科研之友
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摘要
ObjectiveDespite that the majority of US children use nonparental childcare (NPC), research examining its effects on children%26apos;s preventive healthcare utilization is lacking. Our aim was to contrast NPC against parental childcare in terms of preventive medical and dental care utilization. %26lt;br%26gt;MethodsAssociations of childcare and healthcare utilization were evaluated using the 2007 National Survey of Children%26apos;s Health, a telephone interview of parent-reported children%26apos;s health (22773 children ages 1- to 5-year old). The type of childcare was categorized as parental care, center-based care (CBC), nonrelative home care (NRHC), relative care (RCC), and mixed care (MCC). The outcome measures were preventive medical care (1 physical examination/well child check-up visit) and preventive dental care (1 check-ups/dental cleanings visit) during the past 12months. %26lt;br%26gt;ResultsOverall, 94.7% of 1- to 5-year-old children received preventive medical care, while only 53.6% received preventive dental care. The highest odds for preventive medical care was for 1- to 2-year-old children utilizing CBC [Odds Ratio (OR)=2.85, 95% CI=1.11-7.30] and for 3- to 5-year-old children utilizing MCC (OR=2.00, 95% CI=1.23-3.26) followed by CBC (OR=1.66, 95% CI=1.13-2.42). Considering preventive dental care, a statistically significant increase occurred for 1- to 2-year-old children with CBC (OR=1.93, 95% CI=1.62-2.30), and none occurred for any NPC above the parental childcare rates for 3- to 5-year-old children. %26lt;br%26gt;ConclusionsChildcare use, particularly center-based care, may provide a means to raise preventive healthcare utilization for young children. Future regulations, as well as policy and program development, should consider promoting childcare settings as a means to improve preventive health care utilization.
- 出版日期2013-10
