Social Determinant of Health, Maternal Involvement and Child Development: Direct and Mediated Path ways
Iranian Journal of Child Neurology,
Vol. 14 No. 4 (2020),
1 Mehr 2020
In the process of child development, a variety of factors are at play. In this regard, social determinants of health play a determining role in the development and growth of the child.
This study aimed to design and test the model for social determinants of health for the development of 36-6o-month-old children in Tehran with the mediation of maternal Involvement.
Materials & Methods
This cross-sectional study was conducted among 1067 mothers and their 36-60-month-old children in childcare centers in Tehran, using multistage sampling.
Data gathering tools consisted of a demographic questionnaire for mothers and children, a questionnaire on unhealthy behaviors, Ages and Stages Questionnaire, Economic and Social Status Questionnaire, Perceived Social Support Questionnaire, Perceived Stress Questionnaire, Spielberger Anxiety Inventory, Beck Depression Inventory, ENRICH: Marital Satisfaction Scale, and Participation Scale for Parents and Mothers.
Model fit measures were suitable and goodness of fit (RMSEA = 0.031, GFI = 1) was satisfactory. In addition, the results of path analysis indicated that the participation of mothers in the development of children had a direct positive (ß = 0.089) and increasing effect.
Findings indicated that depression, anxiety, stress, and marital satisfaction have both direct and indirect effects on the participation of mothers and child development. Moreover, the model fit measures indicated the utility and high proportionality of the model, as well as the logic of the adjusted relationships of variables based on the
- Health, Developmental delay, Child development ,Mothers, Path analysis
How to Cite
Every Woman Every Child. The global strategy for women's, children's and adolescent's health (2016-2030): survive, thrive, transform. HYPERLINK "http://globalstrategy.everywomaneverychild.org/"http://globalstrategy.everywomaneverychild.org (2015).
UN SDG. United Nations Sustainable Development Goals. 2015. Available online: https://www.un:sustainabledevelopment/sustainable-development-goals/ (accessed on 11 May 2020).
Marmot MG, Wilkinson RG. Social determinants of health. USA: Oxford University Press; 2006. p. 160.
Moore TG, McDonald M, Carlon L, O'Rourke KJHpi. Early childhood development and the social determinants of health inequities. 2015;30(suppl_2):ii102-15.
Irwin LG, Siddiqi A, Hertzman C. The equalizing power of early child development: from the Commission on Social Determinants of Health to Action. Child Health Educ. 2010;1(3):146-61
Kliegman RM, Stanton BM, Geme JS, Schor NF. Nelson Textbook of Pediatrics E-Book. 20th ed. Elsevier Health Sciences; 2016 .P.90.
Marmot M, Friel S, Bell R, Houweling TA, Taylor S, lancet CoSDoHJT. Closing the gap in a generation: health equity through action on the social determinants of health. 2008;372(9650):1661-9.
Soleimani F, Sajedi F, Akbari SAA. Developmental delay and related factors. Adv. nurs. midwifery. 2014;24(85):61-70.
Grantham-McGregor S, Cheung YB, Cueto S, Glewwe P, Richter L, Strupp B, et al. Developmental potential in the first 5 years for children in developing countries. The lancet. 2007;369(9555):60-70.
Baker RC. Pediatric primary care: well-child care: Lippincott Williams & Wilkins; 2001.p.95.
Vohr BR, O’Shea M, Wright LL. Longitudinal multicenter follow-up of high-risk infants: why,who, when, and what to assess. Semin Perinatol 2003;27(4):333-42.
Kliegman R, Stanton B, St Geme J, Schor N. Other congenital heart and vascular
malformations. Nelson Textbook of Pediatrics 20th ed Philadelphia, PA: Elsevier. 2016.p.48.
Amir Ali Akbari S, Torabi F, Soleimani F, Alavi Majd H. Correlation between high risk pregnancy and developmental delay in children 4-60 months in Isfahan, Iran 2010-2011. IRJ. 2011 ;15;11(5):40-9.
Khabbazkar F, Dolatian M, Soleimani F, Majd HA. The survey of the correlation between domestic violence during pregnancy and after delivery with developmental status of 8-12 month’s infant. Pajoohandeh. 2015;19(6):320-7.
Mohammadi P. Teratogenic Effects of Some Factors on the Human Fetus: A Review study. J Mil Med. 2017;19(5):423-31.
Rahman A, Iqbal Z, Roberts C, Husain N. Cluster randomized trial of a parent‐based intervention to support early development of children in a low‐income country. Child Care Health Dev. 2009;35(1):56-62.
Amini S. Parental involvement in multicultural preschool settings-A challenge for educators. rapport nr: Masteruppsats VT11-IPKL-02 PDA583. 2011.p.43.
