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dc.rights.licenseopenen_US
dc.contributor.authorLAROSE, Marie-Pier
dc.contributor.authorHAECK, Catherine
dc.contributor.authorOUELLET-MORIN, Isabelle
dc.contributor.authorBARKER, Edward D.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCOTE, Sylvana
ORCID: 0000-0001-7944-0647
dc.date.accessioned2021-08-20T08:39:44Z
dc.date.available2021-08-20T08:39:44Z
dc.date.issued2021-06-07
dc.identifier.issn2168-6203en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/110173
dc.description.abstractEnIMPORTANCE: Low school preparedness is linked to high school dropout, poor employment, and negative outcomes. Childcare attendance may increase school readiness and foster academic achievement. OBJECTIVE: To explore whether childcare attendance was associated with academic achievement at the end of compulsory schooling (age 16 years in the UK), whether maternal education level was a moderator, and the benefit-cost ratio of childcare regarding productivity returns of academic achievement. DESIGN, SETTING, AND PARTICIPANTS: In this cohort study, data were included from the Avon Longitudinal Study of Parents and Children (ALSPAC) born from April 1991 to December 1992 and the UK National Pupil Database for examination results. Data on academic achievement at age 16 years were available for 11 843 participants. Data were collected from June 2006 to June 2008, and data were analyzed from September 2019 to May 2020. EXPOSURES: On average, 3.7%, 5.9%, and 90.4% attended childcare full time, part time, and less than 10 hours per week, respectively. Maternal education was assessed by questionnaire during pregnancy. Analyses included weights for population representativeness and propensity score weights to account for parental selection into childcare. MAIN OUTCOMES AND MEASURES: Academic achievement was defined as no certificate, Level 1 General Certificate of Secondary Education (GCSE; limited training), or Level 2 GCSE (qualification for academic post-16 education; high school diploma equivalent). Lifetime productivity return estimates were withdrawn from previous economic analysis based on pupil's qualifications. RESULTS: Of 14 541 children in the ALSPAC study, 8936 children had complete data on childcare attendance, academic achievement, and maternal education levels. Of these, 4499 (50.3%) were male. Attending childcare was associated with higher probabilities of obtaining a Level 1 or 2 GCSE qualification (Level 1: relative risk, 1.41; 95% CI, 1.16-1.73; Level 2: relative risk, 1.62; 95% CI, 1.30-2.01); however, this association was moderated by the child's maternal education level. When children of mothers with low education attended childcare, their probability of no GCSE qualification went from 28.9% (95% CI, 26.8-31.0) to 20.3% (95% CI, 18.0-22.8), whereas children of mothers with higher education had a probability of no qualification of less than 10% regardless of childcare attendance. The benefit-cost ratio for each £1 (US $1.40) invested in full-time childcare attendance for children of mothers with low education was £1.71 (95% CI, 1.03-2.45; US $2.39; 95% CI, 1.44-3.43) for those who reached a Level 2 GCSE qualification. CONCLUSIONS AND RELEVANCE: Promoting universal childcare with facilitated access for children of lower socioeconomic backgrounds deserves to be considered as a way to reduce the intergenerational transmission of low academic achievement.
dc.language.isoENen_US
dc.subject.enPediatrics
dc.subject.enEpilepsy and Seizures
dc.subject.enNeurology
dc.subject.enAdolescent Medicine
dc.title.enChildcare Attendance and Academic Achievement at Age 16 Years
dc.typeArticle de revueen_US
dc.identifier.doi10.1001/jamapediatrics.2021.1192en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed34096990en_US
bordeaux.journalJAMA pediatricsen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamHEALTHY_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03323018
hal.version1
hal.date.transferred2021-08-20T08:39:47Z
hal.exporttrue
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