This study determined the psychometric properties of the HOME (Home Ob
servation for Measurement of the Environment) Inventory in a Latin Ame
rican sample. HOME data for 183 healthy Costa Rican infants were compa
red to the original HOME standardisation sample from Little Rock. The
Costa Rican total HOME average of 29.8 +/- 6.7 was similar to the scor
es of families in Little Rock (mean = 31.2 +/- 7.3). Measures or inter
nal consistency and factor structure were similar in US and Costa Rica
n samples. In contrast to these similarities, Costa Rican HOME scores
showed no significant correlation with developmental test scores in in
fancy (Bayley MDI), and the correlation with Full Scale IQ (WPPSI) at
five years was modest, albeit statistically significant (r = 0.28, P <
0.05). These relationships were similar to those of Mexican-American
children in a recent collaborative study by Bradley et al., 1989 and n
ot as strong as for US white and black populations. However, when the
concept of outcome was broadened beyond IQ scores to include child hea
lth and development in general, the HOME seemed sensitive to important
environmental differences in this Costa Rican group. Lower HOME score
s related to a shorter duration of breastfeeding and differentiated ch
ildren with iron deficiency anaemia in infancy, a condition associated
with long-lasting developmental disadvantage. Thus, the HOME was help
ful in identifying children at risk for delayed development in this La
tin American sample.