Impact of perinatal health and socio-demographic factors on school education outcomes

A population study of Indigenous and non-Indigenous children in the Northern Territory

Steve Guthridge, Lin Li, Sven Silburn, Shu Qin Li, John Mckenzie, John Lynch

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Aim: This study investigated the association between early-life risk factors and school education outcomes.

Methods
: This is an historical cohort study of 7601 children (61% were Indigenous) born in the Northern Territory between 1999 and 2004. Information was linked, for each child on: perinatal health, student enrolment and National Assessment Program – Literacy and Numeracy (NAPLAN) Year 3 results. Logistic regression was used to estimate the association between selected risk factors and a NAPLAN result ‘below’ the national minimum standard (NMS) in reading and numeracy.

Results
: Indigenous children had much higher odds, than non-Indigenous children, of a result below the NMS for both reading (odds ratio (OR): 8.58, 95% confidence interval (CI): 7.55–9.74) ) and numeracy (OR: 11.52, 95% CI: 9.94–13.35). When adjusted for all other variables, the increased odds were attenuated for both reading (OR: 2.89, 95% CI: 2.46–3.40) and numeracy (OR: 3.19, 95% CI: 2.65–3.84). Common risk factors for Indigenous and non-Indigenous children included higher birth order, maternal smoking in pregnancy and being a boy. There were gradients of decreasing risk with increasing education level of primary care giver and increasing maternal age. Among Indigenous children only, risks increased when living in remote areas, with younger age (<8 years) and low birthweight.

Conclusions
: The study highlights that many of the risk factors associated with poor education outcomes among Indigenous children are shared with the general population. The results inform a targeted, cross-agency response to address modifiable early-life risk factors for educational disadvantage. Data linkage, using existing administrative datasets, provides a useful addition to methods that identify priority areas for prevention and early intervention.
Original languageEnglish
Pages (from-to)778-786
Number of pages9
JournalJournal of Paediatrics and Child Health
Volume51
Issue number8
DOIs
Publication statusPublished - 2015

Fingerprint

Northern Territory
Population Groups
Demography
Education
Health
Odds Ratio
Confidence Intervals
Reading
Birth Order
Information Storage and Retrieval
Maternal Age
Caregivers
Primary Health Care
Cohort Studies
Logistic Models
Smoking
Mothers
Students
Pregnancy

Cite this

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title = "Impact of perinatal health and socio-demographic factors on school education outcomes: A population study of Indigenous and non-Indigenous children in the Northern Territory",
abstract = "Aim: This study investigated the association between early-life risk factors and school education outcomes.Methods: This is an historical cohort study of 7601 children (61{\%} were Indigenous) born in the Northern Territory between 1999 and 2004. Information was linked, for each child on: perinatal health, student enrolment and National Assessment Program – Literacy and Numeracy (NAPLAN) Year 3 results. Logistic regression was used to estimate the association between selected risk factors and a NAPLAN result ‘below’ the national minimum standard (NMS) in reading and numeracy.Results: Indigenous children had much higher odds, than non-Indigenous children, of a result below the NMS for both reading (odds ratio (OR): 8.58, 95{\%} confidence interval (CI): 7.55–9.74) ) and numeracy (OR: 11.52, 95{\%} CI: 9.94–13.35). When adjusted for all other variables, the increased odds were attenuated for both reading (OR: 2.89, 95{\%} CI: 2.46–3.40) and numeracy (OR: 3.19, 95{\%} CI: 2.65–3.84). Common risk factors for Indigenous and non-Indigenous children included higher birth order, maternal smoking in pregnancy and being a boy. There were gradients of decreasing risk with increasing education level of primary care giver and increasing maternal age. Among Indigenous children only, risks increased when living in remote areas, with younger age (<8 years) and low birthweight.Conclusions: The study highlights that many of the risk factors associated with poor education outcomes among Indigenous children are shared with the general population. The results inform a targeted, cross-agency response to address modifiable early-life risk factors for educational disadvantage. Data linkage, using existing administrative datasets, provides a useful addition to methods that identify priority areas for prevention and early intervention.",
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author = "Steve Guthridge and Lin Li and Sven Silburn and Li, {Shu Qin} and John Mckenzie and John Lynch",
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Impact of perinatal health and socio-demographic factors on school education outcomes : A population study of Indigenous and non-Indigenous children in the Northern Territory. / Guthridge, Steve; Li, Lin; Silburn, Sven; Li, Shu Qin; Mckenzie, John; Lynch, John.

