Early childcare and developmental delay risk at 3.5 years: Insights from the French ELFE cohort.

Autor: Gomajee AR; INSERM U1136, Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Social Epidemiology Research Team (ERES), Sorbonne University, 27 Rue Chaligny, 75012, Paris, France.; French School of Public Health (EHESP), Doctoral Network, Rennes, France., Barry KM; INSERM U1136, Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Social Epidemiology Research Team (ERES), Sorbonne University, 27 Rue Chaligny, 75012, Paris, France., Chazelas E; INSERM U1136, Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Social Epidemiology Research Team (ERES), Sorbonne University, 27 Rue Chaligny, 75012, Paris, France., Dufourg MN; ELFE Joint Unit INED-INSERM-EFS, Paris, France., Barreto-Zarza F; INSERM U1136, Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Social Epidemiology Research Team (ERES), Sorbonne University, 27 Rue Chaligny, 75012, Paris, France.; Faculty of Psychology, University of the Basque Country (UPV/EHU), San Sebastian, Spain.; Environmental Epidemiology and Child Development Group, Biogipuzkoa Health Research Institute, San Sebastian, Spain., Melchior M; INSERM U1136, Pierre Louis Institute of Epidemiology and Public Health (IPLESP), Social Epidemiology Research Team (ERES), Sorbonne University, 27 Rue Chaligny, 75012, Paris, France. maria.melchior@inserm.fr.
Jazyk: angličtina
Zdroj: European journal of pediatrics [Eur J Pediatr] 2024 Nov; Vol. 183 (11), pp. 4763-4772. Date of Electronic Publication: 2024 Aug 31.
DOI: 10.1007/s00431-024-05742-w
Abstrakt: We tested the association between early childcare attendance in the first three years of life and child development at age 3.5 years in the French context, where early childcare is subsidized. In the ELFE (Étude Longitudinale Français depuis l'Enfance) birth cohort study set in metropolitan France, children's development was reported by parents at age 3.5 years (n = 11,033) via the Child Development Inventory (CDI) questionnaire. CDI scores were transformed into a development quotient (DQ), with a DQ < 90 corresponding to possible and a DQ < 85 corresponding to a probable developmental delay. Inverse probability weighted multivariable regression models were used to analyse whether early childcare in the first three years of life (centre-based, childminder, informal or parental care) was associated to development delay. Compared to children in exclusive parental care, those in centre-based childcare (CBC) or with a childminder prior to school entry were significantly less likely to experience possible (OR = 0.56, [95% CI = 0.51-0.61] for CBC and OR = 0.77, [95% CI = 0.72-0.83] for childminder attendance) and probable developmental delay (OR = 0.62, [0.58-0.67] for CBC and OR = 0.80 [0.76-0.83] for childminder). Informal childcare attendance was not significantly associated with children's possible nor probable developmental delay ((OR = 0.97, [0.84-1.12]) and (OR = 0.97, [0.82-1.15]), respectively). Conclusions: Overall, our findings add to the existing scientific literature, showing that in the French context, where childcare can start as early as 3 months of age, early childcare attendance can contribute to child's development. What's Known on This Subject: • Studies on early childcare attendance and child development have shown mixed results, associations with better psychomotor development mainly being observed in Nordic countries, while some studies in other countries such as the USA showed no or negative associations. What This Study Adds: • In a country with broad and subsidized access to childcare such as France, access to early childhood education can positively contribute to children's psychomotor development. However, we found that access to childcare does not appear to reduce social inequalities in children's psychomotor development.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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