ArticleInternational journal of environmental research and public health2021
Early Childhood Reading in Rural China and Obstacles to Caregiver Investment in Young Children: A Mixed-Methods Analysis.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.
- Early childhood development and parental training interventions in rural China: a systematic review and meta-analysis.BMJ global health · 2021Pooled it
- Family ecological influences on early childhood development in Shanghai, China: a cross-sectional study.BMC pediatrics · 2026Article
- Stakeholders' Perspectives on Child Healthcare Services under Rural Health Reform in Thailand: A Qualitative Study.International journal of community based nursing and midwifery · 2025Article
- Factors of parental investment in the home language environment in peri-urban China: A mixed methods study.PloS one · 2023Article
- Infant Cognitive Development and Stimulating Parenting Practices in Rural China.International journal of environmental research and public health · 2021Article
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
Studies have shown that nearly half of rural toddlers in China have cognitive delays due to an absence of stimulating parenting practices, such as early childhood reading, during the critical first three years of life. However, few studies have examined the reasons behind these low levels of stimulating parenting, and no studies have sought to identify the factors that limit caregivers from providing effective early childhood reading practices (EECRP). This mixed-methods study investigates the perceptions, prevalence, and correlates of EECRP in rural China, as well as associations with child cognitive development. We use quantitative survey results from 1748 caregiver-child dyads across 100 rural villages/townships in northwestern China and field observation and interview data with 60 caregivers from these same sites. The quantitative results show significantly low rates of EECRP despite positive perceptions of early reading and positive associations between EECRP and cognitive development. The qualitative results suggest that low rates of EECRP in rural China are not due to the inability to access books, financial or time constraints, or the absence of aspirations. Rather, the low rate of book ownership and absence of reading to young children is driven by the insufficient and inaccurate knowledge of EECRP among caregivers, which leads to their delayed, misinformed reading decisions with their young children, ultimately contributing to developmental delays.
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Registered trials
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