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Linares DE, Kandasamy V, Vladutiu CJ. Lifecourse factors associated with flourishing among US children aged 1-5 years. Child Care Health Dev. 2021;doi: 10.1111/cch.12930.
Linares, D. E., Kandasamy, V., & Vladutiu, C. J. (2021). Lifecourse factors associated with flourishing among US children aged 1-5 years. Child: care, health and development, . https://doi.org/10.1111/cch.12930
Linares, Deborah E, et al. "Lifecourse factors associated with flourishing among US children aged 1-5 years." Child: care, health and development vol. (2021). doi: https://doi.org/10.1111/cch.12930
Linares DE, Kandasamy V, Vladutiu CJ. Lifecourse factors associated with flourishing among US children aged 1-5 years. Child Care Health Dev. 2021 Nov 17; doi: 10.1111/cch.12930. Epub 2021 Nov 17. PMID: 34791734.
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Child Care Health Dev. 2021 Nov 17; doi: 10.1111/cch.12930. Epub 2021 Nov 17.

Lifecourse factors associated with flourishing among US children aged 1-5 years.

Child: care, health and development

Deborah E Linares, Veni Kandasamy, Catherine J Vladutiu

Affiliations

  1. National Institute on Minority Health and Health Disparities, National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, Maryland, USA.
  2. Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
  3. Division of Epidemiology, Office of Epidemiology and Research, Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services, Rockville, Maryland, USA.

PMID: 34791734 DOI: 10.1111/cch.12930

Abstract

AIM: This study aimed to examine the association between lifecourse factors and flourishing among children ages 1-5 years.

STUDY DESIGN: Using data from the combined 2016 and 2017 National Survey of Children's Health (N = 18 007 children aged 1-5 years), flourishing was defined as parent-reported child's affection, resilience, curiosity about learning, and affect. Multivariable logistic regression modelled the associations between lifecourse factors and flourishing. These factors were identified according to the lifecourse health development model.

RESULTS: Approximately 63% of children aged 1-5 years were flourishing. Children who were female (vs. male, adjusted prevalence ratio [APR]: 1.06, 95% confidence interval [CI]: 1.00-1.11), White, non-Hispanic (vs. Black, non-Hispanic, APR: 1.13, 95% CI: 1.01-1.26), not having a special health care need (vs. special health care need, APR: 1.15, 95% CI: 1.03-1.26), not having an emotional, developmental or behavioural disorder (EBD) (vs.

EBD, APR: 1.66, 95% CI:1.23-2.10), spoke English at home (vs. other language, APR: 1.30, 95% CI: 1.06-1.54), parents received emotional social support (vs. no emotional social support, APR: 1.11, 95% CI: 1.01-1.21) and who lived in a supportive neighbourhood (vs. not in supportive neighbourhood, APR: 1.12, 95% CI:1.05-1.18) were more likely to flourish. Children from households within 0%-99% of the federal poverty level (APR: 0.89, 95% CI: 0.79-0.98) were less likely to be flourishing compared with their counterparts from households within 400% of the federal poverty level.

CONCLUSIONS: Findings indicate that several lifecourse factors are associated with young children's flourishing, including being female, White, non-Hispanic, not having a special health care need or EBD, English as a primary language, parents receiving emotional social support, having neighbourhood support and a lower household income. Our findings promote the continuation of programmes supporting diverse and low-income children's families and communities such as home visiting and Head Start, which provide avenues for bolstering children's health and development across the lifespan.

© 2021 John Wiley & Sons Ltd. This article has been contributed to by US Government employees and their work is in the public domain in the USA.

Keywords: children's health; early childhood; flourishing; lifecourse; psychosocial functioning; well-being

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