The health and welfare effects of day-care : A systematic review of randomised controlled trials.
Day-care has long been a controversial aspect of social policy in countries such as the U.K. What evidence is there about the effects of out-of-home day-care on educational, health and welfare outcomes for children and their families ?
This paper applies to day-care studies, the methodology of the systematic review as pioneered in the health care field, in order to establish the evidence-base for day-care provision.
Randomised controlled trials of day-care for pre-school children were identified using electronic databases, hand searches of relevant literature and contacts with authors.
A total of 8 trials were identified after examining 920 abstracts and 19 books.
All the trials were carried out in the U.S.A. European research on this topic is extensive but we did not identify any studies using trial design.
Instead observational, case controlled and cohort studies were prominent.
The trials were assessed for methodological quality.
Results showed that day-care promotes children's intelligence, development and school achievement.
Long-term follow up demonstrates increased employment. lower teenage pregnancy rates, higher socio-economic status and decreased criminal behaviour.
There are positive effects on mothers'education employment and interaction with children.
Effects on fathers have not been examined.
Few studies look at a range of outcomes spanning the health, education and welfare domains. (...)
Mots-clés Pascal : Garderie enfant, Politique sociale, Santé, Bien être, Mère, Milieu familial, Enfant, Homme, Age préscolaire, Développement intellectuel, Comportement, Méthodologie, Royaume Uni, Europe, Article synthèse
Mots-clés Pascal anglais : Day care center, Social policy, Health, Well being, Mother, Family environment, Child, Human, Preschool age, Intellectual development, Behavior, Methodology, United Kingdom, Europe, Review
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0388024
Code Inist : 002B30A03B. Création : 25/01/1999.