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.

Autor: Xu H; Health Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia.; Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.; Sydney Institute for Women, Children and Their Families, Sydney Local Health District, Sydney, New South Wales, Australia., Phongsavan P; Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.; Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia., Kerr E; Health Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia.; Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.; NHMRC Centre of Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH), Sydney, New South Wales, Australia., Simone L; Health Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia., Rissel C; College of Medicine and Public Health, Rural and Remote Health, South Australia and Northern Territory, Flinders University, Darwin, Northern Territory, Australia., Wen LM; Health Promotion Unit, Population Health Research & Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia.; Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.; Sydney Institute for Women, Children and Their Families, Sydney Local Health District, Sydney, New South Wales, Australia.; Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.; NHMRC Centre of Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH), Sydney, New South Wales, Australia.
Jazyk: angličtina
Zdroj: Child: care, health and development [Child Care Health Dev] 2024 Nov; Vol. 50 (6), pp. e70002.
DOI: 10.1111/cch.70002
Abstrakt: 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.
(© 2024 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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