Abstract：
UNASSIGNED: Children from low-income (LI) families often suffer from poor health, with sub-optimal health practices. This cross-sectional study examined the differences in health habits and health-related quality of life (HRQoL) of LI preschool children compared to non-low-income preschool peers (PPG).
UNASSIGNED: Using data from the social-health Circle of Care-Health Development Screening Programme (CoC-HDSP) in Singapore, 118 LI children and 304 PPG children aged 18 months to 6 years old and their families were recruited from 13 government-funded preschools. Health practices examined included screen time habits, sleep, nutrition, dental health and the children\'s HRQoL using PedsQL 4.0 Generic Core Scales.
UNASSIGNED: Majority of the children were aged 4-6 years in kindergarten 1 and 2. There were more Malay children in the LI than the PPG (61.9% versus [vs] 29.3%, P<0.001). Low-income children were more likely to have lower-educated parents (P<0.001). The completed vaccination rate in the LI group was lower than those in PPG (84.7% vs 98.0%, P<0.001). More in the LI group utilised emergency services for acute illnesses (P<0.05). Fewer LI children had ever visited a dentist (47.4% vs 75.4%, P<0.001), and more LI children consumed sweetened drinks daily (33.3% vs 8.6%, P<0.001). The LI group reported poorer-quality sleep (48.3% vs 27.2%, P<0.001), though both groups exceeded the daily recommended screen viewing duration. The LI group scored higher in the social (mean 92.4±12.2 vs 84.3±15.3, P<0.001) and emotional (mean 85.2±15.1 vs 76.6±17.3, P<0.001) domains of the PedsQL 4.0 when compared to PPG.
UNASSIGNED: Low-income children have poorer health practices, receive less preventive paediatric care, and utilise more emergency services for acute illnesses. These findings are important for developing interventions that work towards improving the health of LI children.
UNASSIGNED: Using data from the social-health Circle of Care-Health Development Screening Programme (CoC-HDSP) in Singapore, 118 LI children and 304 PPG children aged 18 months to 6 years old and their families were recruited from 13 government-funded preschools. Health practices examined included screen time habits, sleep, nutrition, dental health and the children\'s HRQoL using PedsQL 4.0 Generic Core Scales.
UNASSIGNED: Majority of the children were aged 4-6 years in kindergarten 1 and 2. There were more Malay children in the LI than the PPG (61.9% versus [vs] 29.3%, P<0.001). Low-income children were more likely to have lower-educated parents (P<0.001). The completed vaccination rate in the LI group was lower than those in PPG (84.7% vs 98.0%, P<0.001). More in the LI group utilised emergency services for acute illnesses (P<0.05). Fewer LI children had ever visited a dentist (47.4% vs 75.4%, P<0.001), and more LI children consumed sweetened drinks daily (33.3% vs 8.6%, P<0.001). The LI group reported poorer-quality sleep (48.3% vs 27.2%, P<0.001), though both groups exceeded the daily recommended screen viewing duration. The LI group scored higher in the social (mean 92.4±12.2 vs 84.3±15.3, P<0.001) and emotional (mean 85.2±15.1 vs 76.6±17.3, P<0.001) domains of the PedsQL 4.0 when compared to PPG.
UNASSIGNED: Low-income children have poorer health practices, receive less preventive paediatric care, and utilise more emergency services for acute illnesses. These findings are important for developing interventions that work towards improving the health of LI children.
摘要：
■来自低收入（LI）家庭的儿童通常健康状况较差，健康实践欠佳。这项横断面研究检查了LI学龄前儿童与非低收入学龄前同龄人（PPG）相比，其健康习惯和与健康相关的生活质量（HRQoL）的差异。
使用新加坡社会健康护理发展筛查计划（CoC-HDSP）的数据，从13所政府资助的学龄前学校中招募了118名LI儿童和304名18个月至6岁的PPG儿童及其家人。检查的健康实践包括屏幕时间习惯，睡眠,营养,使用PedsQL4.0通用核心量表的牙齿健康和儿童的HRQoL。
■在1号和2号幼儿园中，大多数孩子的年龄在4-6岁之间。LI中的马来人儿童多于PPG（61.9％对[vs]29.3％，P<0.001)。低收入儿童的父母受教育程度较低（P<0.001）。LI组的完成疫苗接种率低于PPG组（84.7％vs98.0％，P<0.001)。LI组中更多的人使用急诊服务治疗急性疾病（P<0.05）。很少有LI儿童去过牙医（47.4％vs75.4％，P<0.001)，更多的LI儿童每天饮用含糖饮料(33.3%对8.6%，P<0.001)。LI组报告睡眠质量较差（48.3%vs27.2%，P<0.001)，尽管两组都超过了每日推荐的屏幕观看持续时间。与PPG相比，LI组在PedsQL4.0的社交领域（平均92.4±12.2vs84.3±15.3，P<0.001）和情感领域（平均85.2±15.1vs76.6±17.3，P<0.001）得分更高。
■低收入儿童的健康状况较差，接受更少的预防性儿科护理，并利用更多的紧急服务来治疗急性疾病。这些发现对于开发有助于改善LI儿童健康的干预措施非常重要。
使用新加坡社会健康护理发展筛查计划（CoC-HDSP）的数据，从13所政府资助的学龄前学校中招募了118名LI儿童和304名18个月至6岁的PPG儿童及其家人。检查的健康实践包括屏幕时间习惯，睡眠,营养,使用PedsQL4.0通用核心量表的牙齿健康和儿童的HRQoL。
■在1号和2号幼儿园中，大多数孩子的年龄在4-6岁之间。LI中的马来人儿童多于PPG（61.9％对[vs]29.3％，P<0.001)。低收入儿童的父母受教育程度较低（P<0.001）。LI组的完成疫苗接种率低于PPG组（84.7％vs98.0％，P<0.001)。LI组中更多的人使用急诊服务治疗急性疾病（P<0.05）。很少有LI儿童去过牙医（47.4％vs75.4％，P<0.001)，更多的LI儿童每天饮用含糖饮料(33.3%对8.6%，P<0.001)。LI组报告睡眠质量较差（48.3%vs27.2%，P<0.001)，尽管两组都超过了每日推荐的屏幕观看持续时间。与PPG相比，LI组在PedsQL4.0的社交领域（平均92.4±12.2vs84.3±15.3，P<0.001）和情感领域（平均85.2±15.1vs76.6±17.3，P<0.001）得分更高。
■低收入儿童的健康状况较差，接受更少的预防性儿科护理，并利用更多的紧急服务来治疗急性疾病。这些发现对于开发有助于改善LI儿童健康的干预措施非常重要。
