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Title: Association of Maternal Social Relationships With Cognitive Development in Early Childhood

Journal Article · · JAMA Network Open
 [1];  [2];  [3];  [4];  [1];  [1]
  1. Univ. of Tennessee Health Science Center--Oak Ridge National Lab. Center for Biomedical Informatics, Memphis, TN (United States). Dept. of Pediatrics
  2. Univ. of California, San Francisco, CA (United States). Weill Institute for Neurosciences. Child and Adolescent Division, Department of Psychiatry
  3. Univ. of California, San Francisco, CA (United States). Weill Institute for Neurosciences. Child and Adolescent Division, Department of Psychiatry; Univ. of California, San Francisco, CA (United States). Dept. of Pediatrics. Division of Developmental Medicine
  4. Univ. of Tennessee Health Science Center, Memphis, TN (United States). Dept. of Preventive Medicine. Division of Biostatistics and Epidemiology

This study examines how different types of social network structures are associated with early cognitive development in children.Objectives To assess how social relationships and structures are associated with early cognitive development and to elucidate whether variations in the mother’s social networks alter a child’s early cognitive development patterns.Design, Setting, and Participants This cohort study used data from 1082 mother-child pairs in the University of Tennessee Health Science Center–Conditions Affecting Neurocognitive Development and Learning and Early Childhood project to examine the association between networks of different levels of complexity (triad, family, and neighborhood) and child cognitive performance after adjustment for the mother’s IQ, birth weight, and age, and the father’s educational level. The final model was adjusted for the household poverty level. Data were collected from December 2006 through January 2014 and analyzed from October through November 2018.Exposures The child-mother relationship, child-mother-father triad, family setting, child’s dwelling network, mother’s social support network, and neighborhood networks.Main Outcomes and Measures Measure of cognitive development of the child using Bayley Scales of Infant Development (BSID) at 2 years of age.Results Of 1082 participants, 544 (50.3%) were males and 703 (65.1%) were African American; the mean (SD) age was 2.08 (0.12) years. Large family size had a negative association with early cognitive development, with a mean 2.21-point decrease in BSID coefficient score (95% CI, 0.40 to 4.02; P = .01). Mother’s social support network size was positively associated early cognitive development, with a mean 0.40-point increase in BSID coefficient score (95% CI, 0.001 to 0.80; P = .05). Knowing many neighbors was not statistically significantly associated with early cognitive development, with a mean 1.39-point increase in BSID coefficient score (95% CI, -0.04 to 2.83; P = .06).Conclusions and Relevance The findings suggest that maternal social relationships are associated with cognitive development in children and that social relationships beyond the mother-child-father triad are significantly associated with children’s cognitive development. This study investigates the environmental influences on child health outcomes and, specifically, how early cognitive development is associated with social networks for the primary caregiver.

Research Organization:
Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (United States)
Sponsoring Organization:
USDOE Office of Science (SC)
Grant/Contract Number:
AC05-00OR22725
OSTI ID:
1623434
Journal Information:
JAMA Network Open, Vol. 2, Issue 1; ISSN 2574-3805
Publisher:
American Medical AssociationCopyright Statement
Country of Publication:
United States
Language:
English
Citation Metrics:
Cited by: 7 works
Citation information provided by
Web of Science

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