Nurturing care in the first 10 years of life: Results from a Vietnamese longitudinal study

Lan Mai Tran1, Aryeh D Stein2, Phuong Hong Nguyen3,4

  • 1Nutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, Georgia, USA.

Insights

Nurturing care (NC) is crucial for child development. This study reveals gaps in achieving optimal nurturing care across childhood, highlighting the need for continuous assessment from preconception.

Area of Science:

  • Child Development
  • Public Health
  • Developmental Psychology

Background:

  • Optimal child development hinges on nurturing care (NC).
  • Comprehensive documentation of NC dimensions and patterns across developmental stages is lacking.
  • Understanding NC's trajectory from preconception through adolescence is vital.

Purpose of the Study:

  • To explore five key dimensions of nurturing care (health, nutrition, safety/security, learning, relationships).
  • To describe age-specific patterns of NC dimensions from preconception through age 10 years.
  • To identify factors influencing NC achievement.

Main Methods:

  • Prospective birth cohort study in Vietnam (2011-2023) with 1040 mother-child dyads.
  • Analysis of five NC dimensions: health, nutrition, safety/security, learning, and relationships.
  • Generation of scaled scores (0-1) for NC dimensions across different life stages.

Main Results:

  • Mean NC scores varied by dimension and life stage (0.45-0.83).
  • Higher maternal education correlated with higher NC scores (0.1-0.2 points difference).
  • Minor differences observed across ethnicities; no significant gender differences found.

Conclusions:

  • Nurturing care dimensions vary significantly across developmental stages.
  • Maternal education is a key factor influencing nurturing care.
  • Gaps exist in achieving comprehensive nurturing care from preconception through age 10, necessitating longitudinal monitoring.

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