Early Childhood Education and Care Attendance and Its Association With Outdoor Play, Screen Time and Sleep Duration of Young Children: Findings From the CHAT Trial in Australia
Huilan Xu, Philayrath Phongsavan, Erin Kerr, Lisa Simone, Chris Rissel, Li Ming Wen
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引用次数: 0
Abstract
Background
Effects of attending early childhood education and care (ECEC) on health behaviours of young children remain unclear. This study aimed to investigate whether ECEC attendance was associated with outdoor play, screen time, sleep duration and family demographics of children aged 2 and 3 years.
Methods
Secondary analysis was conducted using data extracted from two linked trials conducted in Australia, 2017–2020. Telephone surveys were conducted with participating mothers for data collection. Multiple logistic and linear regression models were built to investigate the associations of ECEC attendance with outdoor play, screen time, sleep duration and family demographics among young children.
Results
At ages 2 and 3 years, 797 and 537 mothers completed surveys, respectively. Of respondents, 65% and 72% of children attended ECEC, respectively. Children who attended ECEC had 17 min (95% CI 3.8–30.5) and 28 min (95% CI 14.1–41.9) more daily outdoor playtime and had 13 min (95% CI 4.0–21.5) and 19 min (95% CI 6.4–30.7) less daily screen time at home at 2 and 3 years, respectively. Although ECEC attendance was not associated with sleep duration, children who attended ECEC were more likely to meet all three recommendations (outdoor play, screen time and sleep) with adjusted odds ratio (AOR) 1.84 (95% CI 1.24–2.72) at age 2 and AOR 2.34 (95% CI 1.28–4.28) at age 3. Mothers who were employed, first-time mothers, spoke English at home or had a high household income were more likely to use ECEC services.
Conclusions
ECEC services may hold promise to influence outdoor play and screen time among young children. Children from lower socio-demographic background had a lower rate of ECEC attendance. Future health promotion programmes for young children need to also consider children who do not attend ECEC.
背景:参加早期儿童教育和保育(ECEC)对幼儿健康行为的影响仍不清楚。本研究旨在调查参加ECEC是否与2岁和3岁儿童的户外游戏、屏幕时间、睡眠时间和家庭人口统计学相关:利用从 2017-2020 年在澳大利亚进行的两项关联试验中提取的数据进行了二次分析。对参与试验的母亲进行了电话调查,以收集数据。建立了多元逻辑和线性回归模型,以调查幼儿参加幼儿保育和教育中心与户外游戏、屏幕时间、睡眠时间和家庭人口统计学之间的关联:2岁和3岁时,分别有797名和537名母亲完成了调查。在受访者中,分别有 65% 和 72% 的儿童参加了幼儿保育和教育中心。参加幼儿保育和教育中心的儿童在2岁和3岁时,每天的户外游戏时间分别增加了17分钟(95% CI 3.8-30.5)和28分钟(95% CI 14.1-41.9),每天在家的屏幕时间分别减少了13分钟(95% CI 4.0-21.5)和19分钟(95% CI 6.4-30.7)。虽然参加幼儿保育和教育中心与睡眠时间长短无关,但参加幼儿保育和教育中心的儿童更有可能满足所有三项建议(户外游戏、屏幕时间和睡眠),2 岁时调整后的几率比(AOR)为 1.84(95% CI 1.24-2.72),3 岁时调整后的几率比(AOR)为 2.34(95% CI 1.28-4.28)。有工作、初为人母、在家讲英语或家庭收入高的母亲更有可能使用幼儿保育和教育服务:结论:ECEC 服务有望影响幼儿的户外游戏和屏幕时间。社会人口背景较低的儿童参加幼儿保育和教育中心的比率较低。未来的幼儿健康促进计划也需要考虑未参加幼儿保育和教育中心的儿童。
期刊介绍:
Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.