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

    @article{229d041abd6e4c60b91beae75374cb6f,
    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",
    year = "2015",
    doi = "10.1111/jpc.12852",
    language = "English",
    volume = "51",
    pages = "778--786",
    journal = "Journal of Paediatrics and Child Health",
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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 - alcohol consumption

    KW - Apgar score

    KW - Article

    KW - Australia

    KW - birth order

    KW - caregiver

    KW - child

    KW - cohort analysis

    KW - controlled study

    KW - demography

    KW - education

    KW - educational status

    KW - female

    KW - gestational age

    KW - government

    KW - human

    KW - income

    KW - indigenous people

    KW - low birth weight

    KW - male

    KW - marriage

    KW - maternal age

    KW - maternal smoking

    KW - non indigenous people

    KW - outcome assessment

    KW - perinatal care

    KW - population research

    KW - primary medical care

    KW - priority journal

    KW - reading

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    KW - school education

    KW - sex difference

    KW - socioeconomics

    U2 - 10.1111/jpc.12852

    DO - 10.1111/jpc.12852

    M3 - Article

    VL - 51

    SP - 778

    EP - 786

    JO - Journal of Paediatrics and Child Health

    JF - Journal of Paediatrics and Child Health

    SN - 1034-4810

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    ER -