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AAP Grand Rounds 2:29 (1999)
© 1999 American Academy of Pediatrics

EPIDEMIOLOGY

Meeting Standards Improves Child Care

Source: NICHD Early Child Care Research Network. Child outcomes when child care center classes meet recommended standards for quality. Am J Public Health. 1999;89(7):1072–1077.

The first 20% of the full text of this article appears below.

Do child care settings that meet professional quality standards foster improved child development in 2-and 3-year-olds? A prospective cohort of 1,364 children from diverse social and ethnic backgrounds in 9 states was followed from birth. Child care centers were evaluated for child-staff ratio, observed group size, caregiver training and caregiver education and were compared with national standards set by the American Academy of Pediatrics (AAP) and the American Public Health Association (APHA). Compliance with these standards ranged from 10% at 6 months to 34% at 36 months of age. . . . [Full Text of this Article]

Daniel R. Neuspiel, MD, MPH, FAAP
Pediatrics, Epidemiology and Social Medicine, Albert Einstein College of Medicine and Beth Israel Medical Center, New York, NY