parental depression and self-efficacy. Methods. We used cross-sectional data from 42 patients 6 months to 2 years old in Saint-Marc, Haiti. We assessed their developmental status using the Ages and Stages Questionnaire. Parents were surveyed on depression symptoms and self-efficacy using validated surveys developed for low-resource settings. Demographic and socio-economic data were included. Prevalence of early childhood development delays and high parental depression risk were calculated. Multivariable logistic regression analyses were used to test whether parental depression risk and low self-efficacy were associated with a higher risk for childhood developmental delays. Results. Among participants, 45.2% (SD = 7.7%) of children with a recorded ASQ met age-specific cutoffs for developmental delay in one or more domains. 64.3% (SD = 7.4%) of parents were at high risk for depression. 47.6% (SD = 7.7%) of parents reported relatively low self-efficacy. Multivariable analysis showed that low parental self-efficacy was strongly associated with developmental delays (OR 17.5, CI 1.1-270.0) after adjusting for socioeconomic factors. Parental risk for depression was associated with higher odds (OR 4.6, CI 0.4-50.6) of children having developmental delays but did not reach statistical significance in this study. Conclusion. Parental self-efficacy was protectively associated with early childhood developmental delays in malnourished Haitian children. More research is needed to design contextually appropriate interventions.
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