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Food insecurity and children's developmental risk: Do anemia and caregiver depression play a role?

机译：粮食不安全和儿童的发展风险：贫血和照顾者抑郁是否起作用？

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摘要

Nurturing, sensitive care in early childhood stimulates the developing brain and promotes optimal development, whereas disrupted parenting negatively impacts children's development (Thompson & Nelson, 2001). Food insecurity, caregiver depression, and anemia increase a child's risk for negative developmental outcomes, with chronic experiences having the most negative long-term effects (Campbell & Cohn, 1995; Garmezy, Masten, & Tellegen, 1984; McCann & Ames, 2007; McLoyd, 1998b; NICHD, 2005; Rose-Jacobs, Black, Casey et al., 2008). The current study examined the roles that anemia and maternal depression play in the relation between food insecurity and developmental risk among a low-income, urban, African American sample of young children. This study was part of a larger cross-sectional study of parents with children under age three who seek treatment at pediatric emergency departments or primary care clinics. Participants were approached in waiting rooms and asked if they would like to participate in a survey. Participants who completed surveys in Baltimore's primary care clinic were eligible to be included in the current study if they were a female caregiver and had complete medical record data (i.e., anemia and developmental risk status). Logistic regressions revealed that anemia, defined as hgb < 11 g/dL and hct < 33%, was statistically significantly related to developmental risk (OR = 2.247 [CI: 1.03-4.902], p < .05), suggesting that children with anemia were 2.25 times more likely to be at developmental risk compared to those without anemia. When examined separately, developmental risk, as indicated by the screening instruments (ASQ and DDSTII), was not related to anemia; nor was developmental risk as indicated by the referral and problem list in the medical record. Caregiver report of one or more developmental concerns (OR = 3.372 [95% CI: 1.241-9.166], p < .05), and two or more developmental concerns were positively associated with anemia at the hgb<11.0 and hct<33% level (OR = 6.577 [95% CI: 1.559-27.746, p < .01). Food insecure caregivers were 2.26 times more likely to report depressive symptoms compared with food secure caregivers (OR = 2.261 [95% CI 1.038-4.924], p < .05). These findings highlight both the importance of listening to caregiver's concerns for their children's development and intervening when families experience food insecurity and child anemia.
机译：幼儿期的敏感护理可以刺激大脑发育并促进最佳发育，而育儿中断会对孩子的发育产生负面影响（Thompson＆Nelson，2001）。粮食不安全，照顾者抑郁和贫血增加了儿童不利的发展结果的风险，长期经验对儿童的长期影响最大（Campbell＆Cohn，1995; Garmezy，Masten，＆Tellegen，1984; McCann＆Ames，2007; McLoyd，1998b； NICHD，2005； Rose-Jacobs，Black，Casey等，2008）。当前的研究检验了贫血和产妇抑郁在低收入，城市，非裔美国人幼儿样本中在粮食不安全与发展风险之间的关系中所起的作用。该研究是一项较大的横断面研究的一部分，该研究对有三岁以下儿童的父母在儿科急诊科或初级保健诊所寻求治疗。在候诊室与参与者取得联系，询问他们是否愿意参加调查。在巴尔的摩的初级保健诊所完成调查的参与者，如果他们是女性照顾者，并且具有完整的医疗记录数据（即贫血和发育风险状态），则有资格被纳入本研究。 Logistic回归显示，定义为hgb <11 g / dL和hct <33％的贫血与发展风险在统计学上显着相关（OR = 2.247 [CI：1.03-4.902]，p <.05），表明患贫血的儿童与没有贫血的人相比，发生发育风险的可能性高出2.25倍。单独检查时，筛查工具（ASQ和DDSTII）表明的发育风险与贫血无关。如病历中的转诊和问题清单所示，也没有发育风险。在hgb <11.0和hct <33％的水平上，一项或多项发展问题的照顾者报告（OR = 3.372 [95％CI：1.241-9.166]，p <.05），以及两项或多项发展问题与贫血呈正相关（OR = 6.577 [95％CI：1.559-27.746，p <.01）。与食品安全看护者相比，食品安全看护者报告抑郁症状的可能性高2.26倍（OR = 2.261 [95％CI 1.038-4.924]，p <.05）。这些发现既强调了倾听照顾者对其子女发展的担忧的重要性，又强调了在家庭遇到粮食不安全和儿童贫血时进行干预的重要性。

著录项

  • 作者

    Quigg, Anna Marie.;

  • 作者单位

    University of Maryland, Baltimore County.;

  • 授予单位 University of Maryland, Baltimore County.;
  • 学科 Psychology Developmental.;Sociology Public and Social Welfare.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 128 p.
  • 总页数 128
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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