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.
Abstract:
Nurturing care (NC) is essential for children to meet their optimal development potential. However, the various NC dimensions and their patterns from preconception through adolescence have not been comprehensively documented. This study explored five NC dimensions (health, nutrition, safety/security, learning, and relationships) using prospectively collected data from 1040 mother-child dyads in a birth cohort conducted in Vietnam from 2011 to 2023. We described distributions of age-specific variables of the NC dimensions from preconception through ages 2, 6, and 10 years, and generated scaled scores that ranged from 0 to 1. Mean scores varied across dimensions and life stages (range: 0.45-0.83). The scores were 0.1-0.2 points higher among mothers with higher schooling levels. Smaller differences (0.03-0.06 points) in scores were also observed between ethnicities, but no significant difference was observed between boys and girls. We observed positive correlations among most of the five dimensions within each study period (r range: 0.03-0.38). The variation of NC dimensions across different time points indicates a need to measure NC across life stages. Our findings demonstrate important gaps in gaining full achievement in NC from preconception through age 10 years.
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