Child care for young children with disabilities.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Reports Pub Date : 2024-10-16 DOI:10.25318/82-003-x202401000003-eng
Stacie Kerr, Leanne Findlay, Rubab Arim
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Abstract

Background: More than half (56%) of Canadian children aged 0 to 5 years are in non-parental child care, but data on child care attendance among children with disabilities is limited. This study examines child care participation among young children with disabilities in Canada, with a focus on different disability types.

Data and methods: Analyses were conducted on 1,189 children aged 0 to 5 years identified with disabilities from Statistics Canada's 2023 Survey on Early Learning and Child Care Arrangements - Children with Long-term Conditions and Disabilities. Rates of child care participation, difficulties finding child care, difficulties within child care, and whether parents reported that their child had ever been denied a child care space because of their condition were examined. Logistic regression models tested for differences in the main child care arrangement and difficulty finding child care based on the child's disability while controlling for sociodemographic variables.

Results: Among children aged 0 to 5 years with disabilities, 45% attended a daycare centre, preschool, centre de la petite enfance, or before or after school care as their main child care arrangement; 17% attended another type of child care, such as a family child care home or care by a relative; and 38% did not regularly attend non-parental child care. The parents of nearly half of children with disabilities reported difficulty finding a child care arrangement, particularly for children with emotional conditions. Close to 1 in 10 parents of children with disabilities who were using child care reported that their child had been denied a child care space because of their condition.

Interpretation: These findings highlight the need for information to support inclusive policies, practices, and resources for children with disabilities within the Canada-wide early learning and child care system.

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为残疾幼儿提供托儿服务。
背景:加拿大 0 至 5 岁的儿童中有一半以上(56%)接受非父母托儿服务,但残疾儿童接受托儿服务的数据却很有限。本研究调查了加拿大残疾幼儿参与托儿服务的情况,重点关注不同的残疾类型:对加拿大统计局 2023 年 "早期学习和托儿安排调查--长期病症和残疾儿童 "中确定的 1,189 名 0 至 5 岁残疾儿童进行了分析。调查内容包括:托儿所参与率、寻找托儿所的困难、托儿所内的困难,以及家长是否报告其子女曾因其状况而被拒绝提供托儿所空间。逻辑回归模型检验了在控制社会人口变量的情况下,主要托儿安排和寻找托儿所的困难因儿童残疾而存在的差异:在 0 至 5 岁的残疾儿童中,45% 的儿童主要在日托中心、学前班、幼儿中心、课前或课后托管机构接受托儿服务;17% 的儿童接受其他类型的托儿服务,如家庭托儿所或亲戚提供的托儿服务;38% 的儿童没有定期接受非父母托儿服务。近一半残疾儿童的父母表示很难找到托儿安排,尤其是有情绪问题的儿童。每 10 名使用托儿服务的残疾儿童的父母中,就有近 1 人表示,他们的孩子曾因其状况而被拒绝提供托儿服务:这些调查结果表明,在全加拿大的早期学习和托儿系统中,有必要提供相关信息,以支持针对残疾儿童的包容性政策、实践和资源。
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来源期刊
Health Reports
Health Reports PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.30
自引率
4.00%
发文量
28
期刊介绍: Health Reports publishes original research on diverse topics related to understanding and improving the health of populations and the delivery of health care. We publish studies based on analyses of Canadian national/provincial representative surveys or Canadian national/provincial administrative databases, as well as results of international comparative health research. Health Reports encourages the sharing of methodological information among those engaged in the analysis of health surveys or administrative databases. Use of the most current data available is advised for all submissions.
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