Effects of fully-established Sure Start Local Programmes on 3-year-old children and their families living in England: a quasi-experimental observational study
Effects of fully-established Sure Start Local Programmes on 3-year-old children and their families living in England: a quasi-experimental observational study
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DOI：
10.1016/s0140-6736(08)61687-6
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发表时间：
2008-11-08
期刊：
影响因子：
168.9
通讯作者：
Barnes, Jacqueline
中科院分区：
文献类型：
--
作者：
Melhuish, Edward;Belsky, Jay;Barnes, Jacqueline
背景Sure Start地方方案(SSLP)是以地区为基础的干预措施，旨在改善对贫困社区幼儿及其家庭的服务，促进健康和发展，并减少不平等。方法在准实验观察性研究中，我们比较了93个贫困SSLP地区的5883名3岁儿童及其家人和参加千年队列研究的72个类似贫困地区的1879名3岁儿童及其家人。我们研究了14个结果--儿童免疫接种、事故、语言发展、积极和消极的社会行为和独立性；育儿风险；家庭学习环境；父亲的参与；母亲吸烟、体重指数和生活满意度；家庭服务使用；以及母亲对地区的评分。在我们控制了背景因素后，我们注意到14个结果中的5个与项目相关的有益影响。与非SSLP区儿童相比，SSLP区儿童的社会发展更好，社会行为更积极(平均差异0.45，95%CI 0.09~0.80，p=0.01)，独立性更强(0.32，0.18~0.47，p
Background Sure Start Local Programmes (SSLPs) are area-based interventions to improve services for young children and their families in deprived communities, promote health and development, and reduce inequalities. We therefore investigated whether SSLPs affect the wellbeing of 3-year-old children and their families.Methods In a quasi-experimental observational study, we compared 5883 3-year-old children and their families from 93 disadvantaged SSLP areas with 1879 3-year-old children and their families from 72 similarly deprived areas in England who took part in the Millennium Cohort Study. We studied 14 outcomes--children's immunisations, accidents, language development, positive and negative social behaviours, and independence; parenting risk; home-learning environment; father's involvement; maternal smoking, body-mass index,and life satisfaction; family's service use; and mother's rating of area.Findings After we controlled for background factors, we noted beneficial effects associated with the programmes for five of 14 outcomes. Children in the SSLP areas showed better social development than those in the non-SSLP areas, with more positive social behaviour (mean difference 0.45, 95% CI 0.09 to 0.80, p=0.01) and greater independence (0.32, 0.18 to 0.47, p