Child Care and Common Communicable Illnesses - Results from the National Institute of Child Health and Human Development Study of Early Child Care
Child Care and Common Communicable Illnesses - Results from the National Institute of Child Health and Human Development Study of Early Child Care
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DOI：
10.1001/archpedi.155.4.481
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发表时间：
2001-04-01
影响因子：
--
通讯作者：
Bradley, RH
中科院分区：
文献类型：
--
作者：
Bradley, RH
目的：研究幼儿护理经验与传染病之间的关系（胃肠道疾病、上呼吸道感染、耳部感染或中耳炎），并调查这些疾病的发生频率是否与语言发育、入学准备和行为问题有关。设计：健康，儿童保育，家庭和儿童发育数据来自国家儿童健康和人类发展研究所早期儿童保育研究的1200多名参与者，这是一项从参与者出生开始的10个地点的前瞻性研究。以每种传染性疾病作为结果变量，以家庭、儿童和儿童护理变量作为模型中的预测变量，进行纵向logistic回归分析，然后以发育指标作为结果变量进行一系列回归分析。在出生后的头2年，儿童保育机构的儿童患病率高于完全在家抚养的儿童，但到3岁时差异不显著。在第一年中，每周在儿童保育中的小时数和在儿童保育安排中的其他儿童的数量与患病率有关。没有证据表明患病率的增加对入学准备或语言能力产生负面影响。然而，有一些证据表明，增加的疾病与行为问题的母亲，但不是由儿童保育providers.Conclusions：儿童在儿童保育的经验，更多的疾病发作在第2年的生活，但差异是可以忽略不计的年龄3年。患病率的增加与儿童发展的其他方面几乎没有关系，也许除了行为问题的小幅增加。
Objectives: To examine the relationship between experiences in child care and communicable illnesses (gastrointestinal tract illness, upper respiratory tract infection, and ear infections or otitis media) throughout the first 3 years of life and to investigate whether increased frequency of these illnesses is related to language development, school readiness, and behavior problems.Design: Health, child care, family, and child developmental data were obtained from more than 1200 participants in the National Institute of Child Health and Human Development Study of Early Child Care, a 10-site prospective study that began at the participants' birth. Longitudinal logistic regression analyses were performed using each type of communicable illness as the outcome variable, with family, child, and child care variables as predictors in the model, and followed by a series of regression analyses with developmental measures as the outcome variables.Results: Rates of illness were higher in children in child care than for children reared exclusively at home during the first 2 years of life, but the differences were nonsignificant by age 3 years. Number of hours in child care per week during the first year and number of other children in the child care arrangement were related to the rates of illness. There was no evidence that increased rates of illness have a negative effect on school readiness or language competence. However, there was some evidence that increased illness was associated with behavior problems as reported by mothers, but not by child care providers.Conclusions: Children in child care experience more bouts of illness in the first 2 years of life, but differences are negligible by age 3 years. The increased rates of illness bear little relation to other aspects of children's development, except, perhaps, for a small increase in behavior problems.