Evidence map›Paper›PMID 29221451›Full record

ArticleInternational journal for equity in health2017

Inequality in early childhood neurodevelopment in six poor rural counties of China: a decomposition analysis.

Cuihong Zhang, Chunxia Zhao, Xiangyu Liu, Qianwei Wei, Shusheng Luo, Sufang Guo, Jingxu Zhang, Xiaoli Wang, Robert W Scherpbier

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Article in International journal for equity in health, 2017. 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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0cells of the map it votes in
8citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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  8. Is socioeconomic inequality in postnatal depression an early-life root of disadvantage for children?The European journal of health economics : HEPAC : health economics in prevention and care · 2019
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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Cuihong ZhangDepartment of Child, Adolescent and Women's Health, School of Public Health, Peking University, Beijing, China.
Chunxia ZhaoUNICEF Office for China, Beijing, China.
Xiangyu LiuDepartment of Biostatistics, School of Public Health, The University of Texas Health Science Center at Houston, Houston, USA.
Qianwei WeiDepartment of Child, Adolescent and Women's Health, School of Public Health, Peking University, Beijing, China.
Shusheng LuoDepartment of Child, Adolescent and Women's Health, School of Public Health, Peking University, Beijing, China.
Sufang GuoUNICEF Office for China, Beijing, China.
Jingxu ZhangDepartment of Child, Adolescent and Women's Health, School of Public Health, Peking University, Beijing, China. jxzhang@bjmu.edu.cn.
Xiaoli WangDepartment of Child, Adolescent and Women's Health, School of Public Health, Peking University, Beijing, China. xlwang@bjmu.edu.cn.
Robert W ScherpbierUNICEF Office for China, Beijing, China.

Funding

UNICEF 0315-China/YH702
6 · The paper itself

Abstract

backgroundPrevious studies about inequality in children's health focused more on physical health than the neurodevelopment. In this study, we aimed to evaluate the inequality in early childhood neurodevelopment in poor rural China and explore the contributions of socioeconomic factors to the inequality.

methodInformation of 2120 children aged 0 to 35 months and their households in six poor rural counties of China was collected during July - September, 2013. Age and Stages Questionnaire-Chinese version, concentration index and decomposition analysis were used to assess the neurodevelopment of early childhood, measure its inequality and evaluate the contributions of socioeconomic factors to the inequality, respectively.

resultThe prevalence of suspected developmental delay in children under 35 months of age in six poor rural counties of China was nearly 40%, with the concentration index of -0.0877. Household economic status, caregivers' depressive symptoms, learning material and family support for learning were significantly associated with children's suspected developmental delay, and explained 34.1, 14.1, 8.9 and 7.0% of the inequality in early childhood neurodevelopment, respectively.

conclusionThe early childhood neurodevelopment in the surveyed area is poor and unfair. Factors including household economic status, caregivers' depressive symptoms, learning material and family support for learning are significantly associated with children's suspected developmental delay and early developmental inequality. The results highlight the urgent need of monitoring child neurodevelopment in poor rural areas. Interventions targeting the caregivers' depressive symptoms, providing learning material and developmental appropriate stimulating activities may help improve early childhood neurodevelopment and reduce its inequality.

Indexed as

CaregiversChild DevelopmentFamily CharacteristicsHealth Status DisparitiesPovertyRural PopulationChild, PreschoolChinaDepressionDevelopmental DisabilitiesFamilyFemaleHumansMalePrevalenceSocioeconomic FactorsAge and stages questionnaireEarly childhood neurodevelopmentHealth inequalityPoor rural China

Identifiers

PMID29221451
PMCPMC5723085

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