Table 3. Comparison of child outcomes between institutional and community-based care settings.
Unweighted | Weighted1 | ||||
Institutional children | All community children | Community children w/out bio. parents | Institution vs. community children | Institution vs. no biological parents | |
Number of children | 1,357 | 1,480 | 658 | ||
Positive outcomes (higher is better) | Mean (SD) | Mean (SD) | Mean (SD) | Mean (CI) | Mean (CI) |
Caregiver-rated health | 4.00 (0.76) | 3.72 (0.83) | 3.67 (0.83) | 0.342 (0.28, 0.41) | 0.367 (0.29, 0.44) |
Height for age z score (WHO) | −0.96 (1.46) | −1.03 (1.29) | −1.10 (1.36) | 0.011 (−0.08, 0.10) | 0.074 (−0.04, 0.19) |
BMI for age z score (WHO) | −0.68 (0.97) | −0.73 (1.39) | −0.84 (1.27) | 0.072 (−0.01, 0.16) | 0.113 (0.02, 0.21) |
Cognition (K-ABC II)2 | 4.76 (1.89) | 4.43 (1.71) | 4.44 (1.83) | 0.379 (0.25, 0.51) | 0.429 (0.28, 0.58) |
California Verbal Learning Test3 | 7.77 (2.35) | 7.22 (2.24) | 7.29 (2.24) | 0.590 (0.40, 0.78) | 0.599 (0.38, 0.82) |
S&D Total Difficulties score (0 = worst, 40 = best) | 10.13 (6.07) | 10.93 (5.66) | 11.05 (5.84) | −0.778 (−1.18, −0.38) | −0.968 (−1.48, −0.46) |
Negative outcomes (higher is worse) | N (%) | N (%) | N (%) | % (CI) | % (CI) |
Diarrhea/fever/cough in last 2 weeks | 269 (19.9) | 603 (41.2) | 273 (41.5) | −20.6 (−0.24, −0.18) | −20.4 (−0.24, −0.16) |
Child sick on day of caregiver interview | 79 (5.9) | 179 (12.2) | 69 (10.4) | −6.1 (−0.08, −0.04) | −4.5 (−0.07, −0.02) |
Weighted means and standard errors account for sampling weights and the complex survey design and are further adjusted for age and gender (standardized to the site-specific distribution of age and gender among community children).
Mean of three K-ABC-II subtests with responses converted to scaled scores using age-specific norms (range 0–19 with higher being better) distribution of age and gender among community children).
CVLT score defined as the mean number of items recalled in three administrations (range 0–15).