4.7 Article

Child Care Services, Socioeconomic Inequalities, and Academic Performance

Journal

PEDIATRICS
Volume 136, Issue 6, Pages 1112-1124

Publisher

AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2015-0419

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Funding

  1. Quebec Government Ministry of Health
  2. Fonds Quebecois de Recherche sur la Societe et la Culture (FQRSC)
  3. Quebec's Health Research Fund
  4. Canada Research Chair in Child Development
  5. Canada's Social Science and Humanities Research Council
  6. Canadian Institutes for Health Research
  7. Ste-Justine Hospital's Research Center
  8. University of Montreal

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OBJECTIVE: To determine if child-care services (CCS) at a population level can reduce social inequalities in academic performance until early adolescence. METHODS: A 12-year population-based prospective cohort study of families with a newborn (n = 1269). Two CCS variables were estimated: intensity (low, moderate, and high number of hours) and center-based CCS type (early onset, late onset, and never exposed to center-based CCS). RESULTS: Children from low socioeconomic status (SES) families who received high-intensity CCS (any type), compared with those who received low-intensity CCS, had significantly better reading (standardized effect size [ES] = 0.37), writing (ES = 0.37), and mathematics (ES = 0.46) scores. Children from low-SES families who received center-based CCS, compared with those who never attended center care, had significantly better reading (ESearly onset = 0.68; ESlate onset = 0.37), writing (ESearly (onset) = 0.79), and mathematics (ESearly (onset) = 0.66; ESlate (onset) = 0.39) scores. Furthermore, early participation in center-based CCS eliminated the differences between children of low and adequate SES on all 3 examinations (ES =-0.01, 0.13, and-0.02 for reading, writing, and mathematics, respectively). These results were obtained while controlling for a wide range of child and family variables from birth to school entry. CONCLUSIONS: Child care services (any type) can reduce the social inequalities in academic performance up to early adolescence, while early participation in center-based CCS can eliminate this inequality. CCS use, especially early participation in center-based CCS, should be strongly encouraged for children growing up in a low-SES family.

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