| Autor: |
Ameeta Dudani, MSc MA, Christine Till, PhD CPsych, Berna van Wendel de Joode, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
The Lancet Global Health, Vol 2, Iss S1, p S16 (2014) |
| Druh dokumentu: |
article |
| ISSN: |
2214-109X |
| DOI: |
10.1016/S2214-109X(15)70038-0 |
| Popis: |
Background: Early caregiving is one of the strongest influences on children's development, yet it has not been studied in the context of prenatal neurotoxin exposure. Epigenetic studies show that maternal nurturing promotes positive development in young rats who experienced prenatal environmental adversity. We explore the quality of caregiver-infant interactions in infants with prenatal pesticide exposure in banana-growing areas in rural Costa Rica. Methods: Home visits were conducted during field trips in October, 2012, and April, 2013, with a random subsample of 94 caregiver-infant dyads, living within Matina county, Limón province. Quality of caregiver-infant interaction was assessed with a standardised task of parent-child interaction (Nursing Child Assessment Satellite Training [NCAST]), which was piloted in the study population before its use. Interactions were videotaped and coded by two trained raters. Results were compared with the NCAST normative sample of US-Hispanic mothers. Findings: Primary caregivers were on average 27·9 years of age (SD 10·2) and 88% of the caregivers were biological mothers. The mean age of children at time of assessment was 21·2 months (SD 3·5) and 60% were male. Compared with US-Hispanic mothers, 35% of our sample showed overall interaction scores at or below the 10th percentile cut-off score, indicating less than optimum interactions. Interpretation: This description of caregiving behaviours in a high-risk sample of infants with prenatal pesticide exposure, along with ongoing analyses examining associations between caregiving and infant neurodevelopmental outcomes, have important implications for early intervention work with this population and with other populations having environmental and concomitant risks. Funding: York University and the Lillian Wright Foundation. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