In: Journal of Paediatrics and Child Health, Vol. 51, No. 8, 2015, p. 778-786.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Impact of perinatal health and socio-demographic factors on school education outcomes

T2 - A population study of Indigenous and non-Indigenous children in the Northern Territory

AU - Guthridge, Steve

AU - Li, Lin

AU - Silburn, Sven

AU - Li, Shu Qin

AU - Mckenzie, John

AU - Lynch, John

PY - 2015

Y1 - 2015

N2 - Aim: This study investigated the association between early-life risk factors and school education outcomes.Methods: This is an historical cohort study of 7601 children (61% were Indigenous) born in the Northern Territory between 1999 and 2004. Information was linked, for each child on: perinatal health, student enrolment and National Assessment Program – Literacy and Numeracy (NAPLAN) Year 3 results. Logistic regression was used to estimate the association between selected risk factors and a NAPLAN result ‘below’ the national minimum standard (NMS) in reading and numeracy.Results: Indigenous children had much higher odds, than non-Indigenous children, of a result below the NMS for both reading (odds ratio (OR): 8.58, 95% confidence interval (CI): 7.55–9.74) ) and numeracy (OR: 11.52, 95% CI: 9.94–13.35). When adjusted for all other variables, the increased odds were attenuated for both reading (OR: 2.89, 95% CI: 2.46–3.40) and numeracy (OR: 3.19, 95% CI: 2.65–3.84). Common risk factors for Indigenous and non-Indigenous children included higher birth order, maternal smoking in pregnancy and being a boy. There were gradients of decreasing risk with increasing education level of primary care giver and increasing maternal age. Among Indigenous children only, risks increased when living in remote areas, with younger age (<8 years) and low birthweight.Conclusions: The study highlights that many of the risk factors associated with poor education outcomes among Indigenous children are shared with the general population. The results inform a targeted, cross-agency response to address modifiable early-life risk factors for educational disadvantage. Data linkage, using existing administrative datasets, provides a useful addition to methods that identify priority areas for prevention and early intervention.

AB - Aim: This study investigated the association between early-life risk factors and school education outcomes.Methods: This is an historical cohort study of 7601 children (61% were Indigenous) born in the Northern Territory between 1999 and 2004. Information was linked, for each child on: perinatal health, student enrolment and National Assessment Program – Literacy and Numeracy (NAPLAN) Year 3 results. Logistic regression was used to estimate the association between selected risk factors and a NAPLAN result ‘below’ the national minimum standard (NMS) in reading and numeracy.Results: Indigenous children had much higher odds, than non-Indigenous children, of a result below the NMS for both reading (odds ratio (OR): 8.58, 95% confidence interval (CI): 7.55–9.74) ) and numeracy (OR: 11.52, 95% CI: 9.94–13.35). When adjusted for all other variables, the increased odds were attenuated for both reading (OR: 2.89, 95% CI: 2.46–3.40) and numeracy (OR: 3.19, 95% CI: 2.65–3.84). Common risk factors for Indigenous and non-Indigenous children included higher birth order, maternal smoking in pregnancy and being a boy. There were gradients of decreasing risk with increasing education level of primary care giver and increasing maternal age. Among Indigenous children only, risks increased when living in remote areas, with younger age (<8 years) and low birthweight.Conclusions: The study highlights that many of the risk factors associated with poor education outcomes among Indigenous children are shared with the general population. The results inform a targeted, cross-agency response to address modifiable early-life risk factors for educational disadvantage. Data linkage, using existing administrative datasets, provides a useful addition to methods that identify priority areas for prevention and early intervention.

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KW - child

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KW - female

KW - gestational age

KW - government

KW - human

KW - income

KW - indigenous people

KW - low birth weight

KW - male

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KW - non indigenous people

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KW - risk factor

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KW - sex difference

KW - socioeconomics

U2 - 10.1111/jpc.12852

DO - 10.1111/jpc.12852

M3 - Article

VL - 51

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EP - 786

JO - Journal of Paediatrics and Child Health

JF - Journal of Paediatrics and Child Health

SN - 1034-4810

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ER -