Dickinson DK, McCabe A. Bringing it all together: The multiple origins, skills, and environmental supports of early literacy. LDRP. 2001;16(4):186-202.
Vaden-Kiernan N, McManus J, Chapman C.Parent and Family Involvement in Education:2002? TAB. NCES 2005-043. National Center for Education Statistics. 2005.p.1
McClelland MM, Acock AC, Morrison FJ. The impact of kindergarten learning-related skills on academic trajectories at the end of elementary school. ECRQ. 2006;21(4):471-90.
Corcoran J, Dattalo P. Parent involvement in treatment for ADHD: A meta-analysis of the published studies. Res Soc Work Pract. 2006;16(6):561-70.
Maggi S, Irwin LG, Siddiqi A, Poureslami I, Hertzman E, Hertzman C. Knowledge network for early child development. Analytic and Strategic Review Paper: International Perspectives on Early Child Development. 2005:6-9.
Richter L. The importance of caregiverchild interactions for the survival and healthy
development of young children: A review. Geneva: World Health Organization;2004.p.46
Wilkinson RG, Marmot M. Social determinants of health: the solid facts: World Health Organization; 2003.p.15
Piek JP, Dawson L, Smith LM, Gasson N. The role of early fine and gross motor development on later motor and cognitive ability. Hum Mov Sci. 2008;27(5):668-81.
Propper, C and Rigg, J. Socio-Economic Status and Child Behaviour: Evidence from a Contemporary UK Cohort (July 2007). LSE STICERD Research Paper No. CASE125, Available at SSRN: https://ssrn.com/abstract=1159356
Nichols FH, Humenick SS. Childbirth education: practice, research and theory: WB Saunders company; 2000.p.512.
Herring S, Gray K, Taffe J, Tonge B, Sweeney D, Einfeld S. Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: associations with parental mental health and family functioning. J Intellect Disabil Res. 2006;50(12):874-82.
Van den Bergh BR, Mulder EJ, Mennes M, Glover V. Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: links and possible mechanisms. A review. Neurosci Biobehav Rev. 2005;29(2):237-58.
Hanington L, Heron J, Stein A, Ramchandani P. Parental depression and child outcomes–is marital conflict the missing link? Child: care, health and development. 2012;38(4):520-9.
Kliegman RM, Behrman RE, Jenson HB, Stanton BM. Nelson textbook of pediatrics e-book: Elsevier Health Sciences; 2007.p.588.
Greenspan SI, Shanker S. The first idea: How symbols, language, and intelligence evolved from our primate ancestors to modern humans: Da Capo Press; 2009.p.351.
Alvergne A. Mothers and Others: The Evolutionary Origins of Mutual Understanding. By Sarah Blaffer Hrdy. Pp. 422.(Harvard University Press, Cambridge, MA, USA,2009.)£ 19.95, ISBN 978-0-674-03299- 6, hardback. J. Biosoc. Sci.2011;43(4):509-11.
Barnard WM. Parent involvement in elementary school and educational attainment. CHILD YOUTH SERV REV. 2004;26(1):39-62.
Parental Involvement: A Handbook for Childcare Providers. National Children’s
Resource Centre, Barnardos: NCsRC (Ireland) 2006.p.8.
David, S Gochman. Health Behavior: Emerging Research Perspectives, 1998. New York, Springer Science&Business Media.p.181.
Garmaroudi G, Moradi A. Instrument designed to measure socioeconomic status in Tehran.Payesh. 2010;9(2):137-44.
Spielberger C. State‐Trait anxiety inventory:Wiley Online Library. 2010.p.1.
Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin. Psychol. Rev. 1988;8(1):77-100.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983:385-96.
Rashedi V, Rezaei M, Gharib M, Nabavi SH. Social support for the elderly: Comparison between home and nursing home. Journal of North Khorasan University of Medical Sciences. 2013 Sep 10;5(2):351-6.
Vaux A, Phillips J, Holly L, Thomson B, Williams D, Stewart D. The social support appraisals (SS‐A) scale: Studies of reliability and validity. Am J Community Psychol. 1986;14(2):195-218.
Asoodeh MH, Daneshpour M, Khalili S, Lavasani MG, Shabani MA, Dadras I. Iranian successful family functioning: Communication. Procedia Soc Behav Sci. 2011;30:367-71.
Vameghi R, Sajedi F, Mojembari AK, Habiollahi A, Lornezhad HR, Delavar B. Cross-cultural adaptation, validation and standardization of Ages and Stages Questionnaire (ASQ) in Iranian children. Iran J Public Health. 2013;42(5): 522–528.
Naseema C, Abdul Gafoor K. Parental Involvement Rating Scale (Pirs): University of Calicut, Kerala, Ind; 2001. p.2-18.
