Desigualdades em saúde: o desenvolvimento infantil nos diferentes grupos sociais

Oliveira, Clariana Vitória Ramos de; Palombo, Cláudia Nery Teixeira; Toriyama, Aurea Tamami Minagawa; Veríssimo, Maria De Lá Ó Ramallo; Castro, Márcia C.; Fujimori, Elizabeth

doi:10.1590/s1980-220x2018037103499

Cited by 5 publications

(3 citation statements)

References 26 publications

(40 reference statements)

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“…32 Turning to our outcomes of interest rather than exposures, we identified articles that describe demographic and socioeconomic conditions as predictors of mental health problems and missed developmental milestones, with no mention of pregnancy circumstance. 33,34 Our study enters at the intersection of existing studies, connecting the exposure of pregnancy intention status to outcomes related to child socioemotional and behavioral development. More studies based in Brazil and communities similar to Embu das Artes are needed to expand this small body of evidence and study the mechanisms by which unintended pregnancy affects children's early development, especially given culturally specific perceptions of pregnancy that are not captured in our study.…”

Section: Discussionmentioning

confidence: 99%

Maternal Pregnancy Intention and Developmental Outcomes in Brazilian Preschool-Aged Children

Jang

Molino

Ribeiro

et al. 2021

J Dev Behav Pediatr

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Objective: This study aims to characterize the association between maternal pregnancy intention and socioemotional developmental outcomes in a Brazilian sample of preschool-aged children. Methods: Data from children aged 4 to 5 years and their primary caregivers in Embu das Artes, a Brazilian municipality in the state of Sa ˜o Paulo, were collected in 2016. Maternal pregnancy intention was defined as intended or unintended, which was then further stratified as mistimed or unwanted. Outcomes included socioemotional developmental delay, internalizing and externalizing behaviors, and school readiness. We estimated risk ratios (RRs) for unadjusted and inverse-probability-weighted regression adjustment (IPWRA) analyses using 2-level (intended vs unintended) and 3-level (intended vs mistimed vs unwanted) exposure definitions. Results: Of 1,034 total mothers, 40.7% reported their pregnancy as intended, 46.0% as mistimed, and 13.4% as unwanted. In both unadjusted and IPWRA analyses comparing intended and unintended pregnancies, all associations failed to reach statistical significance. In the IPWRA analysis using the 3-level exposure definition, unwanted pregnancies were associated with higher risk of socioemotional developmental delay (RR 5 1.14; 95% confidence interval [CI], 1.01-1.28) and co-occurring internalizing and externalizing behaviors (RR 5 1.11, 95% CI, 1.00-1.22), compared with intended pregnancies. Conclusion: There was higher risk of poor child outcomes among unwanted compared with intended pregnancies, whereas mistimed pregnancies were not associated with poor outcomes. Further research using standardized definitions of pregnancy intention along with targeted interventions that increase access to family planning services and counseling for parents of children born after unintended pregnancies is needed.

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Section: Discussionmentioning

confidence: 99%

Maternal Pregnancy Intention and Developmental Outcomes in Brazilian Preschool-Aged Children

Jang

Molino

Ribeiro

et al. 2021

J Dev Behav Pediatr

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“…Standardized percentile scores were generated from PIPAS based on the percentage of developmental milestones attained. Based on exploratory analyses of the ECD score distribution and on the risk for developmental delay found in previous studies conducted with Brazilian children, the 30th percentile of the score's distribution was selected as the cut‐off point used for identifying children screening positive for higher risk of ECD delays (Halpern, Giugliani, Victora, Barros, & Horta, 2000; Maria‐Mengel & Linhares, 2007; Biscegli, Polis, Santos, & Vicentin, 2007; Coelho, Ferreira, Sukiennik, & Halpern, 2016; Venancio, 2018; Oliveira et al, 2019; Araujo, Quadros, Murata, & Israel, 2019).…”

Section: Methodsmentioning

confidence: 99%

Maternal mental health modifies the association of food insecurity and early child development

Pedroso

Buccini

Venâncio³

et al. 2020

Maternal & Child Nutrition

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We examined the association between household food insecurity and early child development and whether or not maternal depression and anxiety modifies this association. The cross‐sectional study included 468 mother–infant pairs recruited at primary health centers of the Federal District, Brazil. Mothers answered a questionnaire that evaluated early child development (outcome), household food insecurity (independent variable), maternal depression and trait anxiety (effect modifiers). Variables were collected with validated questionnaires for the Brazilian population. Pearson's χ2 test and logistic regression analyses were conducted. Infants who lived in a moderate or severe food insecure household had 2.52 times (95% confidence interval [CI] [1.13, 5.65]) the odds of having early child development delays compared with infants in secure households. Maternal depression and anxiety modified the strength of association between household food insecurity and early child development, which is an innovative finding. Among infants with depressed mothers, those experiencing mild (adjusted odds ratio [aOR] 3.33, 95% CI [1.17, 9.46]) and moderate/severe household food insecurity (aOR 10.13, 95% CI [2.18, 47.10]) had higher odds of having early child development delays, compared with infants in food secure households. Among infants with both anxious and depressed mothers, these associations were even stronger for mild (aOR 4.69, 95% CI [1.41, 15.59]) and moderate/severe household food insecurity (aOR 16.07, 95% CI [2.70, 95.66]). In conclusion, household food insecurity is a risk factor for early child development delays, and this association is modified by maternal depression and anxiety. Future studies should evaluate the impact of intervention packages that address maternal depression and anxiety and household food insecurity on preventing early child development delays.

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“…Além disso, crianças de famílias com baixa renda apresentam mais dificuldade no que tange ao avanço do desenvolvimento devido as interferências ambientais, como a pobreza, condições precárias de saúde, estímulo ambiental deficiente e nutrição inadequada, tal fato se encontra associado aos achados na pesquisa onde 60% das famílias das crianças com atraso no DNPM pesquisadas sobrevivem com até um salário mínimo 19,20 .…”

Section: Pediatriaunclassified

Perfil econômico e familiar de crianças com atraso no desenvolvimento neuropsicomotor em um hospital na Amazônia

Kadosaki¹,

Luz²,

Macias³

et al. 2020

PRMJ

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Desigualdades em saúde: o desenvolvimento infantil nos diferentes grupos sociais

Cited by 5 publications

References 26 publications

Maternal Pregnancy Intention and Developmental Outcomes in Brazilian Preschool-Aged Children

Maternal Pregnancy Intention and Developmental Outcomes in Brazilian Preschool-Aged Children

Maternal mental health modifies the association of food insecurity and early child development

Perfil econômico e familiar de crianças com atraso no desenvolvimento neuropsicomotor em um hospital na Amazônia

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