Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/25689
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dc.contributor.authorWORKU, Berhanu Nigussie-
dc.contributor.authorABESSA, Teklu Gemechu-
dc.contributor.authorWondafrash, Mekitie-
dc.contributor.authorVANVUCHELEN, Marleen-
dc.contributor.authorBRUCKERS, Liesbeth-
dc.contributor.authorKolsteren, Patrick-
dc.contributor.authorGRANITZER, Marita-
dc.date.accessioned2018-03-08T08:31:32Z-
dc.date.available2018-03-08T08:31:32Z-
dc.date.issued2018-
dc.identifier.citationBMC pediatrics (Online), 18, p. 1-9 (Art N° 45)-
dc.identifier.issn1471-2431-
dc.identifier.urihttp://hdl.handle.net/1942/25689-
dc.description.abstractBackground:Extreme poverty is severe deprivation of basic needs and services. Children living in extreme poverty may lack adequate parental care and face increased developmental and health risks. However, there is a paucity of literature on the combined influences of undernutrition and psychosocial factors (such as limited play materials,playground, playtime, interactions of children with their peers and mother-child interaction) on children’s developmental outcomes. The main objective of this study was, therefore, to ascertain the association of developmental outcomes and psychosocial factors after controlling nutritional indices.Methods:A community-based cross-sectional study design was used to compare the developmental outcomes of extremely poor children (N= 819: 420 girls and 399 boys) younger than 5 years versus age-matched reference children (N = 819: 414 girls and 405 boys) in South-West Ethiopia. Using Denver II-Jimma, development in personal-social, language, fine and gross motor skills were assessed, and social-emotional skills were evaluated using the Ages and Stages Questionnaires: Social-Emotional (ASQ: SE). Nutritional status was derived from the anthropometric method. Independent samples t-test was used to detect mean differences in developmental outcomes between extremely poor and reference children. Multiple linear regression analysis was employed to identify nutritional and psychosocial factors associated with the developmental scores of children in extreme poverty.Results:Children in extreme poverty performed worse in all the developmental domains than the reference children. Among the 819 extremely poor children, 325 (39.7%) were stunted, 135 (16.5%) were underweight and 27(3.3%) were wasted. The results also disclosed that stunting and underweightness were negatively associated with all the developmental skills. After taking into account the effects of stunting and being underweight on the developmental scores, it was observed that limited play activities, limited child-to-child interactions and mother-child relationships were negatively related mainly to gross motor and language performances of children in extreme poverty.Conclusion:Undernutrition and psychosocial factors were negatively related to the developmental outcomes,independently, of children living in extreme poverty. Intervention, for these children, should integrate home-based play-assisted developmental stimulation and nutritional rehabilitation.-
dc.description.sponsorshipThis research project was funded by VLIR: JU-IUC (Jimma University-Institutional University Cooperation) program. The cooperation program had no part in the study processes and its publication.-
dc.language.isoen-
dc.rights© The Author(s). 2018Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, andreproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link tothe Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver(http://creativecommons.org/public domain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.-