Genereux M, Auger N, Goneau M, Daniel M. Neighbourhood socioeconomic status, maternal education and adverse birth outcomes among mothers living near highways. J Epidemiol Community Health. 2008;62(8):695-700.
Vellymalay SKN. The impact of parent's socioeconomic status on parental involvement at home: A case study on high achievement Indian students of a Tamil School in Malaysia. IARC. 2012;2(8):11.
Diamond JB, Gomez K. African American parents’ educational orientations: The importance of social class and parents’ perceptions of schools. EUS. 2004;36(4):383-427.
Duncan GJ, Magnuson KA. Can family socioeconomic resources account for racial and ethnic test score gaps? Futre Child. 2005:35-54.
Rowan-Kenyon HT, Bell AD, Perna LW. Contextual influences on parental involvement in college going: Variations by socioeconomic class. JHE. 2008;79(5):564-86.
Foley A. African American Parent Perceptions of Barriers to Parental Involvement. 2015. [Dissertation]. Retrieved from http://scholarworks.waldenu.edu/dissertations/1846/.
Sutter-Dallay A-L, Murray L, Dequae-Merchadou L, Glatigny-Dallay E, Bourgeois M-L, Verdoux H. A prospective longitudinal study of the impact of early postnatal vs. chronic maternal depressive symptoms on child development. Eur Psychiatry. 2011;26(8):484-9.
Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry: Lippincott Williams & Wilkins; 2011.P.583.586.
Wei H-S, Chen J-K. The relationships between family financial stress, mental health problems, child rearing practice, and school involvement among Taiwanese parents with school-aged children. J Child Fam Stud. 2014;23(7):1145-54.
Waanders C, Mendez JL, Downer JT. Parent characteristics, economic stress and neighborhood context as predictors of parent involvement in preschool children's education. J Sch Psychol. 2007;45(6):619-36.
LaForett DR, Mendez JL. Parent involvement, parental depression, and program satisfaction among low-income parents participating in a two-generation early childhood education program. Early Educ Dev.2010;21(4):517-35.
Bor W, Sanders MR, Markie-Dadds C. The effects of the Triple P-Positive Parenting Program on preschool children with cooccurring disruptive behavior and attentional/ hyperactive difficulties. J Abnorm Child Psych. 2002;30(6):571-87.
Moes DR, Frea WD. Using family context to inform intervention planning for the treatment of a child with autism. JPBI. 2000;2(1):40-6.
Lake A, Chan M. Putting science into practice for early child development. The Lancet. 2015;385(9980):1816-7.
Kohl GO, Lengua LJ, McMahon RJ. Parent involvement in school conceptualizing multiple dimensions and their relations with family and demographic risk factors. J Sch Psychol. 2000;38(6):501-23.
Goodman SH, Gotlib IHJPr. Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. 1999;106(3):458-490.
Patrikakou EN. The power of parent involvement: Evidence, ideas, and tools for student success. Lincoln: Center on Innovation and Improvement. 2008.p.2-12.
Lundblad AM, Hansson K. Relational problems and psychiatric symptoms in couple therapy. Int J Soc Welf. 2005;14(4):256-64.
Shafiee Kandjani A, Azar M, Janbozorgi M, Nouhi S, Hoseini S. Correlation between Women’s Psychopathological Condition and Marital Satisfaction. Pajoohandeh. 2008;12(6):483-90.
Story LB, Repetti R. Daily occupational stressors and marital behavior. JFP. 2006;20(4): p.690.
Randall AK, Bodenmann G. The role of stress on close relationships and marital satisfaction. Clin Psychol Rev. 2009;29(2):105-15.
Iravani M, Sedrpoushan N, Ardakani I. A social work study on violence against women. Management Science Letters. 2012;2(4):1409-16.
Solmeyer AR, Feinberg ME. Mother and father adjustment during early parenthood: The roles of infant temperament and coparenting relationship quality. Infant Behav Dev 2011;34(4):504-14.
Erel O, Burman B. Interrelatedness of marital relations and parent-child relations: a meta-analytic review. Psychol Bull. 1995;118(1):108-132.
Kail RV, Cavanaugh JC. Human development, a life-span view, Cengage Learning. Inc, Canada. 2008.p.155.
Kernan M. Parental Involvement in Early Learning. A review of research, policy and good practice. International Child Development Initiatives (ICDI) Leiden. 2012.p.11.
Lamb-Parker F, Piotrkowski CS, Baker AJ,Kessler-Sklar S, Clark B, Peay L.Understanding barriers to parent involvement in Head Start: A research-community partnership. Early Child Res Q. 2001;16(1):35-51.
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