Can centre-based childcare buffer against the negative effects of family adversity on child socio-emotional wellbeing?
Background Different configurations of family adversity affect children's socio-emotional development differently; however, we lack knowledge of moderators amenable to policy intervention. This study explored whether early childhood centre-based childcare moderated the impact of family adversity con...
| Publicado en: | European Journal of Public Health Vol. 31; no. 3; pp. 474 - 482 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151381581&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151381581 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Jun2021 vid: 31 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 151381581 151381581 151381581 10.1093/eurpub/ckab006 151381581 ppf: 474 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Can centre-based childcare buffer against the negative effects of family adversity on child socio-emotional wellbeing? aug: au: Parkes, Alison Green, Michael Pearce, Anna affil: MRC/CSO Social and Public Health Sciences Unit, University of Glasgow , Glasgow, UK sug: subj: Family Relations Adverse Childhood Experiences Psychosocial Factors Child Day Care Psychological Well-Being In Infancy and Childhood Child Development Human Child, Preschool Child Scotland Mothers Health Status Economic Factors Confidence Intervals Child, Preschool: 2-5 years Child: 6-12 years ab: Background Different configurations of family adversity affect children's socio-emotional development differently; however, we lack knowledge of moderators amenable to policy intervention. This study explored whether early childhood centre-based childcare moderated the impact of family adversity configurations on socio-emotional development. Methods Data were from the Growing Up in Scotland first birth cohort, born 2004–05. Latent class analysis of 19 early childhood family adversity indicators identified four classes: 'Low Risk' (68%), 'Poor Maternal Health' (16.5%), 'Economic Hardship' (10.0%) and 'Multiple Adversities' (5.5%). Latent growth models of externalizing and internalizing symptom trajectories (age 46–152 months, n = 3561) by family adversity controlled for confounding. Moderation by centre-based childcare use was examined through stratification. Results Compared to 'Low Risk', high-risk classes had more externalizing and internalizing symptoms and internalizing symptoms increased at a faster rate, with 'Multiple Adversities' faring worst. The effects of 'Economic Hardship' on change in externalizing symptoms over time varied by childcare (P = 0.035): relative to the Low Risk group, symptoms increased (+0.04 points/year) among those not using childcare, and decreased (–0.09 points/year) among those who did. The effect of 'Multiple Adversities' on internalizing symptoms also varied (P = 0.034): +0.12 without centre-based childcare; +0.33 with centre-based childcare (patterns were similar for externalizing symptoms but with wide confidence intervals). No moderation was found by 'Poor Maternal Health'. Conclusions Centre-based childcare may alleviate disadvantages in socio-emotional wellbeing for children experiencing mainly economic hardship, but may exacerbate them for those experiencing multiple adversities. A better understanding of how early years' services can support families with complex needs is required. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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