Effects of Sure Start local programmes on children and families: early findings from a quasi-experimental, cross sectional study
Effects of Sure Start local programmes on children and families: early findings from a quasi-experimental, cross sectional study
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DOI：
10.1136/bmj.38853.451748.2f
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发表时间：
2006-06-24
影响因子：
105.7
通讯作者：
Romaniuk, Helena
中科院分区：
文献类型：
--
作者：
Belsky, Jay;Melhuish, Edward;Romaniuk, Helena
目的评价Sure Start地方项目(SSLP)对儿童及其家庭的影响。通过对母亲的访谈和对36个月大的说英语的儿童的认知评估，设计了准实验性横断面研究。在英格兰建立了社会贫困社区：150个社区正在进行SSLP，50个对照社区。SSLP地区12575名9个月大的儿童和3927名36个月大的儿童的参与者母亲；对1509名9个月大的儿童和110 1名36个月大的儿童的母亲进行对照，测量36个月时母亲对社区服务和地区、家庭功能和育儿技能、儿童健康和发展以及言语能力的报告。SSLP对非青少年母亲(更好的育儿能力，儿童的社会功能更好)有积极影响，而对青少年母亲的孩子(社会功能较差)和单亲或没有工作的父母的孩子(语言能力较低)有不利影响。结论以卫生服务为主导的SSLP方案对社会贫困程度相对较低的父母(个人资源较多)及其子女有利，但对处境最不利的儿童似乎有不利影响。由卫生服务机构领导的方案似乎比由其他机构领导的方案更有效。
Objective To evaluate die effects of Sure Start local programmes (SSLPs) on children and their families. To assess whether variations in the effectiveness of SSLPs are due to differences in implementation.Design Quasi-experimental cross sectional study using interviews with mothers and cognitive assessment of children aged 36 months who speak English.Setting Socially deprived communities in England: 150 communities with ongoing SSLPs and 50 comparison communities.Participants Mothers of 12 575 children aged 9 months and 3927 children aged 36 months in SSLP areas; mothers of 1509 children aged 9 months and 110 1 children aged 36 months in comparison communities.Outcome measures Mothers' reports of community services and local area, family functioning and parenting skills, child health and development, and verbal ability at 36 months.Results Differences between SSLP areas and comparison areas were limited, small, and varied by degree of social deprivation. SSLPs had beneficial effects on non-teenage mothers (better parenting, better social functioning in children) and adverse effects on children of teenage mothers (poorer social functioning) and children of single parents or parents who did not work (lower verbal ability). SSLPs led by health services were slightly more effective than other SSLPs.Conclusion SSLPs seem to benefit relatively less socially deprived parents (who have greater personal resources) and their children but seem to have an adverse effect on the most disadvantaged children. Programmes led by health services seem to be more effective than programmes led by other agencies.