OBJECTIVE: To describe interactive activities between parents and young children in a nationally representative sample. We hypothesized that the frequency of participation in interactive activities would be different across economic strata and would be associated with developmental delay.METHODS: Children 4 to 36 months of age were identified by using The National Survey of Children’s Health 2011–2012. Interactive caregiving practices were reported by poverty status. Developmental concerns were derived from caregiver responses and scoring of the Parents Evaluation of Developmental Status. Multivariable logistic regressions with weighting were used to explore the effect of interactive practices on risk for developmental delay across poverty levels. Covariates including age, gender, insurance type, maternal education, parenting stress, and ethnicity were adjusted in the models.RESULTS: In our sample (n = 12?642), caregivers with the lowest income versus highest income reported lower participation in reading (33% vs 64%; P
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