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Center-Based Childcare Access to Health Screenings and Developmental Assessments in U.S. Children from Birth to Five.

Objective: To examine the odds of children aged 0-5 in center-based childcare programs receiving referrals for health screenings and developmental assessments, controlling for children's races/ethnicities and provider and program factors. Methods: We conducted secondary analyses using the 2019 Natio...

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Published in:Maternal & Child Health Journal Vol. 29; no. 1; pp. 67 - 78
Main Authors: Rizk, Sabrin, Barger, Brian
Format: research tables/charts Journal Article
Published: Springer Nature Jan2025
Online Access:View this record in EBSCOhost
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      dt: Jan2025
      vid: 29
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10995-024-04028-9
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        atl: Center-Based Childcare Access to Health Screenings and Developmental Assessments in U.S. Children from Birth to Five.
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          Rizk, Sabrin
          Barger, Brian
        affil: https://ror.org/02mpq6x41 Department of Occupational Therapy, College of Applied Health Sciences, University of Illinois Chicago, 1919 West Taylor Street, AHSB 329, 60612, Chicago, IL, USA
      sug:
        subj:
          Child Development Disorders Diagnosis
          Infant Development Disorders Diagnosis
          Health Screening Methods
          Health Services Accessibility
          Program Evaluation
          Race Factors
          Ethnic Groups
          Human
          United States
          Logistic Regression
          Secondary Analysis
          Multivariate Analysis
          Odds Ratio
          Confidence Intervals
          Infant, Newborn
          Infant
          Child, Preschool
          Funding Source
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
      ab:
        Objective: To examine the odds of children aged 0-5 in center-based childcare programs receiving referrals for health screenings and developmental assessments, controlling for children's races/ethnicities and provider and program factors. Methods: We conducted secondary analyses using the 2019 National Survey for Early Care and Education (NSECE) Center-based Provider survey. We used multivariate logistic regression models to estimate referral odds for health screenings and developmental assessments from centers without these services onsite. We adjusted for provider (e.g., language spoken when working with children) and program factors (e.g., staff mentorship, regulatory agency visits, and the teacher-to-child ratio). Results: The sample included U.S. center-based childcare providers (n = 1,306) whose programs did not offer onsite health screenings or developmental assessments. The findings suggest that programs providing staff mentorship (OR = 2.15, 95% CI [1.36–3.41], P =.001) and regulatory oversight (OR = 1.85, CI [1.13 = 3.02], P =.014) had greater odds of making referrals for children under 5 years old. After adjusting for various provider and program factors, Hispanic children had lesser odds of being referred compared to other racial groups (OR = 0.99, 95% CI [0.98–0.99], P =.030). Conclusions: Mentorship and regulatory oversight in center-based childcare programs were associated with greater odds of referral for health screenings and developmental assessments for children under five years old. Mentoring and regulatory oversight may facilitate the provision of timely referrals for screenings and assessments for children and their families in center-based childcare programs.
        Significance: Center-based childcare programs in the U.S. can be a potential referral source for screenings and assessments, though our understanding of what factors contribute to greater odds of receiving referrals is limited. Our study demonstrates the importance of staff mentorship and regulatory oversight in promoting referrals among children aged 0–5 years attending center-based childcare programs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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