Department of Development and Environmental Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Miyagi, Japan.
Department of Pediatrics, Iwate Prefectural Iwai Hospital, Ichinoseki, Japan.
Sci Rep. 2024 Nov 28;14(1):29550. doi: 10.1038/s41598-024-81343-9.
This study aimed to investigate the impact of early group childcare on child development using data from the Japan Environment and Children's Study. This prospective cohort study enrolled participants between January 2011 and March 2014. The Ages and Stages Questionnaires (ASQ)-3 was used to obtain data regarding group childcare and other factors. The participants were divided into two groups: the early childcare group (exposed group) and the non-early childcare group (control group). The ASQ-3 scores in all five domains, i.e., communication, gross motor skills, fine motor skills, problem-solving, and personal-social skills, were compared. A total of 39,894 participants were included in this study. The exposed and control groups comprised 13,674 and 26,220 participants, respectively. The number of participants with the ASQ-3 values below the cut-off value did not differ significantly between the two groups in any of the five domains at six months of age. However, the number of participants with the ASQ-3 values below the cut-off values was significantly lower in the exposed group for all five domains at three years of age. The difference between the two groups, especially in terms of communication and personal-social skills, increased with age.
本研究旨在利用日本环境与儿童研究的数据，调查早期集体照护对儿童发展的影响。这项前瞻性队列研究于 2011 年 1 月至 2014 年 3 月期间招募了参与者。使用年龄与阶段问卷（ASQ-3）获取有关集体照护和其他因素的数据。参与者被分为两组：早期照护组（暴露组）和非早期照护组（对照组）。比较了所有五个领域（沟通、大运动技能、精细运动技能、解决问题和个人-社会技能）的 ASQ-3 评分。共有 39894 名参与者纳入本研究。暴露组和对照组分别包括 13674 名和 26220 名参与者。在六个月大时，两个组在五个领域中，ASQ-3 值低于临界值的参与者数量没有显著差异。然而，在三岁时，暴露组在所有五个领域中 ASQ-3 值低于临界值的参与者数量显著较低。两组之间的差异，特别是在沟通和个人-社会技能方面，随着年龄的增长而增加。
