ArticlePaediatric and perinatal epidemiology2013
Household wealth and neurocognitive development disparities among school-aged children in Nepal.
Article in Paediatric and perinatal epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 25 citations in OpenAlex.
- Feeding, caregiving practices, and developmental delay among children under five in lowland Nepal: a community-based cross-sectional survey.BMC public health · 2022Trial
- General intelligence is associated with subclinical inflammation in Nepalese children: A population-based plasma proteomics study.Brain, behavior, and immunity · 2016Trial
- Family Navigation to Reduce Disparities in Early Intervention Services: A Randomized Controlled Trial.Pediatrics · 2026Article
- The influence of nutritional status, the home environment, and schooling on behavioral outcomes of hyperactivity and inattention among grade-school children in rural Nepal.PLOS global public health · 2025Article
- Ethnic and age differences in prediction of mortality by mid-upper arm circumference in children below 3 years of age in Nepal.Public health nutrition · 2018Article
- Vitamin B-12 and Cognition in Children.Advances in nutrition (Bethesda, Md.) · 2016Review
- The ecocultural context and child behavior problems: A qualitative analysis in rural Nepal.Social science & medicine (1982) · 2016Article
- A novel nonparametric item response theory approach to measuring socioeconomic position: a comparison using household expenditure data from a Vietnam health survey, 2003.Emerging themes in epidemiology · 2014Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundWealth disparities in child developmental outcomes are well documented in developed countries. We sought to (1) describe the extent of wealth-based neurocognitive development disparities and (2) examine potential mediating factors of disparities among a population-based cohort of children in rural Nepal.
methodsWe investigated household wealth-based differences in intellectual, executive and motor function of n = 1692 children aged between 7 and 9 years in Nepal. Using linear mixed models, wealth-based differences were estimated before and after controlling for child and household demographic characteristics. We further examined wealth-based differences adjusted for three sets of mediators: child nutritional status, home environment, and schooling pattern.
resultsWe observed a positive gradient in child neurocognitive performance by household wealth. After adjusting for child and household control factors, disparities between children in the highest and lowest wealth quintiles persisted in intellectual and motor function, but not executive function. No statistically significant wealth-based differentials in outcomes remained after accounting for nutritional status, home environment, and schooling patterns. The largest differences in neurocognitive development were associated with schooling pattern.
conclusionsHousehold wealth patterns child neurocognitive development in rural Nepal, likely through its influence on nutritional status, the home environment, and schooling. In the current context, improving early and regular schooling in this setting is critical to addressing wealth-based disparities in outcomes.
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