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Table 3 Factors associated with “at-risk” developmental status compared to an internationally-normed standard

From: Factors associated with risk of developmental delay in preschool children in a setting with high rates of malnutrition: a cross-sectional analysis of data from the IHOPE study, Madagascar

Variable

Unadjusted odds ratio (95% CI)

P value

Final model, Adjusted odds ratios (95%C)

P value

n = 431 unless otherwise stated

    

Child-level measures

 Female sex

0 .91 (0.61, 1.34)

0.63

  

 Moderate to severe stunting (n = 393)

1.36 (0.85, 2.19)

0.20

  

 Moderate to severe wasting (n = 398)

1. 37 (0.48, 3.91)

0.52

  

 Moderate to severe underweight (n = 399)

1.16 (0.72, 1.88)

0.52

  

 Mother’s age < 20 years at time of birth

1.16 (0.47, 2.86)

0.75

  

 Mother’s education, none vs. any

0.91 (0.61, 1.36)

0.67

  

 Child was left for more than 1 h with another < 10 child as caregiver (n = 429)a

0.48 (0.30, 0.76)

0.002

  

 Child was ill or injured in last 4 weeks

0.80 (0.51, 1.26)

0.33

  

Household-level measures

 Poorest (lowest 2 weath quintiles)a

1.52 (1.03, 2.25)

0.03

  

 More than one child under age 5 in household

1.13 (0.69, 1.82)

0.63

  

 Father does not live in the household

1.41 (0.60, 3.33)

0.43

  

Stimulation measures

 Adult engagement (received 4 stimulating activities)a

0.56 (0.35, 0.87)

0.014

  

 Any children’s books in the home?a

0.40 (0.13, 1.16)

0.09

  

 Does the child play with home made toys?

0.81 (0.52, 1.28)

0.37

  

 Does the child play with toys from a shop/manufactured toys?

0.82 (0.52, 1.26)

0.36

  

 Does the child play with household (cups, bowls) or outside found objects (sticks, rocks, leaves etc)

0.65 (0.36, 1.17)

0.15

  

 In the past 3 days, did you or any household member age 15 or over engage in any of the following activities

  Read to the child? (n = 430)

0.55 (0.21, 1.44)

0.23

  

  Told stories to the child? (n = 430)

1.14 (0.59, 2.19)

0.7

  

  Sang songs to or with the child (inc. lullabies)?a

0.58 (0.37, 0.89)

0.013

  

  Took the child outside the home, compound or enclosure?

1.09 (0.70, 1.70)

0.7

  

  Played with the child?

0.49 (0.31, 0.76)

0.002

0.54 (0.31, 0.94)

0.029

  Named, counted or drew things to or with the child?

1.04 (0.65, 1.67)

0.86

  

  Greater number of stimulating activities by mother

0.90 (0.75, 1.08)

0.28

  

  Greater number of stimulating activities by father

1.35 (1.01, 1.81)

0.04

1.50 (1.09, 2.07)

0.012

  Greater number of stimulating activities by other adult

0.66 (0.56, 0.78)

< 0.001

0.76 (0.63, 0.94)

0.010

  1. a included in full model but did not achieve statistical significance