title: Influence of child rearing by grandparent on the development of children aged six to twelve years.
abstract: OBJECTIVE
  To investigate the influence of child rearing by grandparent on the development of children aged six to twelve years.
  
  
  METHODS
  A cross-sectional study was conducted in 320 children that were cared for by a parent and grandparent selected by cluster sampling. The data were collected between March 10 and April 8, 2006 by questionnaire about child and family factors. The TONI-III test was used to test the child development. Data were analyzed by frequency distribution, logistic regression, and multiple logistic regression.
  
  
  RESULTS
  Child caregiver had a significant influence on child development (p-value < 0.05). Children reared by a grandparent had 2.0 times higher chance of having delayed development compared with those who were reared by the parent. In addition, significant family factors that had impact on the child development were child rearing and family income.
  
  
  CONCLUSIONS
  Child rearing by a grandparent had 2.0 times higher chance of having delayed development than those reared by the parent. Therefore, family and health personnel should plan to ensure the development and learning process of children that are cared by the grandparent.
authors.affiliation: Department of Family Health, Faculty of Public Health, Mahidol University, Bangkok Thailand.
authors.forename: Sutham
authors.initials: S
authors.lastname: Nanthamongkolchai
authors.forename: Chokchai
authors.initials: C
authors.lastname: Munsawaengsub
authors.forename: Chantira
authors.initials: C
authors.lastname: Nanthamongkolchai
mesh_terms: D002648:Child; D002657:Child Development; D002668:Child Rearing / Q000208:ethnology / Q000523:psychology*; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D006801:Humans; D016901:Intergenerational Relations; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D010290:Parents; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013785:Thailand