Cystic fibrosis in Pueblo Indian children

Developmental outcome of minority infants: a process-oriented look into our beginnings

This article reviews the literature on the development of children of minority status from birth to 3 years of age (infants). 5 major sources of influence on the developmental outcome of minority infants are proposed: cultural beliefs and caregiving practices, health status and health care practices, family structure and characteristics, socioeconomic factors, and biological factors. It is suggested that differences exist between minority and Anglo families in their developmental goals and interactions during the infancy period. The health status of some minority groups places these infants in an at-risk category for neurodevelopmental problems. The family context is characterized by younger mothers, a higher percentage of single heads of households, but also large, extended families. Socioeconomic factors have a pervasive influence on both infants and parents, and the contribution of biological factors is suggested but poorly understood. It is concluded that these factors act synergistically to place these infants in alternative (not necessarily deviant) developmental pathways, or in "at-risk" categories for neurodevelopmental problems, while canalization processes are operating to insure that major developmental milestones are achieved.