Oportunidades do ambiente domiciliar para o desenvolvimento motor

Abstract

OBJECTIVE:To assess the opportunities present in the home environment for motor development of infants. METHODS:This was a cross-sectional population-based epidemiological study on 239 infants aged three to 18 months who were living in the municipality of Juiz de Fora, Southeastern Brazil, in 2010. The participants were selected by means of stratifi ed random sampling, in clustered multiple stages. To assess the quality and quantity of motor stimulus in the home environment, the "Affordances in the Home Environment for Motor Development -Infant Scale" instrument was used. Bivariate analysis was performed, with application of the chi-square test followed by multinomial logistic regression, in order to investigate associations between the opportunities present in the home and biological, behavioral, demographic and socioeconomic factors. RESULTS:The opportunities for environmental stimulation were relatively low. In the bivariate analysis, for the age group from three to nine months, associations with the following factors were found: birth order (p = 0.06), socioeconomic classifi cation (p = 0.08), monthly income (p = 0.06) and per capita income (p = 0.03). In the regression model, the socioeconomic classifi cation prevailed (OR = 7.46; p = 0.03). For the age group from 10 to 18 months, bivariate analysis showed that the following factors were associated: mother's marital status (p < 0.01), father living with the child (p = 0.08), head of the family (p = 0.04), number of people in the household (p = 0.05), mother's schooling level (p < 0.01), father's schooling level (p < 0.01), socioeconomic classifi cation (p < 0.01) and per capita income (p = 0.03). In the regression model, the mother's marital status (OR = 4.83; p = 0.02), mother's schooling level (OR = 0.29; p = 0.03) and father's schooling level (OR = 0.33; p = 0.04) remained associated with the opportunities for environmental stimulation. CONCLUSIONS:Stable partnership between the parents, higher maternal and paternal schooling levels and higher economic level were the factors associated with better opportunities for motor stimulation in the home.

Functional capacity, independence and home affordances of premature children attending daycare centers

“…The low socioeconomic condition present in the sample (most of them with a lower income than R$ 1.500.00, belonging to the classes C1 and C2  according to the ABEP classi ication) may partially explain the low level of stimulation found in the dimensions Fine and Gross Motor Skill, as previous studies showed positive correlation between socioeconomic status and the quality and quantity of toys at home, since there is better chance of families with higher purchasing power to purchase toys for their children (6,31). Lack of parental knowledge regarding which toys are best suited to stimulate the development of their children can lead to prioritizing other goods (2,29) or purchasing unsuitable toys with little variation (6).…”

“…Lack of parental knowledge regarding which toys are best suited to stimulate the development of their children can lead to prioritizing other goods (2,29) or purchasing unsuitable toys with little variation (6). This implicates the need for trained professionals to better guide parents as to the acquisition and use of toys, as was also suggested by Noble et al (30).…”

“…The intrinsic factors are inherent to the person such as low birth weight and prematurity (1,2,3,5). The extrinsic factors are external elements that act on the child since the conception and include the stimuli and opportunities generated by the environment in which the child lives such as the level of education (5,6,7) and socioeconomic status of the parents (6 -8).…”

O contexto ambiental e o desenvolvimento na primeira infância: estudos brasileiros

“…Some studies have assessed what socioeconomic risk factors were related to the family environment, unfavorable to the child development 7,11,[18][19][20][21][22] . Home environments were qualified according to HOME or AHEDMD.…”

“…Home environments were qualified according to HOME or AHEDMD. The studies found that the low quality of the home environment was associated with: low monthly income 11,[18][19]20 , the lower strata in the economic classification [18][19] , the mother's low education 7,11,[18][19]20 , the father's low education [18][19] , the large number of people living in the house 11,18,20 , younger children 7,18 the presence of many siblings 7,11,20 , tobacco use during pregnancy 20 , children sleeping with parents up to four years of age 20 , mothers with psychiatric disorders 20 , mothers who did not work out 7 and female single parents 7,18 .…”