Journal Article

Child Care in Quebec: Access to a Universal Program

Khan, Saeeda, Kohen, Dafna, Dahinten, V. Susan, Hertzman, Clyde

2008

Overview

Background: Five cycles of data from the Canadian National Longitudinal Survey of Children and Youth (1994/5-2002/3) were used to examine patterns of child care use in Quebec and the rest of Canada to explore the impact of Quebec's implementation of universal child care. Methods: Rates of overall use as well as use of regulated (child care centre, family child care) and non-regulated care (sitter, nanny, relative, family child care) were examined for preschoolers aged 0-5 years in Quebec as compared to the other provinces and by family household income. Chi-square tests were used to examine significance of differences. Results: Since the implementation of Quebec's child care program, Quebec demonstrated substantial increases in child care use, particularly in the use of regulated care (from 10% prior to program compared to 30% by 2002) whereas the use of unregulated care did not demonstrate a significant increase in Quebec as compared to the other provinces (1994 to 2002). Furthermore, the use of regulated care by low-income families was greater in Quebec than elsewhere in Canada, although the greatest increase in use of regulated care was for children from high-income families. Conclusion: Findings suggest that since the introduction of Quebec's universal child care program, there was an increase in the use of regulated child care for families of preschoolaged children in the province, although by 2002 Quebec had not achieved the coverage of universal child care programs attained by many European countries. Contexte : Nous avons examiné les tendances d'utilisation des services de garde au Québec et dans le reste du Canada à partir des cinq cycles de données de l'Enquête longitudinale nationale sur les enfants et les jeunes du Canada (1994-1995 à 2002-2003) afin d'étudier l'impact de la mise en oeuvre des garderies universelles au Québec. Méthode : Nous avons examiné les taux d'utilisation globaux et les taux d'utilisation des services de garde réglementés (centre de la petite enfance, garderie en milieu familial) et non réglementés (gardienne, bonne d'enfants, parenté, garderie en milieu familial) pour les enfants d'âge préscolaire (0 à 5 ans) au Québec, comparativement aux autres provinces et selon le revenu familial du ménage. Des tests du khi-carré ont servi à analyser l'importance des écarts. Résultats : Depuis la mise en oeuvre du programme de garderies québécois, le Québec affiche des augmentations importantes dans l'utilisation des services de garde, particulièrement les services réglementés (qui sont passés de 10 % avant le programme à 30 % en 2002), tandis que l'utilisation des services non réglementés n'a pas augmenté de façon significative au Québec par rapport aux autres provinces entre 1994 et 2002. Par ailleurs, l'utilisation de services réglementés par les familles à faible revenu a été plus importante au Québec qu'ailleurs au Canada, bien que la plus forte augmentation ait concerné les familles à revenu élevé. Conclusion : Nos résultats donnent à penser que depuis le lancement du programme de garderies universelles au Québec, l'utilisation des services de garde réglementés par les familles ayant des enfants d'âge préscolaire a augmenté dans la province. Signalons cependant qu'en 2002, le programme québécois n'avait pas encore une portée aussi grande que celle de nombreux pays européens.

• Publisher: Canadian Public Health Association,Springer International Publishing,Springer Nature B.V
• Subject: Biological and medical sciences / Canada / Child care / Child Care - economics / Child Care - standards / Child Care - statistics & numerical data / Child Day Care Centers - economics / Child Day Care Centers - standards / Child Day Care Centers - statistics & numerical data / Child development / Child, Preschool / Children / Children & youth / Cross-Sectional Studies / Day care centers / Education certifications / Families & family life / Family / Family Characteristics / Financing, Government - legislation & jurisprudence / Financing, Government - statistics & numerical data / General aspects / Government Programs - economics / Government Programs - standards / Government Programs - statistics & numerical data / Government Regulation / Health information / Health Plan Implementation / Household income / Humans / Income / Income - statistics & numerical data / Infant / Infant, Newborn / Longitudinal Studies / Low income / Low income groups / Medical sciences / Medicine / Medicine & Public Health / Miscellaneous / Preschool children / Preschool education / Program Development / Program Evaluation / Provinces / Public Health / Public health. Hygiene / Public health. Hygiene-occupational medicine / Quebec / RESEARCH/RECHERCHE / Social Support / Studies / Universal Health Insurance - legislation & jurisprudence