title: [Early child development inequalities and associated factors between public and private providers at metropolitan region in Chile].
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 "Chile grows with you" (Chile Crece Contigo) is key to its evaluation.
  
  
  OBJECTIVE
  To compare early child development and associated factors at baseline in pre-school children from public and private health sectors.
  
  
  METHODS
  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.
  
  
  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).
  
  
  CONCLUSIONS
  These results are another input about early child development situation and its importance for paediatric social policy.
authors.affiliation: Departamento Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: pbedrega@gmail.com.
authors.forename: Paula
authors.initials: P
authors.lastname: Bedregal
authors.affiliation: Centro UC de Encuestas y Estudios Longitudinales, Instituto de Sociología, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Viviana
authors.initials: V
authors.lastname: Hernández
authors.affiliation: Tufts University, Boston, EE. UU.
authors.forename: M Verónica
authors.initials: MV
authors.lastname: Mingo
authors.affiliation: Departamento de Medicina Familiar, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Carla
authors.initials: C
authors.lastname: Castañón
authors.affiliation: Departamento de Pediatría, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Patricia
authors.initials: P
authors.lastname: Valenzuela
authors.affiliation: Departamento de Pediatría, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Rosario
authors.initials: R
authors.lastname: Moore
authors.affiliation: Departamento Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors.forename: Rolando
authors.initials: R
authors.lastname: de la Cruz
authors.affiliation: Departamento de Pediatría, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile.
authors.forename: Daniela
authors.initials: D
authors.lastname: Castro
mesh_terms: D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D002677:Chile / Q000453:epidemiology; D002908:Chronic Disease / Q000453:epidemiology; D003071:Cognition / Q000502:physiology; D002658:Developmental Disabilities / Q000453:epidemiology*; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D016015:Logistic Models; D008297:Male; D017149:Private Sector; D065840:Protective Factors; D017150:Public Sector; D012307:Risk Factors; D012959:Socioeconomic Factors
keywords: Child development; Desarrollo infantil; Desigualdades; Factores de riesgo; Factores protectores; Inequality; Protective factors; Risk factors