Childcare use and the social-emotional and behavioural outcomes of late-preterm and early-term born children at age 5: An analysis of the All Our Families longitudinal cohort.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2024-07-24 DOI:10.17269/s41997-024-00908-3

Nikki Stephenson, Suzanne Tough, Carly McMorris, Tyler Williamson, Sheila McDonald, Amy Metcalfe

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Abstract

Objectives: Gestational age at birth (GA) shows an inverse gradient of risk with social-emotional and behavioural outcomes among children born late preterm (≥ 34 and < 37 weeks) and early term (≥ 37 and < 39 weeks). Childcare has the potential to influence this association. This study aimed to estimate the association between GA and social-emotional/behavioural problems among children born between ≥ 34 and < 41 weeks gestation, determine whether this association was modified by childcare use, and describe the relationship between childcare and behavioural and social-emotional functioning at age 5.

Methods: Using data from the All Our Families cohort (n = 1324), logistic regression models were used to model the association between GA and social-emotional/behavioural problems (BASC-2 composite scales at age 5). Models were fit with interaction terms between GA and childcare variables (amount, multiplicity, and type of childcare at age 3) to assess effect modification.

Results: GA showed no significant associations with social-emotional/behavioural problems at age 5, though the type of childcare significantly modified the association between GA and externalizing and internalizing problems. Neither the number of hours spent in childcare (amount) nor the number of childcare arrangements used (multiplicity) modified the association between GA and social-emotional/behavioural problems. However, multiplicity was associated with externalizing behavioural problems (aOR = 2.09, 95% CI 1.14‒3.83).

Conclusion: This study found no significant association between GA and social-emotional/behavioural problems at age 5, though childcare type modified this association. Factors such as using multiple childcare arrangements to meet families' childcare needs have the potential to influence a child's social-emotional and behavioural functioning at age 5.

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托儿服务的使用与早产儿和晚产儿 5 岁时的社会情感和行为结果：对 "我们所有的家庭"（All Our Families）纵向队列的分析。

研究目的在晚期早产儿（≥ 34 岁）中，出生时胎龄（GA）与社会情感和行为结果的风险呈反梯度关系：利用 "我们所有的家庭"（All Our Families）队列（n = 1324）中的数据，使用逻辑回归模型来模拟 GA 与社会情感/行为问题（5 岁时的 BASC-2 综合量表）之间的关系。模型中还拟合了 GA 与儿童保育变量（3 岁时儿童保育的数量、多重性和类型）之间的交互项，以评估效应修正：尽管儿童保育类型会显著改变儿童性别与外化和内化问题之间的关系，但儿童性别与 5 岁时的社会情感/行为问题并无明显关联。在托儿所度过的小时数（数量）和所使用的托儿所安排的数量（多重性）都没有改变性别问题与社会情感/行为问题之间的关系。然而，多重性与外化行为问题有关（aOR = 2.09，95% CI 1.14-3.83）：本研究发现，GA 与 5 岁儿童的社会情感/行为问题之间没有明显的关联，但儿童保育类型会改变这种关联。使用多种托儿安排以满足家庭的托儿需求等因素有可能影响儿童5岁时的社会情感和行为功能。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.