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Physical discipline, deprivation, and differential risk of developmental delay across 17 countries

Salhi, C. and Beatriz, E. and McBain, R. and McCoy, D. and Sheridan, M. and Fink, G.. (2021) Physical discipline, deprivation, and differential risk of developmental delay across 17 countries. J Am Acad Child Adolesc Psychiatry, 60 (2). pp. 296-306.

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Official URL: https://edoc.unibas.ch/89367/

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Abstract

OBJECTIVE: Parenting behaviors have largely been studied in isolation with regard to child development in cross-national contexts. We examine and compare the relative strength of association between physical discipline and deprivation with risk for children's socio-emotional and cognitive developmental delay in a cross-national sample. METHOD: The sample was drawn from the UNICEF Multiple Indicator Cluster Survey. Analyses used observations with data on parental physical discipline, parenting behaviors associated with deprivation, and child developmental outcomes. The present analysis included 29,792 children aged 36-59 months across 17 countries. Using the Early Child Development Index, risk for cognitive or socio-emotional developmental delay was indicated if a child could not accomplish 2 or more items within that specific sub-domain. Overall risk for delay was indicated if a child was at risk in either sub-domain. Associations between discipline, deprivation and delay were assessed using multivariable logistic regression. RESULTS: Five of the seven exposures were associated with risk for overall developmental delay. Physical discipline (OR=1.49 [95% CI 1.39-1.59]; p<0.001) had the largest association with risk for socio-emotional delay. Not having books (OR=1.62 [95% CI 1.42-1.84]; p<0.001) and not counting with the child (OR=1.47 [95% CI 1.32-1.64]; p<0.001) had the largest associations with risk for cognitive delay. CONCLUSION: The exposures of physical discipline and deprivation measured here have distinct associations with risk for socio-emotional and cognitive delay cross-nationally. Programmatic and clinical interventions should seek to act on adversities that are relevant to the targeted delay.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Household Economics and Health Systems Research > Epidemiology and Household Economics (Fink)
06 Faculty of Business and Economics > Departement Wirtschaftswissenschaften > Professuren Wirtschaftswissenschaften > Epidemiology and Household Economics (Fink)
UniBasel Contributors:Fink, G√ľnther
Item Type:Article, refereed
Article Subtype:Research Article
ISSN:1527-5418 (Electronic)0890-8567 (Linking)
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:21 Dec 2022 09:53
Deposited On:21 Dec 2022 09:53

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