Positive Parenting Behaviors and Child Development in Ceara, Brazil: A Population-Based Study

Parenting practices have been identified as a key determinant of children's developmental outcomes. The aim of this study was to evaluate the association of parenting practices with child development in a cross-sectional population-based study in a low-income state in northeastern Brazil. The study included data on 3566 caregiver-child pairs, and the children were aged 0-66 months. Positive parenting behaviors (PPBs) were conceptualized in areas of interactive play, social development, and speech and language interactions. Child development was evaluated using the Brazilian Ages and Stages Questionnaire. Linear regression analysis was used to assess the relationships. We found that a greater number of PPBs was associated with better child development domain scores. Among infants < 1 year, each additional PPB was associated with a 0.32 standardized mean difference (SMD) greater communication (95% CI: 0.24-0.41) and 0.38 SMD greater problem-solving scores (95% CI: 0.24-0.52). Among children aged 4-6 years old, each additional PPB was associated with improved communication (SMD: 0.22; 95% CI: 0.13-0.32), problem solving (SMD: 0.21; 95% CI: 0.10-0.32) and personal-social domain scores (SMD: 0.26; 95% CI: 0.17-0.36). Our findings indicate that PPB were robustly associated with better outcomes across developmental domains among Brazilian children. Programs and interventions that support PPB can contribute to improvements in development outcomes.