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When can parents most influence their child's development? Expert knowledge and perceived local realities

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  • Worthman, Carol M.
  • Tomlinson, Mark
  • Rotheram-Borus, Mary Jane

Abstract

Compelling evidence for the long-term impact of conditions in gestation and early childhood on both physical and psychosocial functioning and productivity has stimulated a focus in global health policy and social services on the “first 1000 days”. Consequently, related initiatives may assume that rationale for this orientation and the agency of parents during this period is self-evident and widely shared among parents and communities. In 2012, we tested this assumption among a sample of 38 township-dwelling caregivers in Cape Town, by asking a question identified during a study of cultural models of parenting, namely: At what age or stage can a parent or caregiver have the most influence on a child's development? Formal cultural consensus analysis of responses met criteria for strong agreement that the period for greatest impact of parenting on a child's development occurs at adolescence, at a median age of 12 years. In follow-up focus groups and structured interviews, caregivers articulated clear ecological and developmental reasons for this view, related to protection both of developmental potential and against powerful, context-specific ecological risks (early pregnancy, substance ab/use, violence and gangs) that emerge during adolescence. Such risks threaten educational attainment, reproductive health, and social derailment with enduring consequences for lifetime well-being that caregivers are highly motivated to prevent. Developmental needs in pregnancy and early childhood, by contrast, were considered more manageable. These findings resonate with emerging evidence for multiple sensitive periods with corresponding developmental needs, and urge the value of complementing efforts to optimize early development with those to sustain and enhance it during later windows of developmental opportunity such as adolescence. Our results also indicate the need to consult local views of developmental risk and parenting practice in communicating with caregivers and planning interventions, and the value of using available methodological tools to do so.

Suggested Citation

  • Worthman, Carol M. & Tomlinson, Mark & Rotheram-Borus, Mary Jane, 2016. "When can parents most influence their child's development? Expert knowledge and perceived local realities," Social Science & Medicine, Elsevier, vol. 154(C), pages 62-69.
    • Handle: RePEc:eee:socmed:v:154:y:2016:i:c:p:62-69
    DOI: 10.1016/j.socscimed.2016.02.040
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    References listed on IDEAS

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    1. Theall, Katherine P. & Brett, Zoë H. & Shirtcliff, Elizabeth A. & Dunn, Erin C. & Drury, Stacy S., 2013. "Neighborhood disorder and telomeres: Connecting children's exposure to community level stress and cellular response," Social Science & Medicine, Elsevier, vol. 85(C), pages 50-58.
    2. Raj Chetty & Nathaniel Hendren & Lawrence F. Katz, 2016. "The Effects of Exposure to Better Neighborhoods on Children: New Evidence from the Moving to Opportunity Experiment," American Economic Review, American Economic Association, vol. 106(4), pages 855-902, April.
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    Cited by:

    1. Rotheram-Borus, Mary Jane & Tomlinson, Mark & Worthman, Carol M. & Norwood, Peter & le Roux, Ingrid & O'Connor, Mary J., 2023. "Maternal depression, alcohol use, and transient effects of perinatal paraprofessional home visiting in South Africa: Eight-year follow-up of a cluster randomized controlled trial," Social Science & Medicine, Elsevier, vol. 324(C).
    2. Marina Sayuri Yakuwa & Letícia Pancieri & Sarah Neill & Débora Falleiros de Mello, 2022. "Mothers’ Understanding of Brain Development in Early Childhood: A Qualitative Study in Brazil," SAGE Open, , vol. 12(2), pages 21582440221, May.
    3. Christie, Hope & Hamilton-Giachritsis, Catherine & Alves-Costa, Filipa & Tomlinson, Mark & Stewart, Jackie & Skeen, Sarah & Notholi, Vuyolwethu & Gqwaka, Phumza & Sambudla, Akhona & Halligan, Sarah, 2020. "Associations between parental trauma, mental health, and parenting: A qualitative study in a high-adversity South African community," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Panter-Brick, Catherine & Eggerman, Mark, 2018. "The field of medical anthropology in Social Science & Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 233-239.

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