Factors associated with low school readiness, a linked health and education data study in Wales, UK.
Factors associated with low school readiness, a linked health and education data study in Wales, UK.
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DOI：
10.1371/journal.pone.0273596
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
入学准备度是衡量孩子开始正规学校教育的认知、社交和情感准备程度的指标。入学准备程度较低的儿童需要学校的额外支持来学习、培养所需的社交和学术技能以及赶上做好入学准备的同龄人。本研究旨在利用威尔士儿童的相关常规数据来确定与入学准备程度低相关的最重要的风险因素。这是一项使用关联数据的纵向队列研究。该队列由 2012 年至 2018 年间完成基础阶段评估的儿童组成。通过链接威尔士人口统计服务和 16 岁前教育程度数据集来识别个人。入学准备情况通过基础阶段评估的二元结果（已实现/未实现）进行评估。本研究使用多变量逻辑回归模型和决策树来识别和权衡与入学准备程度低相关的最重要的风险因素。按重要性顺序，逻辑回归确定了母亲学习困难（调整后的比值比 5.35（95% 置信区间 3.97–7.22））、儿童癫痫（2.95（2.39–3.66））、极低出生体重（2.24（1.86–2.70）、是男孩（2.11（2.04–2.19））、接受免费学校餐(1.85(1.78–1.93))、生活在最贫困地区(1.67(1.57–1.77))、孕产妇死亡(1.47(1.09–1.98))和孕产妇糖尿病(1.46(1.23–1.78))作为与入学准备度低相关的因素，使用决策树、免费校餐的资格、是男孩、缺勤/入学率低、学年较晚出生、出生体重低以及未进行母乳喂养是与入学准备程度较低相关的因素。这项研究表明，针对以下儿童的公共卫生干预措施：生活在贫困地区的男孩、早期出勤率较差、父母有学习困难、父母患有疾病或本身患有疾病，将对人口的入学准备程度产生最大的影响。
School readiness is a measure of a child’s cognitive, social, and emotional readiness to begin formal schooling. Children with low school readiness need additional support from schools for learning, developing required social and academic skills, and catching-up with their school-ready peers. This study aims to identify the most significant risk factors associated with low school readiness using linked routine data for children in Wales. This was a longitudinal cohort study using linked data. The cohort comprises of children who completed the Foundation Phase assessment between 2012 and 2018. Individuals were identified by linking Welsh Demographic Service and Pre16 Education Attainment datasets. School readiness was assessed via the binary outcome of the Foundation Phase assessment (achieved/not achieved). This study used multivariable logistic regression model and a decision tree to identify and weight the most important risk factors associated with low school readiness. In order of importance, logistic regression identified maternal learning difficulties (adjusted odds ratio 5.35(95% confidence interval 3.97–7.22)), childhood epilepsy (2.95(2.39–3.66)), very low birth weight (2.24(1.86–2.70), being a boy (2.11(2.04–2.19)), being on free school meals (1.85(1.78–1.93)), living in the most deprived areas (1.67(1.57–1.77)), maternal death (1.47(1.09–1.98)), and maternal diabetes (1.46(1.23–1.78)) as factors associated with low school readiness. Using a decision tree, eligibility for free school meals, being a boy, absence/low attendance at school, being born late in the academic year, being a low birthweight child, and not being breastfed were factors which were associated with low school readiness. This work suggests that public health interventions focusing on children who are: boys, living in deprived areas, have poor early years attendance, have parents with learning difficulties, have parents with an illness or have illnesses themselves, would make the most difference to school readiness in the population.
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影响因子：
3.9
作者：
Cooper CE;Osborne CA;Beck AN;McLanahan SS
通讯作者：
McLanahan SS
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Lyons RA;Jones KH;John G;Brooks CJ;Verplancke JP;Ford DV;Brown G;Leake K
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Hair, Elizabeth;Halle, Tamara;Calkins, Julia
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Calkins, Julia
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Mensah, Fiona K.
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Lipscomb, Shannon T.;Miao, Alicia J.;Pears, Katherine
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Pears, Katherine