PEDIATRICS Vol. 77 No. 4 April 1986, pp. 548-549
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Children in Self-Care: A New Priority for Pediatricians

PATRICIA FOSARELLI MD1

1 Department of Pediatrics, The Johns Hopkins Medical Institutions, Baltimore

Everyday in this country, approximately 2 to 5 million 6- to 13-year-old children are in their own care1,2 (US News and World Report, Sept 14, 1981, pp 42, 47). In addition, at least 20,000 children younger than 6 years care for themselves.1 These figures are estimates because many parents do not like to admit to the practice of leaving their children alone. The most common time children are in selfcare is after school, and the most common reason is because their parents work and alternative care arrangements might be unavailable or unaffordable. Currently, 47% of mothers of preschool children and 64% of mothers of school-aged children work outside of the home.3 This situation, coupled with the increasing number of families headed by women, the staggering 50% divorce rate in this country, and the disappearance of the extended family, creates a situation in which certain children must care for themselves.




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