Batista Christyann Lima Campos, Brentani Alexandra Valéria Maria
Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Hospital Universitário, Universidade Federal do Maranhão, São Luís, Brasil.
Cad Saude Publica. 2023 Apr 17;39(4):e00150622. doi: 10.1590/0102-311XPT150622. eCollection 2023.
This study aimed to analyze the relationship between the age of enrollment into early childhood education (ECE) programs and child development. This is a cross-sectional study using data from the Birth Cohort of the Western Region of São Paulo, Brazil, with a 36-month follow-up of children born at the University Hospital of the University of São Paulo from 2012 to 2014, and their caregivers who participated in the 36-month follow-up conducted from 2015 to 2017. Child development was measured by the Engle Scale of the Regional Project on Child Development Indicators (PRIDI). ECE programs were evaluated in relation to their quality. The social characteristics of the children and their caregivers, as well as the characteristics of the economic and family context, were used as exposure variables. Our sample consisted of 472 children and their parents/caregivers. The enrollment into daycare from 13 and 29 months was the most frequent. When considered alone, a higher age of enrollment was associated with higher development score [β = 0.21, 95%CI: 0.02; 0.40, p = 0.027]. After adjusting for confounding variables in the regression models, it was observed that being enrolled in a private institution, total time of breastfeeding, time spent by the main caregiver working outside home, and inhibitory control were determinants in explaining the infant development at 36 months in the sample. Older age of entry into ECE programs may have a positive effect on infant development at 36 months of age, but these findings must be carefully considered.
本研究旨在分析进入幼儿教育(ECE)项目的年龄与儿童发展之间的关系。这是一项横断面研究,使用了巴西圣保罗西部地区出生队列的数据,对2012年至2014年在圣保罗大学医院出生的儿童及其参与2015年至2017年进行的36个月随访的照顾者进行了研究。儿童发展通过儿童发展指标区域项目(PRIDI)的恩格尔量表进行测量。对ECE项目的质量进行了评估。儿童及其照顾者的社会特征以及经济和家庭背景特征被用作暴露变量。我们的样本包括472名儿童及其父母/照顾者。13至29个月进入日托中心的情况最为常见。单独考虑时,较高的入学年龄与较高的发展得分相关[β = 0.21,95%CI:0.02;0.40,p = 0.027]。在回归模型中对混杂变量进行调整后,观察到就读于私立机构、母乳喂养总时长、主要照顾者在外工作的时长以及抑制控制是解释样本中36个月婴儿发育情况的决定因素。进入ECE项目的年龄较大可能对36个月大的婴儿发育有积极影响,但这些发现必须谨慎考虑。