Indexing
CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học
Tóm tắt
Introduction: Early Childhood Development (ECD) is a key determinant of long-term health and human capital. In Vietnam, rapid socioeconomic changes necessitate updated national evidence on children’s developmental status and its determinants. This study aimed to compare developmental status among children aged 36 - 59 months and examine associated factors using two rounds of the Vietnam Multiple Indicator Cluster Surveys (MICS 2013 - 2014 and 2020 - 2021).
Methods: This study analyzed two nationally representative datasets derived from the Vietnam MICS 2013 - 2014 (n = 1,035) and 2020 - 2021 (n = 1,893). ECD was measured using the Early Childhood Development Index (ECDI/ECDI2030). Analyses accounted for the complex survey design, and multivariable logistic regression was performed separately for each survey.
Results: The proportion of children classified as developmentally on track was lower in 2020 - 2021 than in 2013 - 2014 (76.5% vs. 89.8%), although direct comparison should be interpreted cautiously because different assessment tools were used. Across both surveys, Kinh ethnicity, higher maternal education, and participation in early childhood education programs were consistently associated with higher odds of being developmentally on track. Household wealth emerged as a significant determinant only in 2020 - 2021, when children from poorer households had lower odds of being on track. Children not exposed to violent discipline were more likely to be developmentally on track in 2020 - 2021 (AOR = 1.50, 95%CI: 1.04 - 2.13), whereas no significant association was observed in 2013 - 2014.
Conclusion: Compared with the MICS 2013 - 2014 survey, early childhood developmental outcomes appeared lower in the MICS 2020 - 2021 survey, although this difference was likely influenced by the adoption of the more stringent ECDI2030 assessment tool. Socioeconomic and ethnic disparities in developmental outcomes remained evident. Persistent socioeconomic and ethnic inequalities, together with the positive role of early childhood education, highlight the need for equitable access to quality early childhood services and supportive caregiving environments.
| Đã xuất bản | 25-08-2026 | |
| Toàn văn |
|
|
| Ngôn ngữ |
|
|
| Số tạp chí | Tập 16 Số 04 (2026) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.34071/jmp.2026.4.1073 | |
| Từ khóa | Early Childhood Development, ECDI, MICS,, socioeconomic factors |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International .
Bản quyền (c) 2026 Tạp chí Y Dược Huế
Black M.M., Walker S.P., Fernald L.C.H., Andersen C.T., DiGirolamo A.M., Lu C., McCoy D.C., Fink G., Shawar Y.R., Shiffman J., Devercelli A.E., Wodon Q.T., Vargas-Barón E., and Grantham-McGregor S. (2017), “Early childhood development coming of age: science through the life course”, The Lancet. 389(10064), pp. 77–90.
Duc N.H.C. (2016), “Developmental risk factors in Vietnamese preschool-age children: Cross-sectional survey”, Pediatrics International. 58(1), pp. 14–21.
Gao Y., Zhang L., Kc A., Wang Y., Zou S., Chen C., Huang Y., Mi X., and Zhou H. (2021), “Housing environment and early childhood development in sub-Saharan Africa: A cross-sectional analysis”, PLoS Med. 18(4), p. e1003578.
Gershoff E.T. (2013), “Spanking and child development: We know enough now to stop hitting our children”, Child Dev Perspect. 7(3), pp. 133–137.
Gil J.D.C., Ewerling F., Ferreira L.Z., and Barros A.J.D. (2020), “Early childhood suspected developmental delay in 63 low- and middle-income countries: Large within- and between-country inequalities documented using national health surveys”, J Glob Health. 10(1), p. 010427.
Hasan M.N., Babu M.R., Chowdhury M.A.B., Rahman M.M., Hasan N., Kabir R., and Uddin M.J. (2023), “Early childhood developmental status and its associated factors in Bangladesh: a comparison of two consecutive nationally representative surveys”, BMC Public Health 2023 23:1. 23(1), pp. 687-.
Jeong J., McCoy D.C., Yousafzai A.K., Salhi C., and Fink G. (2016), “Paternal stimulation and early child development in low-and middle-income countries”, Pediatrics. 138(4).
Junek W. (2007), “The Development of the Person: The Minnesota Study of Risk and Adaptation from Birth to Adulthood”, Journal of the Canadian Academy of Child and Adolescent Psychiatry. 16(4), p. 180.
UNICEF (2021), “Survey measuring Vietnam Sustainable Development Goal in children and women 2020-2021: Survey findings report”, <https://www.unicef.org/vietnam/reports/viet-nam-sdg-indicators-children-and-women-survey-2020-2021>, accessed: 02/10/2025.
UNICEF (2023), “Surveys - Multiple Indicator Cluster Survey (MICS)”.