The relationship between home environment and early childhood development of left-behind children under 3 years in rural China |
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| Affiliation: | 1. Department of Maternal and Child Health, School of Public Health, Peking University, Beijing 100191, PR China;2. Department of Epidemiology, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, PR China;3. Department of Obstetrics and Gynecology, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191, PR China;4. Institute of Reproductive and Child Health/Key Laboratory of Reproductive Health, National Health Commission of the People’s Republic of China, Peking University, Beijing 100191, PR China;1. The University of Melbourne, Department of Medicine (Royal Melbourne Hospital), The University of Melbourne, VIC 3010, Australia;2. Department of Medicine (Royal Melbourne Hospital), The University of Melbourne.Academic Director, Australian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, VIC 3010, Australia;1. American University, 4400 Massachusetts Ave NW, Washington, DC 20016, United States;2. Florida International University, 11200 SW 8th St. Miami, FL 33199, United States;1. Department of Psychology, Marymount University, USA;2. Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA;3. Institute for Fiscal Studies, London, UK;4. UNICEF, New York, NY, USA;1. Department of Mathematics, University of British Columbia, Vancouver, British Columbia, Canada;2. Centre for Addiction and Mental Health, Toronto, Ontario, Canada;3. Mathematics & Statistics Undergraduate Program, McMaster University, Hamilton, Ontario, Canada;4. Integrated Biomedical Engineering & Health Sciences Undergraduate Program, McMaster University, Hamilton, Ontario, Canada;5. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada;1. Faculty of Human Sciences, Osnabrück University, Germany;2. The Hebrew University Jerusalem, Israel;3. Instituto de Investigaciones Psicológicas, Universidad de Costa Rica, San José, Costa Rica |
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| Abstract: | BackgroundHome environment provides stimulation and learning opportunities required for children’s early development. However, few studies have focused on the effects of home environment on left-behind children’s development in rural China. The study aimed to investigate the relationship between home environment and early childhood development of left-behind children under 3 years old in rural China.MethodsInformation about sociodemographic characteristics, caregivers’ mental health, home environment and children’s development was collected. Infant/Toddler Home Observation for Measurement of the Environment Inventory (IT-HOME) was used to assess home environment. Child’s development was evaluated with the Chinese version of the Ages & Stages Questionnaire - third edition.ResultsElevated caregivers’ depressive symptoms were associated with a higher risk of total suspected development delay. An increase of one score in the IT-HOME resulted in a 7% decrease in total suspected development delay. Higher scores in the dimensions of involvement and variety were associated with a lower risk of suspected development delay adjusting for covariates.ConclusionsOur results have implications for home-based intervention aiming at promoting nurturing care as well as caregivers’ mental health, which is required for early development of young left-behind children in rural areas of China. |
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| Keywords: | Left-behind children Home environment Early development Caregiver’s mental health |
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