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The social environment of malnourished children compared with that of other children in Jamaica

Published online by Cambridge University Press:  31 July 2008

M. L. Sheffer
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona, Jamaica
S. M. Grantham-McGregor
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona, Jamaica
S. J. Ismail
Affiliation:
Tropical Metabolism Research Unit, University of the West Indies, Mona, Jamaica

Summary

This investigation was part of a longitudinal study of mental development of seventeen Jamaican children who were admitted to hospital with severe protein energy malnutrition. The children were compared with 20 adequately nourished children who were admitted to hospital for other reasons.

Previous research had shown that, 1 month after the children left hospital, both groups had similar scores on a modified Caldwell Inventory of Home Stimulation. When, in the present investigation, the inventory was repeated 24 months later, scores remained similar in both groups. When compared with data collected from a survey in a poor neighbourhood, again the scores of the neighbourhood children were similar to those of the malnourished group. The malnourished children were however living in poorer houses and had failed to catch up to the other groups in nutritional status.

Comparison of these findings with those from other countries suggests that the ecology of malnutrition differs in different cultures and that Jamaican mothers of malnourished children are characterized by poverty rather than poor maternal–child relationships.

It also appears that, at this age, poor levels of home stimulation were not a major factor in producing the deficit in development manifested by the malnourished group.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1981

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References

Botha-Antoun, E., Babayan, S. & Harfouch, J.K. (1968) Intellectual development related to nutritional status. J. trop. Pediat. 14, 112.CrossRefGoogle Scholar
Caldwell, B.M. (1967) Descriptive evaluations of child development and of developmental settings. Pediatrics, 40, 46.CrossRefGoogle ScholarPubMed
Champakam, S., Srikantia, S.G. & Gopalan, C. (1968) Kwashiorkor and mental development. Am. J. clin. Nutr. 21, 844.CrossRefGoogle ScholarPubMed
Chavez, A., Martinez, C. & Yaschine, T. (1975) Nutrition, behavioural development and mother–child interaction in young rural children. Fedn Proc. Fedn Am. Socs exp. Biol. 34, 1574.Google ScholarPubMed
Cravioto, J. & Arrieta, R. (1979) Stimulation and mental development of malnourished infants. Lancet, ii, 899.CrossRefGoogle Scholar
Cravioto, J. & DeLicardie, E. (1972) Environmental correlates of severe clinical malnutrition and language development in survivors from kwashiorkor and marasmus. In: Nutrition, the Nervous System and Behaviour. PAHO, Scientific Publication No. 251. Washington, DC.Google Scholar
Editor (1970) Editorial article. Lancet, ii, 302.Google Scholar
Grantham-McGregor, S.M., Stewart, M.E. & Desai, P. (1978) A new look at the assessment of mental development in young children recovering from severe malnutrition. Devl Med. Child. Neural. 20, 773.CrossRefGoogle Scholar
Grantham-McGregor, S.M., Stewart, M.E. & Desai, P. (1979) Mental development of young children recovering from severe protein energy malnutrition. In: Proceedings of International Conference on Behavioural Effects of Energy and Protein Deficits. Edited by Brozek, J.. Department of Health, Education and Welfare, Washington, DC.Google Scholar
Grantham-McGregor, S.M., Stewart, M.E. & Desai, P. (1980) The relationship between hospitalisation, social background, severe protein energy malnutrition and mental development in young Jamaican children. Ecol. Food Nutr. 9, 151.CrossRefGoogle Scholar
Graves, P.L. (1976) Nutrition, infant behaviour, and maternal characteristics; a pilot study in West Bengal, India. Am. J. clin. Nutr. 29, 305.CrossRefGoogle ScholarPubMed
Graves, P.L. (1978) Nutrition and infant behaviour: a replication study in the Kathmandu Valley, Nepal. Am. J. clin. Nutr. 31, 541.CrossRefGoogle Scholar
Kerr, M.A.D., Landman-Bogues, J. & Kerr, D.S. (1978) Psychological functioning of mothers of malnourished children. Pediatrics, 62, 778.CrossRefGoogle Scholar
Polansky, N.A., Desaix, C. & Sharlin, S.A. (1973) Child Neglect: Understanding and Reaching the Parent. Welfare League of America, New York.Google Scholar
Richardson, S.A. (1974) The background of school children severely malnourished in infancy. Adv. Pediat. 21, 167.CrossRefGoogle ScholarPubMed
Stuart, H.C. & Stevenson, S.S. (1969) Textbook of Pediatrics, 9th edn.Saunders, Philadelphia.Google Scholar
Tanner, J.N., Whitehouse, R.F. & Takaishi, M. (1966) Standards from birth to maturity for height, weight, height velocity and weight velocity: British children 1965, Part I. Archs Dis. Childh. 41, 454.CrossRefGoogle Scholar
Westropp, C.R. & Barber, C.R. (1956) Growth of the skull in young children, Part I, Standards of head circumference. J. Neural. Neurosurg. Psychiat. 19, 52.CrossRefGoogle Scholar