Determinants of cognitive function in childhood: a cohort study in a middle income context.
Determinants of cognitive function in childhood: a cohort study in a middle income context.
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DOI：
10.1186/1471-2458-8-202
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发表时间：
2008-06-06
影响因子：
4.5
通讯作者：
Barreto, Mauricio L.
中科院分区：
文献类型：
--
作者：
Santos, Darci N.;Assis, Ana Marlucia O.;Bastos, Ana Cecilia S.;Santos, Leticia M.;Santos, Carlos Antonio S. T.;Strina, Agostino;Prado, Matildes S.;Almeida-Filho, Naomar M.;Rodrigues, Laura C.;Barreto, Mauricio L.
有证据表明，贫困、健康和营养影响儿童的认知发展。本研究旨在通过分析贫困影响认知能力的可能因果途径，探讨近端和远端风险因素对儿童认知发展的相对贡献。这项队列研究收集了有关家庭社会经济地位、家庭和邻里环境条件、儿童健康和营养状况、心理社会刺激和幼儿园出勤率的数据。这些对韦氏学前和小学量表的智力分数在5岁的影响进行了调查，采用多变量层次分析，指导下提出的概念框架。不利的社会经济条件，受教育程度低的母亲，父亲不在，在家里和附近的卫生条件差，出生体重低，在5岁的认知表现呈负相关，而强烈的正相关，发现高水平的家庭刺激和幼儿园出勤率。在发展中国家，通过采取干预措施，促进早期心理社会刺激和学前教育，同时努力防止出生体重不足和促进适当的营养状况，可以大大提高城市儿童的认知能力。
There is evidence that poverty, health and nutrition affect children's cognitive development. This study aimed to examine the relative contributions of both proximal and distal risk factors on child cognitive development, by breaking down the possible causal pathways through which poverty affects cognition. This cohort study collected data on family socioeconomic status, household and neighbourhood environmental conditions, child health and nutritional status, psychosocial stimulation and nursery school attendance. The effect of these on Wechsler Pre-School and Primary Scale of Intelligence scores at five years of age was investigated using a multivariable hierarchical analysis, guided by the proposed conceptual framework. Unfavourable socioeconomic conditions, poorly educated mother, absent father, poor sanitary conditions at home and in the neighbourhood and low birth weight were negatively associated with cognitive performance at five years of age, while strong positive associations were found with high levels of domestic stimulation and nursery school attendance. Children's cognitive development in urban contexts in developing countries could be substantially increased by interventions promoting early psychosocial stimulation and preschool experience, together with efforts to prevent low birth weight and promote adequate nutritional status.
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影响因子：
4.6
作者：
Bradley, RH;Corwyn, RF;Coll, CG
通讯作者：
Coll, CG
影响因子：
4.6
作者：
CAUGHY, MO;DIPIETRO, JA;STROBINO, M
通讯作者：
STROBINO, M
影响因子：
5.4
作者：
Genser, Bernd;Strina, Agostino;Barreto, Mauricio L.
通讯作者：
Barreto, Mauricio L.
影响因子：
4.6
作者：
Bradley, RH;Corwyn, RF;Coll, CG
通讯作者：
Coll, CG
影响因子：
168.9
作者：
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通讯作者：
Black, MM