To T, Cadarette S M, Liu Y
Population Health Sciences, Research Institute, Hospital for Sick Children, Toronto.
Can J Public Health. 2000 Nov-Dec;91(6):418-22. doi: 10.1007/BF03404820.
Baseline data from the Canadian National Longitudinal Survey of Children and Youth were used to evaluate the associations between child care arrangement and poor developmental attainment (PDA). A weighted total of 521,800 children aged 2 to 3 years were studied (N = 2,709). PDA was assessed by age-standardized motor and social development score. Children were grouped by the predominant type of arrangement: care by someone in the child's own home, in another home (family child care), at a child care centre, or none (child care exclusive to parents). Controlling for socioeconomic status, biological factors and maternal immigration, family dysfunction, hostile parenting and low neighbourhood safety were correlated with PDA and positive parent-child interaction decreased the odds of PDA. Whereas centre child care arrangements were beneficial to development overall (OR = 0.41, 99% CI = 0.18, 0.93), an interaction existed between type of child care and maternal depression; among children with depressed mothers, centre child care was associated with increased odds of PDA. Findings suggest that the associations between child care arrangement and child development involve interactions of factors that influence a child's home environment. Future child development studies exploring these interactions are warranted.
来自加拿大全国儿童和青少年纵向调查的基线数据用于评估儿童保育安排与发育不良（PDA）之间的关联。共对521,800名2至3岁儿童进行了加权研究（N = 2,709）。通过年龄标准化的运动和社会发展得分评估PDA。儿童按主要保育安排类型分组：由儿童自己家中的人照料、在另一个家庭中照料（家庭托儿）、在儿童保育中心照料或无（仅由父母照料）。在控制社会经济地位、生物学因素和母亲移民、家庭功能失调、敌对育儿方式以及邻里安全性较低等因素后发现，这些因素与PDA相关，而积极的亲子互动会降低PDA的几率。虽然中心托儿安排总体上有利于儿童发育（OR = 0.41，99% CI = 0.18，0.93），但托儿类型与母亲抑郁之间存在交互作用；在母亲抑郁的儿童中，中心托儿与PDA几率增加有关。研究结果表明，儿童保育安排与儿童发育之间的关联涉及影响儿童家庭环境的多种因素的相互作用。未来有必要开展探索这些相互作用的儿童发育研究。
