Evidence map›Paper›PMID 42243723›Full record

ArticleBMC pregnancy and childbirth2026

Socioeconomic disparities and health-related parenting practices in shaping early infant neurodevelopment: evidence from a Chinese prospective birth cohort.

Jie Chen, Wanting Huang, Jiayi He, Rui Qin, Hong Lv, Tianyu Sun, Yuanyan Dou, Xin Xu, Cong Liu, Chao Wang and 13 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Jie Chen *State Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Wanting Huang *State Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Jiayi He *State Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Rui QinState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Hong LvState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Tianyu SunState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Yuanyan DouState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Xin XuState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Cong LiuState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Chao WangState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Lei YouState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Xiumei HanState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Bo XuState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Xiaoyu LiuState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Kun ZhouState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Yangqian JiangState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Jiangbo DuState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Guangfu JinState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Hongxia MaState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Yuan LinState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China.
Zhibin HuState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China. zhibin_hu@njmu.edu.cn.
Tao JiangState Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, Jiangsu, China. tao.chiang0923@njmu.edu.cn.
China National Birth Cohort (CNBC Study Group)

Funding

General Project of Basic Science (Natural Science) Research in Higher Education Institutions in Jiangsu Province 23KJB330002National Natural Science Foundation of China 82373581
6 · The paper itself

Abstract

backgroundFew studies have comprehensively examined, within the same population, the roles of both prenatal and postnatal factors in the association between family socioeconomic status (SES) and early infant neurodevelopment.

methodsFour thousand seven hundred ninety-one singleton live births from November 1, 2017, to December 31, 2022, were included. Family SES was classified as low or high using latent class analysis of family income, parental education, and occupation. Prenatal maternal psychological status, pregnancy complications, and birth outcomes were classified as favorable or unfavorable. Health-related parenting practices was scored based on breastfeeding duration (≥ 6 months), sleep duration (12-16 h/day), outdoor activity (≥ 0.5 h/day), and screen time (none), with each factor scored as 0 or 1 (higher scores indicating healthier parenting practices). Infant neurodevelopment at 1 year was assessed using Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) screening test, across five domains: cognition, receptive communication, expressive communication, fine motor, and gross motor. Each domain was categorized as either competent or 'emerging or at risk'.

resultsLow family SES was associated with a higher risk of being classified as 'emerging or at risk' in receptive communication after adjusting for covariates (risk ratio [RR], 1.42; 95% confidence interval [CI], 1.24-1.62; P<.001), with health-related parenting practices partially mediating this association (mediated proportion, 6.3% (0.9% to 14.1%)).In infants from high-SES families, 0-2 health-related parenting practices scores exerted a more pronounced effect, accounting for nearly one-third of cases (attributable risk percentage, 30.97%). Joint analysis showed infants from low-SES families with 0-2 health-related parenting practices scores had the highest risk compared with infants from high-SES families with 3-4 health-related parenting practices scores (RR, 1.73; 95%CI, 1.41-2.12; P<.001).

conclusionsHealth-related parenting practices partially mediated the relationship between family SES and early infant neurodevelopment, suggesting that while improving health-related parenting practices may reduce disparities, additional strategies are required to address the elevated risk of receptive communication delays among infants from low-SES families. Additionally, unhealthy parenting practices were associated with a higher risk of neurodevelopmental delay even in high-SES families, underscoring the universal importance of early parenting interventions.

Indexed as

Child DevelopmentParentingAdultBirth CohortBreast FeedingChinaEast Asian PeopleFemaleHumansInfantInfant, NewbornLow Socioeconomic StatusMaleNeurodevelopmentPregnancyProspective StudiesBayley-III screening testFamily SESHealth-related parenting practicesReceptive communication

Identifiers

PMID42243723
PMCPMC13455243

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.