dc.subject.otherundernutrition; extreme poverty; psychosocial factor; developmental outcomes-
dc.titleThe relationship of undernutrition/psychosocial factors and developmentaloutcomes of children in extreme povertyin Ethiopia-
dc.typeJournal Contribution-
dc.identifier.epage9-
dc.identifier.spage1-
dc.identifier.volume18-
local.bibliographicCitation.jcatA1-
dc.description.notesWorku, BN (reprint author), Jimma Univ, Dept Psychol, Jimma, Ethiopia. brexnigussie83@yahoo.com-
dc.relation.references1. Neubourg Cd, Chai J, Milliano Md, Plavgo I, Wei Z: ‘Cross-country MODA study: multiple overlapping deprivation analysis (MODA)-technical note,’ working paper 2012–05. In. Florence: UNICEF Office of Research; 2012. 2. Unicef, World Bank Group: Ending extreme poverty: a focus on children. .; 2016. 3. Grantham-McGregor S, Cheung YB, Cueto S, Glewwe P, Richter L, Strupp B. Developmental potential in the first 5 years for children in developing countries. Lancet. 2007;369(9555):60–70. 4. Beatrice N, Lise G, Victoria ZM, Louise S. Longitudinal patterns of poverty and health in early childhood: exploring the influence of concurrent, previous, and cumulative poverty on child health outcomes. BMC Pediatr. 2012;12:141. 5. Walker SP, Wachs TD, Grantham-McGregor S, Black MM, Nelson CA, Huffman SL, Baker-Henningham H, Chang SM, Hamadani JD, Lozoff B, et al. Inequality in early childhood: risk and protective factors for early child development. Lancet. 2011;378(9799):1325–38. 6. Moore KA, Redd Z, Burkhauser M, Mbwana K, Collins A. Children in poverty: trends, consequences and policy options. Washington, DC: Child Trends; 2009. 7. Petrou S, Kupek E. Poverty and childhood undernutrition in developing countries: a multi-national cohort study. Soc Sci Med. 2010;71(7):1366–73. 8. Fentahun W, Wubshet M, Tariku A. Undernutrition and associated factors among children aged 6-59 months in east Belesa District, northwest Ethiopia: a community based cross-sectional study. BMC Public Health. 2016;16:506. 9. Chilton M, Chyatte M, Breaux J. The negative effects of poverty and food insecurity on child development: review article. Indian J Med Res. 2007;126:262–72. 10. Santos DN, Assis AM, Bastos AC, Santos LM, Santos CA, Strina A, Prado MS, Almeida-Filho NM, Rodrigues LC, Barreto ML. Determinants of cognitive function in childhood: a cohort study in a middle income context. BMC Public Health. 2008;8:202. 11. Olney DK, Kariger PK, Stoltzfus RJ, Khalfan SS, Ali NS, Tielsch JM, Sazawal S, Black R, Allen LH, Pollitt E. Development of nutritionally at-risk young children is predicted by malaria, anemia, and stunting in Pemba, Zanzibar. J Nutr. 2009;139(4):763–72. 12. Crookston BT, Penny ME, Alder SC, Dickerson TT, Merrill RM, Stanford JB, Porucznik CA, Dearden KA. Children who recover from early stunting and children who are not stunted demonstrate similar levels of cognition. J Nutr. 2010;140(11):1996–2001. 13. Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Health. 2014;34(4):250–65. 14. Bass JK, Nakasujja N, Familiar-Lopez I, Sikorskii A, Murray SM, Opoka R, Augustinavicius J, Boivin MJ. Association of caregiver quality of care with neurocognitive outcomes in HIV-affected children aged 2-5 years in Uganda. AIDS Care. 2016;28(Suppl 1):76–83. 15. Milteer RM, Ginsburg KR. Council on C, media, committee on psychosocial aspects of C, family H:the importance of play in promoting healthy child development and maintaining strong parent-child bond: focus on children in poverty. Pediatrics. 2012;129(1):e204–13. 16. MUDHCo: State of Ethiopian cities report. In. Addis Ababa, Ethiopia; 2015. 17. Abessa TG, Worku BN, Kibebew MW, Valy J, Lemmens J, Thijs H, Yimer WK, Kolsteren P, Granitzer M. Adaptation and standardization of a western tool for assessing child development in non-western low-income context. BMC Public Health. 