Adversity in Infancy and Childhood Cognitive Development: Evidence From Four Developing Countries

Int J Public Health. 2022 Dec 13:67:1604503. doi: 10.3389/ijph.2022.1604503. eCollection 2022.

Abstract

Objectives: We investigated whether adverse experiences at age 1 (AE-1) affect the level of and change in cognition during childhood using harmonized data from four developing countries. Methods: Data included children born in 2001/2002 and were followed longitudinally in 2006/2007 and in 2009/2010 by Young Lives study in Ethiopia, India, Peru, and Vietnam. Childhood cognition was measured using the Peabody Picture Vocabulary Test (PPVT) at ages 5 (PPVT-5) and 8 (PPVT-8). We also examined the effect on a change in cognition between age 5-8 (PPVT-Change). The AE-1 scores were constructed using survey responses at age 1. The ordinary least squares regression was used for estimation. Results: We found that children with higher adversities as infants had lower cognition scores at ages 5 and 8. The change in cognition between the two ages was also generally smaller for those with severe adversities at infancy. The negative association between adversities and childhood cognition was strongest for India. Conclusion: The results provide policy relevant information for mitigation of undesirable consequences of early life adversities through timely interventions.

Keywords: adverse experiences; childhood; cognitive development; developing countries; infancy; peabody picture vocabulary test; young lives study.

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • Cognition* / physiology
  • Developing Countries*
  • Ethiopia / epidemiology
  • Humans
  • India / epidemiology
  • Infant
  • Vietnam / epidemiology
  • Young Adult