Skip to main content

Table 4 Factors associated with “at-risk” developmental status compared to peers

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

1.02 (0.59, 1.76)

0.94

  

 Moderate to severe stunting (n = 393)

0.92 (0.48, 1.78)

0.81

  

 Moderate to severe wasting (n = 398)a

2.92 (0.98, 8.70)

0.05

  

 Moderate to severe underweight (n = 399)

1.22 (0.65, 2.29)

0.33

  

 Mother’s age < 20

3.09 (1.18, 8.13)

0.02

4.08 (1.40, 11.87)

0.01

 Mother’s education, none vs. any

0.78 (0.47, 2.29)

0.33

  

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

0.45 (0.21, 0.94)

0.035

  

 Child was ill or injured in last 4 weeks

0.43 (0.24, 0.81)

0.005

0.38 (0.20, 0.73)

0.004

Household-level measures

 Poorest (lowest 2 weath quintiles)a

2.16 (1.20, 3.89)

0.01

  

 More than one under 5 child in householda

2.06 (1.11, 3.82)

0.021

  

 Father does not live in the household

1.76 (0.67, 4.57)

0.25

  

Stimulation measures

 Adult engagement (received 4 stimulating activities)a

0.33 (0.15, 0.72)

0.006

  

 Any children’s books in the home? (n = 430)

0.88 (0.24, 3.28)

0.85

  

 Does the child play with homemade toys? (n = 430)

0.62 (0.30, 1.28)

0.19

  

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

0.45 (0.19, 1.07)

0.07

  

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

0.41 (0.21, 0.79)

0.008

0.28 (0.12, 0.63)

0.002

 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)

0.52 (0.13, 1.98)

0.34

  

  Told stories to the child? (n = 430)

1.10 (0.46, 2.85)

0.84

  

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

0.44 (0.24, 0.81)

0.009

  

  Took the child outside the home, compound or enclosure?

1.82 (0.96, 3.44)

0.06

2.90 (1.35, 6.22)

0.006

  Played with the child?a

0.49 (0.25, 0.97)

0.041

  

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

0.66 (0.28, 1.58)

0.35

  

  Greater number of stimulating activities by mother

1.14 (0.93, 1.40)

0.21

  

  Greater number of stimulating activities by father

1.26 (0.83, 1.91)

0.28

  

  Greater number of stimulating activities by other adult

0.43 (0.30, 0.63)

< 0.001

0.27 (0.15, 0.48)

< 0.001

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