Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health survey

Background: Assessing children's early development can help health and social policymakers to improve children's well-being. This study aims to develop an early childhood composite index for measuring early childhood care and education among Iranian children considering each child's g...

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Main Authors: Mehdi Nosratabadi, Zahra Heidari, Maryam Moeeni, Koen Ponnet
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2021;volume=12;issue=1;spage=51;epage=51;aulast=Nosratabadi
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author Mehdi Nosratabadi
Zahra Heidari
Maryam Moeeni
Koen Ponnet
author_facet Mehdi Nosratabadi
Zahra Heidari
Maryam Moeeni
Koen Ponnet
author_sort Mehdi Nosratabadi
collection DOAJ
description Background: Assessing children's early development can help health and social policymakers to improve children's well-being. This study aims to develop an early childhood composite index for measuring early childhood care and education among Iranian children considering each child's geographical area, socioeconomic status and gender. Methods: In this cross-sectional secondary study, the data come from Iran's Multiple Indicator Demographic and Health Survey 2010. Of the 9,345 eligible children whose information had been collected, 3,532 fulfilled the inclusion criterion of being 3 or 4 years old at the time of the interview. We examined a composite index and three subscales of early childhood development including “Quality of Care”, “Early Childhood Care and Education”, and “Overall Developmental Status”. Factor analysis and latent class analysis were used for analyzing the data. Results: The results indicate that of the children in the sample, 47.3% were in the “low early child development” class, 6% were in the “middle early child development” class, and 46.7% were in the “high early child development” class. The means of the three subscales and the composite index were significantly different across geographical areas (P < 0.01) and between the socioeconomic classes (P < 0.0001), with children from poorer families having lower scores. The composite index was significantly higher for girls (M = 11.28, SD = 3.96) than boys (M = 10.99, SD = 3.87, P = 0.029). Conclusions: The study presents significant differences in childhood development based on geographical divisions, quartile classes and gender. We suggest that future research is needed to explore the robustness of findings in this study over time and diversity between and within various Iranian populations.
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spelling doaj.art-e46bbc7d5f8d4f9e9c2dc716d5bc3b452022-12-21T20:21:05ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132021-01-01121515110.4103/ijpvm.IJPVM_357_19Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health surveyMehdi NosratabadiZahra HeidariMaryam MoeeniKoen PonnetBackground: Assessing children's early development can help health and social policymakers to improve children's well-being. This study aims to develop an early childhood composite index for measuring early childhood care and education among Iranian children considering each child's geographical area, socioeconomic status and gender. Methods: In this cross-sectional secondary study, the data come from Iran's Multiple Indicator Demographic and Health Survey 2010. Of the 9,345 eligible children whose information had been collected, 3,532 fulfilled the inclusion criterion of being 3 or 4 years old at the time of the interview. We examined a composite index and three subscales of early childhood development including “Quality of Care”, “Early Childhood Care and Education”, and “Overall Developmental Status”. Factor analysis and latent class analysis were used for analyzing the data. Results: The results indicate that of the children in the sample, 47.3% were in the “low early child development” class, 6% were in the “middle early child development” class, and 46.7% were in the “high early child development” class. The means of the three subscales and the composite index were significantly different across geographical areas (P < 0.01) and between the socioeconomic classes (P < 0.0001), with children from poorer families having lower scores. The composite index was significantly higher for girls (M = 11.28, SD = 3.96) than boys (M = 10.99, SD = 3.87, P = 0.029). Conclusions: The study presents significant differences in childhood development based on geographical divisions, quartile classes and gender. We suggest that future research is needed to explore the robustness of findings in this study over time and diversity between and within various Iranian populations.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2021;volume=12;issue=1;spage=51;epage=51;aulast=Nosratabadiearly child developmentgendergeographical areairan (islamic republic)multidimensional indexsocioeconomic status
spellingShingle Mehdi Nosratabadi
Zahra Heidari
Maryam Moeeni
Koen Ponnet
Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health survey
International Journal of Preventive Medicine
early child development
gender
geographical area
iran (islamic republic)
multidimensional index
socioeconomic status
title Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health survey
title_full Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health survey
title_fullStr Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health survey
title_full_unstemmed Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health survey
title_short Construction and examination of an early childhood development composite index: Evidence from Iran's multiple indicator demographic and health survey
title_sort construction and examination of an early childhood development composite index evidence from iran s multiple indicator demographic and health survey
topic early child development
gender
geographical area
iran (islamic republic)
multidimensional index
socioeconomic status
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2021;volume=12;issue=1;spage=51;epage=51;aulast=Nosratabadi
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AT zahraheidari constructionandexaminationofanearlychildhooddevelopmentcompositeindexevidencefromiransmultipleindicatordemographicandhealthsurvey
AT maryammoeeni constructionandexaminationofanearlychildhooddevelopmentcompositeindexevidencefromiransmultipleindicatordemographicandhealthsurvey
AT koenponnet constructionandexaminationofanearlychildhooddevelopmentcompositeindexevidencefromiransmultipleindicatordemographicandhealthsurvey