Early Childhood Care Trends and Associations with Child Health Well-being in China: Evidence from the CHNS 1991 to 2011 Data View Full Text


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Article Info

DATE

2021-10-09

AUTHORS

Jing Zhang, Zongye Cai, Huamin Peng, Tom Emery

ABSTRACT

It has become increasingly common for young children to be taken care of by multiple caregivers in China after the socio-economic reforms. Complex migration patterns and high female labour force participation have led to children receiving care from various individuals in different contexts. However, little is known about how childcare arrangements are associated with child health well-being. This study examines various early childhood caregivers and their influences on children’s physical health in China. Using data from the China Health and Nutrition Survey (CHNS 1991–2011) with 3,470 children aged 2 to 6, we first identified different types of childcare arrangements in and outside of the household based on who provides the care, where they provide the care, and the intensity of the care. Then we examined the relationship between various childcare arrangements and health outcomes for children. Overall, household members undertook early childhood care tasks in China, with an increase in grandparents as primary caregivers between 1991 and 2011. The proportion of children receiving formal childcare fluctuated around 20% during this period. The findings suggest that: 1) primary caregiver in the household other than parents is not associated with undesirable physical health outcomes; 2) formal childcare outside the household is associated with higher height and lower BMI scores; 3) primary caregivers in the household, particular grandparents, moderate the association between childcare arrangements outside the household and children’s health outcomes. It yields an implication that early childhood care policies incorporating multiple caregivers would benefit children’s well-being in China. More... »

PAGES

1-19

References to SciGraph publications

  • 2021-02-05. Editorial: Special Issue on Quality of Life among Children and Adolescents in Chinese Societies in APPLIED RESEARCH IN QUALITY OF LIFE
  • 2015-02-13. Migration and young child nutrition: evidence from rural China in JOURNAL OF POPULATION ECONOMICS
  • 2018-05-23. Trends in the prevalence of grandparents living with grandchild(ren) in selected European countries and the United States in EUROPEAN JOURNAL OF AGEING
  • 2019-04-11. Child nutrition to new stage in China: evidence from a series of national surveys, 1985–2015 in BMC PUBLIC HEALTH
  • 2011-04-26. Associations of maternal employment and three-generation families with pre-school children's overweight and obesity in Japan in INTERNATIONAL JOURNAL OF OBESITY
  • 2014-06-27. Applied Research in Quality of Life (ARQOL): Where Are We and Issues for Consideration in APPLIED RESEARCH IN QUALITY OF LIFE
  • 2020-02-18. The association between parental migration and early childhood nutrition of left-behind children in rural China in BMC PUBLIC HEALTH
  • 2017-05-23. The Influence of Parental Expectations and Parental Control on Adolescent Well-Being in Poor Chinese Families in APPLIED RESEARCH IN QUALITY OF LIFE
  • 2012-01-25. Body mass index and height over three generations: evidence from the Lifeways cross-generational cohort study in BMC PUBLIC HEALTH
  • 2015-06-30. The role of grandparents in childhood obesity in China - evidence from a mixed methods study in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
  • 2011-03-08. Positive Indicators of Child Well-Being: A Conceptual Framework, Measures, and Methodological Issues in APPLIED RESEARCH IN QUALITY OF LIFE
  • 2017-03-22. Family Dynamics and Child Outcomes: An Overview of Research and Open Questions in EUROPEAN JOURNAL OF POPULATION
  • 2008-03-17. Does parenting affect children's eating and weight status? in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
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