Related Experiment Video
Updated: May 19, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Norway's high-quality center care reduces late talking in high- and low-risk groups
Ratib Lekhal1, Tilmann von Soest, Mari Vaage Wang
1Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway. Rale@fhi.no
Insights
Norwegian center care positively impacts language development but does not mitigate risks associated with biomedical factors for children experiencing late talking (LT). Further research is needed to understand protective measures.
Area of Science:
- Child development
- Pediatric health
- Linguistic development
Background:
- Biomedical risk factors can negatively affect child development.
- Early childhood education and care (ECEC) may offer protective benefits.
- Late talking (LT) is a concern in early childhood development.
Purpose of the Study:
- To investigate if high-quality Norwegian center care attendance buffers negative effects of biomedical risks on late talking (LT).
- To analyze the association between early center care and LT at age 3.
- To determine if center care mitigates risks for children with biomedical factors.
Main Methods:
- Analysis of 75,128 children from the Norwegian Mother and Child Cohort Study.
- Construction of a biomedical risk group based on Apgar scores, birth weight, and gestational age.
- Mothers reported late talking (LT) at age 3; child care arrangements were recorded.
Main Results:
- Children with biomedical risk factors showed higher LT risk.
- Center care attendance at ages 1.5 and 3 years was linked to reduced LT risk, irrespective of risk group.
- Center care did not buffer the negative effects of biomedical risk factors on LT for either sex.
Conclusions:
- While Norwegian center care benefits general language development, it does not protect against biomedical risk factors for late talking (LT).
- The findings suggest that specific interventions may be needed for children facing biomedical challenges.
- Further research should explore factors that can buffer biomedical risks for language development.
Objectives:
To examine whether attendance in Norwegian high-quality center care in the first 3 years of life buffers the negative effects of biomedical risk factors on children's late talking (LT) at 3 years of age.
Methods:
Data on 75,128 children from the Norwegian Mother and Child Cohort Study were analyzed and include information on child care arrangements, LT, and a variety of covariates. A biomedical risk group (N = 6893) was constructed on the basis of information from the Medical Birth Registry of Norway on children's Apgar scores 5 minutes after birth, birth weight, and gestational age. Late talking was reported by mothers when their children were 3 years old.
Results:
In line with previous research, children born with biomedical risk factors were at higher risk for LT at age 3 years than children born without biomedical risk factors. Child care arrangement at age 1 was not significantly related to LT at age 3 years. At both 1.5 and 3 years of age, center care attendance was related to a reduced chance of LT, independently of whether the children were in the biomedical risk group or not. However, our main hypothesis was not confirmed. Center care attendance did not buffer the negative effects of biomedical risk factors on LT for boys or girls (all p > .05).
Conclusion:
Although attendance in Norwegian center care is positive for children's language development in general, it does not buffer the negative effects of biomedical risk factors on children's LT.
Related Concept Videos
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Patient-centered Care
Preventive Healthcare Services
Secondary Healthcare System