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Association between Contextual Factors and Affordances in the Home Environment of Infants Exposed to Poverty.

Carolina Fioroni Ribeiro da SilvaAna Luiza Righetto GrecoDenise Castilho Cabrera SantosGiuseppina SgandurraEloisa Tudella
Published in: Children (Basel, Switzerland) (2023)
Home environments of infants exposed to poverty exhibit fewer affordances for child development. This study aimed to investigate the association between contextual factors and affordances in the home environments of infants facing poverty. Term infants ( n = 128) were divided into two groups: (1) exposed group (EG), comprising term infants exposed to poverty, and (2) comparison group (CG), consisting of term infants classified with medium and high socio-economic status. The main dependent variables were physical space, variety of stimulation, gross and fine motor toys, and the total score; measured using the Brazilian version of the Affordances in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) questionnaire, named Affordances no Ambiente Domiciliar para o Desenvolvimento Motor-Escala Bebê . Statistical analysis employed independent sample t-tests or Mann-Whitney tests, chi-square tests, and stepwise multiple linear regression models to evaluate predictors of less adequate home environments. The EG presented significantly fewer affordances in gross motor toys (Cohen's r = 0.353; p < 0.01); fine motor toys (Cohen's r = 0.327; p < 0.01); and total score (Cohen's r = 0.377; p < 0.01). Binary logistic regression analysis showed a significant association (r 2 = 0.828, p < 0.01) between the less than adequate home environment category and maternal age ( p = 0.043, OR: 0.829 (0.692-0.994)), revealing that maternal age was associated with better quantity and quality of affordances for child development.
Keyphrases
  • healthcare
  • mental health
  • preterm infants
  • gestational age
  • birth weight
  • psychometric properties
  • pregnant women
  • pregnancy outcomes
  • preterm birth
  • clinical evaluation