Family childcare types and conduct problem behaviors in young children: The mediation role of caregiver-child interaction

Article


Liu, Li, Fan, Lijun, Hou, Xiang-Yu, Wu, Chuan-An, Yin, Xiao-Na, Wen, Guo-Min, Sun, Dengli, Xian, Dan-Xia, Jiang, Hui, Jing, Jin, Jin, Yu and Chen, Wei-Qing. 2018. "Family childcare types and conduct problem behaviors in young children: The mediation role of caregiver-child interaction." Frontiers in Pediatrics. 6, pp. 1-11. https://doi.org/10.3389/fped.2018.00217
Article Title

Family childcare types and conduct problem behaviors in young children: The mediation role of caregiver-child interaction

ERA Journal ID200522
Article CategoryArticle
AuthorsLiu, Li (Author), Fan, Lijun (Author), Hou, Xiang-Yu (Author), Wu, Chuan-An (Author), Yin, Xiao-Na (Author), Wen, Guo-Min (Author), Sun, Dengli (Author), Xian, Dan-Xia (Author), Jiang, Hui (Author), Jing, Jin (Author), Jin, Yu (Author) and Chen, Wei-Qing (Author)
Journal TitleFrontiers in Pediatrics
Journal Citation6, pp. 1-11
Article Number217
Number of Pages11
Year2018
Place of PublicationSwitzerland
ISSN2296-2360
Digital Object Identifier (DOI)https://doi.org/10.3389/fped.2018.00217
Web Address (URL)https://www.frontiersin.org/articles/10.3389/fped.2018.00217/full
Abstract

Background: Previous studies have demonstrated the impacts of genetic, family, and community factors on child conduct problems (CPs). However, little is understood regarding the association between family childcare types and child conduct problem behaviors, as well as whether and to what extent caregiver-child interaction mediates the above association.

Methods: 9,289 children first entering kindergartens in the Longhua New District of Shenzhen, China were enrolled in this cross-sectional study. Primary caregivers were invited to fulfill a self-administered structured questionnaire containing data regarding socio-demographics, family childcare types, caregiver-child interaction, and child conduct problem behaviors (measured by the Conners' Conduct Problem Subscale). A series of multiple logistic and linear regression models were employed to assess the associations among family childcare, caregiver-child interaction, and child conduct problem behaviors.

Results: Family childcare types other than by parents together (i.e., mother alone, mother with others, grandparents, or changing caregivers) were all significantly associated with higher risks of conduct problem behaviors in young children (adjusted ORs ranged from 2.18 to 2.55, and adjusted βs ranged from 0.043 to 0.073; all p < 0.05), after adjusting for confounders including child age, gender, parental education level, parental age at pregnancy, marital status, and family income. The following family childcare types (mother alone, or grandparents, or changing caregivers) vs. the childcare by parents together showed significant relative indirect effects on conduct problem behaviors through caregiver-child interaction, indicating the significant mediation effect of caregiver-child interaction on the above associations. Mediation of caregiver-child interaction on the effect of being cared by mother with others relative to care by parents together on child conduct problem behaviors was yet non-significant.

Conclusions: Family childcare types other than by parents together are associated with increased risks for conduct problem behaviors in young children. Caregiver-child interaction may function as a potential mediator for the above association.

KeywordsCaregiver-child interaction; Conduct problem behaviors; Family childcare types; Mediation; Young children
ANZSRC Field of Research 2020420201. Behavioural epidemiology
420210. Social epidemiology
Byline AffiliationsSun Yat-sen University, China
Queensland University of Technology
Women’s and Children’s Hospital of Longhua New District of Shenzhen, China
Institution of OriginUniversity of Southern Queensland
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