Prediction of Child Development based on Social Determinants of Health: A Path Analysis

Authors

1 Associate Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 PhD in Pediatric Neurorehabilitation. Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 PhD Candidate, Student Research Committee, Department of Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Abstract

Objectives: Many factors can effect on child's abilities and development. This study was conducted to investigate the effect of some risk factors as maternal health on child development using path analysis.
Materials: This cross-sectional study was conducted on a total number of 608 mothers and their children, multistage sampling method, in the city of Yasouj, Iran. The data collection instrument was Self-report questionnaires in a way structural and interstitial social determinants including 7 questionnaires: demographic characteristics information, socioeconomic, (STAI) & Beck Depression Inventory(BDI-II), (PSS-14) questionnaire, Enrich Marital Satisfaction Scale, (SS-A) Scale and measuring the developmental status of children by mothers with (ASQ) were used.Mothers completed  the questionnaires in 4 days and after that hand over to the researcher in the kindergartens.To analyze the data, the SPSS software and LISREL 8.8 and path analysis test were used.
Results: Amount of developmental delay was by 17.4% and the minimum and maximum delays were reported in problem-solving, personal-social skills and communication domains. There were a significant correlation between developmental status of children and socio-economic status, depression, social support, anxiety and marital satisfaction but correlation between developmental status of children and perceived stress was not significant.
The final path model fitted well (RMSEA= 0.018, CFI= 1, NFI=1, IFI=1). Maternal anxiety had the most significant effect on child development (βTotal = -0.24722).
Conclusion: Many factors, including socio-economic status, maternal anxiety, perceived stress, social support, anxiety, and depression can affect on the developmental status of 3 to 5 years old children.

Keywords