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. 2018 Apr 17;13(4):e0193261. doi: 10.1371/journal.pone.0193261

Table 2. Proportion of different factors related to the child’s medical and perinatal history, parental level of education, stimulation & learning opportunities for the 114 studied children aged 12–48 months in Kahemba, Democratic Republic of Congo.

Total HH with konzo HH without konzo
Variables N (%) N (%) N (%)
Child’s factors
Household with konzo* affected member 61 (54) 61 (100) 00 (00)*
Child’s previous morbidities # 18 (15.8) 12 (19.7) 06 (11.3)
Introduction of solid foods < 6 months 61 (55) 41 (68.3) 20 (38.5) **
Maternal smoking during pregnancy 01 (01) 01 (0.7) 00 (0)
Maternal alcohol during pregnancy 32 (28) 20 (33.3) 12 (23.1)
Number of nights of soaking of cassava < 3 days 24 (21.4) 12 (20) 12 (23.1)
Number of nights of soaking of cassava ≥ 3 days 88 (78.6) 48 (80) 40 (76.9)
Mother level of education*
Primary 39 (35) 29 (48.3) 10 (18.9)
Secondary 57 (50) 26 (43.3) 31 (58.5)
Professional 04 (3.5) 01 (1.7) 03 (5.7)
None 13 (12) 04 (6.7) 09 (16.98)
Father level of education (N = 110)
Primary 16 (15) 12 (20.3) 04 (6.8)
Secondary 76 (69) 42 (71.2) 34 (66.7)
Professional 07 (06) 01 (1.7) 06 (11.8)
University 07 (06) 03 (5.1) 04 (7.8)
None 04 (03) 01 (1.7) 03 (5.9)
Stimulation, learning opportunities & parenting style
Storytelling to kids 28 (25) 16 (26.7) 12 (23.1)
Uses books with pictures 32 (28.6) 17 (23.3) 15 (28.5)
Read to the child 26 (23.2) 15 (25) 11 (21.2)
Play with kitchenette 72 (64.3) 38 (63.3) 34 (65.4)
Play with homemade toys 82 (73.2) 42 (70) 40 (76.9)
Play with bought toys 43 (38.4) 20 (33.3) 23 (44.2)
Left alone home more than 10 times/month 05 (04.5) 01 (1.7) 04 (7.7)
Explain without being upset 43 (38.4) 24 (40) 19 (36.5)
Raise voice 92 (82.1) 50 (83.3) 42 (80.8)
Take away toys to punish 35 (31.3) 19 (31.7) 16 (30.8)
Give extra work to punish 25 (22.3) 12 (20) 13 (25)
Spank to punish 64 (57.1) 38 (63.3) 26 (50)
Use stick to punish 44 (39.3) 23 (38.3) 21 (40.4)
Hit on the head to punish 14 (12.5) 04 (6.7) 10 (19.2)*

HH: household; Konzo: irreversible upper-motor disease linked to cyanide neurotoxicity from poorly processed cassava.

#Child previous morbidities included convulsions, brain trauma, sickle cell anemia, or central nervous system infections.

*Chi-square p-value < 0.05.

**Chi-square p-value < 0.01.