TY  - JOUR
T1  - MAternal literacy and associations between education and the cognitive home environment in low-income families
AU  - Green CM, Berkule SB, Dreyer BP, et al
Y1  - 2009/09/07
N1  - 10.1001/archpediatrics.2009.136
JO  - Archives of Pediatrics & Adolescent Medicine
SP  - 832
EP  - 837
VL  - 163
IS  - 9
N2  - Objective 
    To determine whether maternal literacy level accounts for associations between educational level and the cognitive home environment in low-income families.Design 
    Analysis of 369 mother-infant dyads participating in a long-term study related to early child development.Setting 
    Urban public hospital.Participants 
    Low-income mothers of 6-month-old infants.Main Exposure 
    Maternal literacy level was assessed using the Woodcock-Johnson III/Bateria III Woodcock-Munoz Tests of Achievement, Letter-Word Identification Test. Maternal educational level was assessed by determining the last grade that had been completed by the mother.Main Outcome Measure 
    The cognitive home environment (provision of learning materials, verbal responsivity, teaching, and shared reading) was assessed using StimQ, an office-based interview measure.Results 
    In unadjusted analyses, a maternal literacy level of ninth grade or higher was associated with increases in scores for the overall StimQ and each of 4 subscales, whereas a maternal educational level of ninth grade or higher was associated with increases in scores for the overall StimQ and 3 of 4 subscales. In simultaneous multiple linear regression models including both literacy and educational levels, literacy continued to be associated with scores for the overall StimQ (adjusted mean difference, 3.7; 95% confidence interval, 1.7-5.7) and all subscales except teaching, whereas maternal educational level was no longer significantly associated with scores for the StimQ (1.8; 0.5-4.0) or any of its subscales.Conclusions 
    Literacy level may be a more specific indicator of risk than educational level in low-income families. Studies of low-income families should include direct measures of literacy. Pediatricians should develop strategies to identify mothers with low literacy levels and promote parenting behaviors to foster cognitive development in these at-risk families.
SN  - 1072-4710
M3  - doi: 10.1001/archpediatrics.2009.136
UR  - http://dx.doi.org/10.1001/archpediatrics.2009.136
ER  -