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

Author:

Fioroni Ribeiro da Silva Carolina1ORCID,Greco Ana Luiza Righetto2ORCID,Castilho Cabrera Santos Denise34ORCID,Sgandurra Giuseppina56ORCID,Tudella Eloisa1ORCID

Affiliation:

1. Neuropediatrics and Motricity Studies Center (NENEM), Federal University of São Carlos, São Carlos 13565-905, Brazil

2. Department of Physiotherapy, Federal University of Uberlandia, Uberlandia 38405-314, Brazil

3. Human Movement Sciences Graduate Program, Methodist University of Piracicaba, Piracicaba 13423-170, Brazil

4. Department of Human Development and Rehabilitation, School of Medical Science, University of Campinas (UNICAMP), Campinas 13083-970, Brazil

5. Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126 Pisa, Italy

6. Department of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Viale del Tirreno 331, 56128 Pisa, Italy

Abstract

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 (r2 = 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.

Funder

São Paulo Research Foundation

Italian Ministry of Health

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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