2016;16:652. 18. World Health Organization. Training course on child growth assessment. Geneva: WHO; 2008. 19. Frankenburg WK, Dodds JB, Archer P, Bresnick B, Maschka P, Edelman N, Shapiro H. Denver II Traning manual. In. Denver, Colorado: Denver Developmental Materials, Inc.; 1992. 20. Squires J, Bricker D, Heo K, Twombly E. Identification of social-emotional problems in young children using a parent-completed screening measure. Early Childhood Res Q. 2001;16:405–19. 21. Jee SH, Conn AM, Szilagyi PG, Blumkin A, Baldwin CD, Szilagyi MA. Identification of social-emotional problems among young children in foster care. J Child Psychol Psychiatry. 2010;51(12):1351–8. 22. WHO. WHO Anthro software (version 3.2.2, January 2011) and macros. Geneva, Switzerland: WHO Anthro; 2011. 23. Haile D, Azage M, Mola T, Rainey R. Exploring spatial variations and factors associated with childhood stunting in Ethiopia: spatial and multilevel analysis. BMC Pediatr. 2016;16:49. 24. Nkurunziza S, Meessen B, Van Geertruyden JP, Korachais C. Determinants of stunting and severe stunting among Burundian children aged 6-23 months: evidence from a national cross-sectional household survey, 2014. BMC Pediatr. 2017;17(1):176. 25. Lu C, Black MM, Richter LM. Risk of poor development in young children in low-income and middle-income countries: an estimation and analysis at the global, regional, and country level. Lancet Glob Health. 2016;4(12):e916–22. 26. Sun J, Patel F, Rose-Jacobs R, Frank DA, Black MM, Chilton M. Mothers' adverse childhood experiences and their young Children's development. Am J Prev Med. 2017; 27. Motbainor A, Worku A, Kumie A. Stunting Is Associated With food diversity while wasting with food insecurity among Underfive children in east and west Gojjam zones of Amhara region, Ethiopia. PLoS One. 2015;10(8):e0133542. 28. Rubio-Codina M, Attanasio O, Meghir C, Varela N, Grantham-McGregor S. The socio-economic gradient of child development: cross-sectional evidence from children 6-42 months in Bogota. In: Colombia: Inter-American Development Bank (IDB), social protection and health division; 2013. 29. Jensen SKG, Berens AE, Nelson CA: Effects of poverty on interacting biological systems underlying child development. The Lancet Child & Adolescent Health 2017;1:225-39. 30. Benton D. A.I.S.B.l IE: micronutrient status, cognition and behavioral problems in childhood. Eur J Nutr. 2008;47(Suppl 3):38–50. 31. DC MC, Connors MC, Morris PA, Yoshikawa H, Friedman-Krauss AH. Neighborhood economic disadvantage and Children's cognitive and socialemotional development: exploring head start classroom quality as a mediating mechanism. Early Childhood Res Q. 2015;32:150–9. 32. Hadley C, Tegegn A, Tessema F, Asefa M, Galea S. Parental symptoms of common mental disorders and children's social, motor, and language development in sub-Saharan Africa. Ann Hum Biol. 2008;35(3):259–75. 33. Chang SM, Walker SP, Grantham-McGregor S, Powell CA. Early childhood stunting and later fine motor abilities. Dev Med Child Neurol. 2010;52(9):831–6. 34. Sudfeld CR, DC MC, Danaei G, Fink G, Ezzati M, Andrews KG, Fawzi WW. Linear growth and child development in low- and middle-income countries: a meta-analysis. Pediatrics. 2015;135(5):e1266–75. 35. Cheung YB, PSF Y, JPE K. Fetal growth, early postnatal growth and motor development in Pakistani infants. Int J Epidemiol. 2001;30:66–74. 36. Bain LE, Awah PK, Geraldine N, Kindong NP, Sigal Y, Bernard N, Tanjeko AT. Malnutrition in sub-Saharan Africa: burden, causes and prospects. Pan Afr Med J. 2013;15:120. 37. Ali SS. A brief review of risk-factors for growth and developmental delay among preschool children in developing countries. Adv Biomed Res. 2013;2:91. 