@article{ref1,
title="Early child development inequalities and associated factors between public and private providers at metropolitan region in Chile",
journal="Revista Chilena de pediatría",
year="2016",
author="Bedregal, Paula and Hernández, Viviana and Mingo, M. Verónica and Castañón, Carla and Valenzuela, Patricia and Moore, Rosario and de la Cruz, Rolando and Castro, Daniela",
volume="87",
number="5",
pages="351-358",
abstract="Early child development is a population determinant of physical, mental and social health. To know the base line situation prior to the implementation of &quot;Chile grows with you&quot; (Chile Crece Contigo) is key to its evaluation. <br><br>OBJECTIVE: To compare early child development and associated factors at baseline in pre-school children from public and private health sectors. PATIENTS AND METHOD: The sample consisted of 1045 children aged 30-58 months, 52% male, and 671 from the public and 380 from the private sector of the metropolitan region in Chile were evaluated using Battelle Developmental Inventory-1 and a household interview of primary carer. <br><br>RESULTS: Abnormal child development was found in 14.4% of children in the private sector compared to 30.4% in the public sector. There were no differences in adaptive area (26.3% vs 29.2%), but there were statistically significant differents in cognitive (8.8% vs 12.1%), social-personal (13.2% vs 32.5%), motor (19.2% vs 35.3%), and communication (19% vs 36.8%) development. The logistic regression showed that, independent of socioeconomic level, the risk factors are: Apgar<7 (OR: 5.4; 95% CI: 1.24-23.84); having childhood chronic diseases (OR: 1.3; 95% CI: 1.11-1.42). Protective factor is: home with resources to learn and play (OR: 0.8; 95% CI: 0.76-0.89). <br><br>CONCLUSION: These results are another input about early child development situation and its importance for paediatric social policy.<br><br>Copyright © 2016 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.<p /> <p>Language: es</p>",
language="es",
issn="0370-4106",
doi="10.1016/j.rchipe.2016.02.008",
url="http://dx.doi.org/10.1016/j.rchipe.2016.02.008"
}