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As more children were cared for outside the home at earlier ages, a concern was raised that child care might interfere with normal developmental processes such as an infant forming a secure attachment with its mother. In 1991, the NICHD launched the Study of Early Child Care and Youth Development at ten research university sites across the country and a Data Coordinating Center. The study followed more than 1,000 children from the time the were 1 month old, investigating the short and long-term relationship between child care and childrens development. Study investigators examined how differences among families, children, and child care arrangements might be correlated with the intellectual, social, and emotional development as well as the health of children. The children taking part in the study were evaluated periodically, most recently at age 15. Using a variety of measures, the study investigators evaluated the academic achievement of youth taking