38. Prado EL, Abbeddou S, Adu-Afarwuah S, Arimond M, Ashorn P, Ashorn U, Brown KH, Hess SY, Lartey A, Maleta K, et al. Linear growth and child development in Burkina Faso, Ghana, and Malawi. Pediatrics. 2016;138 39. de Onis M, Branca F. Childhood stunting: a global perspective. Matern Child Nutr. 2016;12(Suppl 1):12–26. 40. Iannotti L, Jean Louis Dulience S, Wolff P, Cox K, Lesorogol C, Kohl P. Nutrition factors predict earlier acquisition of motor and language milestones among young children in Haiti. Acta Paediatr. 2016;105(9):e406–11. 41. Erickson SJ, Montague EQ, Maclean PC, Bancroft ME, Lowe JR. Differential ethnic associations between maternal flexibility and play sophistication in toddlers born very low birth weight. Infant Behav Dev. 2012;35(4):860–9. 42. Jimenez ME, Wade R Jr, Lin Y, Morrow LM, Reichman NE. Adverse experiences in early childhood and kindergarten outcomes. Pediatrics. 2016; 137(2):e20151839. 43. Kernan M. Play as a context for early learning and development. In: 24 Merrion Square, Dublin 2, Ireland: National Council for curriculum and assessment, NCCA; 2007. p. 1–41. 44. Vernon-Feagans L, Bratsch-Hines ME. The family life project key investigators: caregiver-child verbal interactions in child care: a buffer against poor language outcomes when maternal language input is less. Early Childhood Res Q. 2013;28(4):858–73. 45. Parfitt Y, Pike A, Ayers S. Infant developmental outcomes: a family systems perspective. Infant Child Dev. 2014;23(4):353–73. 46. Malekpour M. Effects of attachment on early and later development. The. Br J Dev Disabilities. 2007;53:81–95. 47. Ribeiro DG, Perosa GB, Padovani FHP. Mental health, mother-child interaction and development at the end of the first year of life. Paidéia (Ribeirão Preto). 2014;24(59):331–9. 48. Vernon-Feagans L, Garrett-Peters P, Willoughby M, Mills-Koonce R. The family life project key I: chaos, poverty, and parenting: predictors of early language development. Early Childhood Res Q. 2012;27(3):339–51. 49. Gulay H, Seven S, Damar M. The effects gross motor skills in pre-school children have on their peer relation and social status. Res J Biol Sci. 2010;5:722–6. 50. Glascoe FP, Byrne KE, Ashford LG, Johnson KL, Chang B, Strickland B. Accuracy of the Denver-II in developmental screening. Pediatrics. 1992;89: 1221–5. 51. Asfaw M, Wondaferash M, Taha M, Dube L. Prevalence of undernutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia. BMC Public Health. 2015;15:41. 52. El-Sherif AM, Babrs GM, Ismail AM. cranial magnetic resonance imaging (MRI) changes in severely malnourished children before and after treatment. Life Sci J. 2012;9:738–42.-
local.type.refereedRefereed-
local.type.specifiedArticle-
local.bibliographicCitation.artnr45-
local.classdsPublValOverrule/author_version_not_expected-
dc.identifier.doi10.1186/s12887-018-1009-y-
dc.identifier.isi000424987000004-
item.accessRightsOpen Access-
item.validationecoom 2019-
item.fulltextWith Fulltext-
item.fullcitationWORKU, Berhanu Nigussie; ABESSA, Teklu Gemechu; Wondafrash, Mekitie; VANVUCHELEN, Marleen; BRUCKERS, Liesbeth; Kolsteren, Patrick & GRANITZER, Marita (2018) The relationship of undernutrition/psychosocial factors and developmentaloutcomes of children in extreme povertyin Ethiopia. In: BMC pediatrics (Online), 18, p. 1-9 (Art N° 45).-
item.contributorWORKU, Berhanu Nigussie-
item.contributorABESSA, Teklu Gemechu-
item.contributorWondafrash, Mekitie-
item.contributorVANVUCHELEN, Marleen-
item.contributorBRUCKERS, Liesbeth-
item.contributorKolsteren, Patrick-
item.contributorGRANITZER, Marita-
crisitem.journal.eissn1471-2431-
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