Socioeconomic status, anthropometric status, and psychomotor development of Kenyan children from resource-limited settings: a path-analytic study.
Socioeconomic status, anthropometric status, and psychomotor development of Kenyan children from resource-limited settings: a path-analytic study.
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DOI：
10.1016/j.earlhumdev.2008.02.003
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发表时间：
2008-09
影响因子：
2.5
通讯作者：
Holding P
中科院分区：
文献类型：
--
作者：
Abubakar A;Van de Vijver F;Van Baar A;Mbonani L;Kalu R;Newton C;Holding P
次优的身体生长被认为是环境风险影响和发展结果之间的关键途径。确定在资源有限的环境中，人体测量状况是否在社会经济状况和幼儿心理发展之间起中介作用。采用横断面研究设计。来自肯尼亚海岸省两个资源有限社区的204名儿童（105名女童）。这些儿童的平均年龄为29个月（SD=3.43;范围：24-35个月）。心理功能进行了评估，使用当地开发和验证的措施，基利菲发展清单。人体测量状态（通过年龄别体重、年龄别身高、上臂中围和头围测量）与心理功能之间以及社会经济地位与人体测量状态之间存在显著关联;社会经济地位与发育结果之间未发现直接影响。模型显示，体重，身高和中上臂围在较小程度上介导社会经济地位和发育结果之间的关系，而头围没有显示出相同的效果。在生活贫困的3岁以下儿童中，人体测量状况显示出与心理发展的明显关联，而社会经济状况可能只有间接关联。
Sub-optimal physical growth has been suggested as a key pathway between the effect of environmental risk and developmental outcome. To determine if anthropometric status mediates the relation between socioeconomic status and psychomotor development of young children in resource-limited settings. A cross-sectional study design was used. A total of 204 (105 girls) children from two resource-limited communities in the Coast Province, Kenya. The mean age of these children was 29 months (SD=3.43; range: 24–35 months). Psychomotor functioning was assessed using a locally developed and validated measure, the Kilifi Developmental Inventory. A significant association was found between anthropometric status (as measured by weight-for-age, height-for-age, mid-upper arm circumference, and head circumference) and psychomotor functioning and also between socioeconomic status and anthropometric status; no direct effects were found between socioeconomic status and developmental outcome. The models showed that weight, height and to a lesser extent mid-upper arm circumference mediate the relation between socioeconomic status and developmental outcome, while head circumference did not show the same effect. Among children under 3 years living in poverty, anthropometric status shows a clear association with psychomotor development while socioeconomic status may only have an indirect association.