Journal
ACADEMIC PEDIATRICS
Volume 21, Issue 6, Pages 1046-1054Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.acap.2021.04.019
Keywords
home reading; interventional effects; preschool attendance; reading skills; socioeconomic disadvantage
Categories
Funding
- Victorian Government's Operational Infrastructure Support Program
- Australian National Health and Medical Research Council (NHMRC) Practitioner Fellowship [1155290]
- NHMRC Career Development Fellowship [1111160]
- Australian Research Council [DE190101326, DP160101735]
- Melbourne Children's LifeCourse initiative - Royal Children's Hospital Foundation [2018984]
- RMIT University VC Senior Research Fellowship
- Spanish State Research Agency
- European Regional Development Fund [ECO2016-76506-C4-2-R]
- Australian Research Council [DE190101326] Funding Source: Australian Research Council
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The study revealed that children from socioeconomically disadvantaged backgrounds have poorer reading outcomes, and improving their levels of home reading and preschool attendance can help reduce the socioeconomic gaps in reading skills, but may not completely eliminate inequality.
OBJECTIVE: Children from socioeconomically disadvantaged backgrounds have poorer learning outcomes. These inequities are a significant public health issue, tracking forward to adverse health outcomes in adulthood. We examined the potential to reduce socioeconomic gaps in children's reading skills through increasing home reading and preschool atten-dance among disadvantaged children. METHODS: We drew on data from the nationally representa-tive birth cohort of the Longitudinal Study of Australian Chil-dren (N = 5107) to examine the impact of socioeconomic disadvantage (0-1 year) on children's reading skills (8-9 years). An interventional effects approach was applied to esti-mate the extent to which improving the levels of home reading (2-5 years) and preschool attendance (4-5 years) of socioeco-nomically disadvantaged children to be commensurate with their advantaged peers, could potentially reduce socioeco-nomic gaps in children's reading skills. RESULTS: Socioeconomically disadvantaged children had a higher risk of poor reading outcomes compared to more advantaged peers: absolute risk difference = 20.1% (95% con-fidence interval [CI]: 16.0%-24.2%). Results suggest that improving disadvantaged children's home reading and pre -school attendance to the level of their advantaged peers could eliminate 6.5% and 2.1% of socioeconomic gaps in reading skills, respectively. However, large socioeconomic gaps would remain, with disadvantaged children maintaining an 18.3% (95% CI: 14.0%-22.7%) higher risk of poor reading outcomes in absolute terms. CONCLUSION: There are clear socioeconomic disparities in children's reading skills by late childhood. Findings suggest that interventions that improve home reading and preschool attendance may contribute to reducing these inequities, but alone are unlikely to be sufficient to close the equity gap.
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