ArticleRevista de saude publica2021
Influence of center-based child care on development of two-year-olds in a Brazilian cohort.
Article in Revista de saude publica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Childcare centre attendance and health, growth, and development among children aged 0-3 years in low- and middle-income countries: A systematic review.Journal of global health · 2024Pooled it
- Family ecological influences on early childhood development in Shanghai, China: a cross-sectional study.BMC pediatrics · 2026Article
- Cohort Profile Update: 2015 Pelotas (Brazil) Birth Cohort Study－follow-ups from 2 to 6-7 years, with COVID-19 impact assessment.International journal of epidemiology · 2024Article
- Socioeconomic inequalities in health problems in the first two years of life: Pelotas (Brazil) birth cohort, 2015.Cadernos de saude publica · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo investigate the association between child care attendance since birth and development in two-years-old Brazilian children.
methodsThe study used longitudinal data from the 2015 Pelotas Birth Cohort. The childhood development (cognitive, fine and gross motor skills, and language) at two-years-old children was assessed using INTER-NDA (INTERGROWTH-21st Neurodevelopment Assessment). The child care attendance was measured at ages one and two years and categorized as: a) never attended child care; b) attended some child care (one or two years); and c) always attended child care (one and two years). Demographic, socioeconomic, health, and child stimulation variables were considered as confounders. Crude and adjusted analyses of child care attendance and development were carried out using linear regression.
resultsOut of the 3,870 infants included in the analyses, around 1/3 attended center-based child care. In crude analyses, attending center-based child care was associated with positive developmental outcomes, except in motor domains. In adjusted analyses, compared to those children that have never attended child care, children who did attend presented higher scores for cognitive development (always in child care: β: 2.44, 95%CI: 0.83-4.05; some child care: β: 1.35, 95%CI: 0.17-2.53).
conclusionsThis study suggests that center-based child care may help improve child cognitive development in the Brazilian context. Furthermore, the association was higher for early and continued attendance. Considering the low prevalence of children in external care, it is recommended to improve child care opportunities in early childhood.
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