Caregiving and infants' neurodevelopment in rural Costa Rica : Results from the Infants’ Environmental Health Study (ISA)
Till, Christine ; Dudani, Ameeta ; Córdoba, Leonel ; Cano, Juan Camilo ; Green, Rivka ; Menezes-Filho, José A. ; Schnaas, Lourdes ; Smith, Donald R. ; Lindh, Christian H. LU
and van Wendel de Joode, Berna
(2019)
In NeuroToxicology
74.
p.100-107
- Abstract
Early caregiving is one of the strongest influences on children's development, and among the most significant modifiable environmental factor. The aim of this study was to explore the association between quality of caregiver-infant interactions and neurodevelopment of infants living in banana-growing communities in rural Costa Rica characterized as having environmental toxic exposures. Home visits were conducted with 94 caregiver-infant dyads from the Infants’ Environmental Health Study (ISA), living within Matina county, Limón province. One-year infant neurodevelopmental outcomes were assessed using the Bayley Scales of Infant and Toddler Development®, Third Edition (Bayley-III). Quality of caregiver-infant interaction was assessed... (More)
Early caregiving is one of the strongest influences on children's development, and among the most significant modifiable environmental factor. The aim of this study was to explore the association between quality of caregiver-infant interactions and neurodevelopment of infants living in banana-growing communities in rural Costa Rica characterized as having environmental toxic exposures. Home visits were conducted with 94 caregiver-infant dyads from the Infants’ Environmental Health Study (ISA), living within Matina county, Limón province. One-year infant neurodevelopmental outcomes were assessed using the Bayley Scales of Infant and Toddler Development®, Third Edition (Bayley-III). Quality of caregiver-infant interaction was assessed with a standardized observational task: Nursing Child Assessment Satellite Training Teaching scale (NCATS) at around two years of age. Multiple regression analyses examined associations between components of caregiver-infant interactions and neurodevelopmental outcomes, adjusting for mancozeb and manganese exposure and other potential confounders. Compared to NCATS normative data for U.S. Hispanic mothers, 35% of the sample had overall caregiving interaction scores ≤10th percentile cut-off, indicating less than optimal interactions. Higher quality of caregiver-infant interaction was associated with higher expressive communication ability in infants [ß = 0.03 (95% CI: 0.01, 0.06)], controlling for pesticide exposure and confounders. Aspects of caregiving such as stimulation and growth-fostering of infants were most strongly associated with language outcomes. Results suggest an association between positive caregiving on language development for infants living in a rural agricultural area in Costa Rica, and highlight aspects of caregiving that could be targeted to improve resilience of these children who live in vulnerable conditions.
(Less)
- author
- Till, Christine
; Dudani, Ameeta
; Córdoba, Leonel
; Cano, Juan Camilo
; Green, Rivka
; Menezes-Filho, José A.
; Schnaas, Lourdes
; Smith, Donald R.
; Lindh, Christian H.
LU
and van Wendel de Joode, Berna
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Caregiving, Infants, Manganese, Neurodevelopment, Parenting, Pesticide exposure
- in
- NeuroToxicology
- volume
- 74
- pages
- 8 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85067257775
- pmid:31175942
- ISSN
- 0161-813X
- DOI
- 10.1016/j.neuro.2019.06.002
- language
- English
- LU publication?
- yes
- id
- 98926a97-31f3-413a-9a0b-fb59f2e462f0
- date added to LUP
- 2019-06-26 12:19:36
- date last changed
- 2024-05-28 18:35:51
@article{98926a97-31f3-413a-9a0b-fb59f2e462f0,
abstract = {{<p>Early caregiving is one of the strongest influences on children's development, and among the most significant modifiable environmental factor. The aim of this study was to explore the association between quality of caregiver-infant interactions and neurodevelopment of infants living in banana-growing communities in rural Costa Rica characterized as having environmental toxic exposures. Home visits were conducted with 94 caregiver-infant dyads from the Infants’ Environmental Health Study (ISA), living within Matina county, Limón province. One-year infant neurodevelopmental outcomes were assessed using the Bayley Scales of Infant and Toddler Development®, Third Edition (Bayley-III). Quality of caregiver-infant interaction was assessed with a standardized observational task: Nursing Child Assessment Satellite Training Teaching scale (NCATS) at around two years of age. Multiple regression analyses examined associations between components of caregiver-infant interactions and neurodevelopmental outcomes, adjusting for mancozeb and manganese exposure and other potential confounders. Compared to NCATS normative data for U.S. Hispanic mothers, 35% of the sample had overall caregiving interaction scores ≤10th percentile cut-off, indicating less than optimal interactions. Higher quality of caregiver-infant interaction was associated with higher expressive communication ability in infants [ß = 0.03 (95% CI: 0.01, 0.06)], controlling for pesticide exposure and confounders. Aspects of caregiving such as stimulation and growth-fostering of infants were most strongly associated with language outcomes. Results suggest an association between positive caregiving on language development for infants living in a rural agricultural area in Costa Rica, and highlight aspects of caregiving that could be targeted to improve resilience of these children who live in vulnerable conditions.</p>}},
author = {{Till, Christine and Dudani, Ameeta and Córdoba, Leonel and Cano, Juan Camilo and Green, Rivka and Menezes-Filho, José A. and Schnaas, Lourdes and Smith, Donald R. and Lindh, Christian H. and van Wendel de Joode, Berna}},
issn = {{0161-813X}},
keywords = {{Caregiving; Infants; Manganese; Neurodevelopment; Parenting; Pesticide exposure}},
language = {{eng}},
pages = {{100--107}},
publisher = {{Elsevier}},
series = {{NeuroToxicology}},
title = {{Caregiving and infants' neurodevelopment in rural Costa Rica : Results from the Infants’ Environmental Health Study (ISA)}},
url = {{http://dx.doi.org/10.1016/j.neuro.2019.06.002}},
doi = {{10.1016/j.neuro.2019.06.002}},
volume = {{74}},
year = {{2019}},
}