Social Science & Medicine (1982)
Soc Sci Med. 2016 Sep; 165: 108–118.
PMCID: PMC5012893
Anna Pearce,a,b,∗,1 Alyssa C.P. Sawyer,a Catherine R. Chittleborough,a Murthy N. Mittinty,a Catherine Law,b,1 and John W. Lyncha,c
Abstract
Socio-economic
inequalities in academic achievement emerge early in life and are
observed across the globe. Cognitive ability and “non-cognitive”
attributes (such as self-regulation) are the focus of many early years’
interventions. Despite this, little research has compared the
contributions of early cognitive and self-regulation abilities as
separate pathways to inequalities in academic achievement. We examined
this in two nationally representative cohorts in the UK (Millennium
Cohort Study, n = 11,168; 61% original cohort) and Australia (LSAC, n = 3028; 59% original cohort).
An
effect decomposition method was used to examine the pathways from
socio-economic disadvantage (in infancy) to two academic outcomes: ‘low’
maths and literacy scores (based on bottom quintile) at age 7–9 years.
Risk ratios (RRs, and bootstrap 95% confidence intervals) were estimated
with binary regression for each pathway of interest: the ‘direct
effect’ of socio-economic disadvantage on academic achievement (not
acting through self-regulation and cognitive ability in early
childhood), and the ‘indirect effects’ of socio-economic disadvantage
acting via self-regulation and cognitive ability (separately). Analyses
were adjusted for baseline and intermediate confounding.
Children
from less advantaged families were up to twice as likely to be in the
lowest quintile of maths and literacy scores. Around two-thirds of this
elevated risk was ‘direct’ and the majority of the remainder was
mediated by early cognitive ability and not self-regulation. For example
in LSAC: the RR for the direct pathway from socio-economic disadvantage
to poor maths scores was 1.46 (95% CI: 1.17–1.79). The indirect effect
of socio-economic disadvantage through cognitive ability (RR = 1.13
[1.06–1.22]) was larger than the indirect effect through self-regulation
(1.05 [1.01–1.11]). Similar patterns were observed for both outcomes
and in both cohorts.
Policies to
alleviate social inequality (e.g. child poverty reduction) remain
important for closing the academic achievement gap. Early interventions
to improve cognitive ability (rather than self-regulation) also hold
potential for reducing inequalities in children's academic outcomes.
Keywords: Socio-economic
inequalities, Early childhood, Early intervention, Academic
achievement, UK millennium cohort study, Longitudinal Study of
Australian Children, Avon longitudinal study of parents and their
children
1. Introduction
Educational
qualifications and trajectories of employment, income and health across
the life course are all importantly influenced by academic achievement
in childhood (Galobardes et al., 2008, Harper et al., 2011). There are large socio-economic inequalities in academic achievement throughout childhood (Brinkman et al., 2012, Sirin, 2005), and these help drive the emergence of health inequalities (Lynch and Davey Smith, 2005).
In acknowledgement of the benefits to giving every child a strong start
in life and the subsequent contributions to the economic productivity
of society (Allen, 2011, Organization for Economic Cooperation and Development, 2011),
the focus of government and non-government organizations in many
countries has turned to improving overall levels and socio-economic gaps
in academic achievement in early childhood (Douglas et al., 2014, HM Government, 2011, Organization for Economic Cooperation and Development, 2011, The Equity and Excellence Commission, 2013).
While
cognitive ability is a widely recognised determinant of academic
achievement, there is increasing interest in the role of “non-cognitive”
characteristics (F Cunha and Heckman, 2007, Heckman et al., 2006, Kautz et al., 2014).
Though the term “non-cognitive” has not been consistently defined or
measured, the idea of non-cognitive skills encapsulates personality
characteristics and social behaviours that can maximise life
opportunities (Borghans et al., 2008). In young children an important component of non-cognitive abilities is self-regulation (Barkley, 2011) which refers to the control of attention, emotion and behaviour (Blair and Diamond, 2008).
Some research has suggested that early “non-cognitive” skills like
self-regulation may be as important (if not more important) than
cognitive ability for future outcomes like labour market success, both
directly and by supporting later cognitive ability (Flavio Cunha and Heckman, 2008).
Self-regulation
is integral to cognitive ability in childhood, through supporting
engagement in and persistence with learning tasks (Blair and Diamond, 2008). Cognitive ability and self-regulation have both been linked to better academic achievement (Blair and Diamond, 2008, Oberle et al., 2014, Sawyer et al., 2015) and are generally lower among socially disadvantaged children (C. R. Chittleborough et al., 2014, Dearden et al., 2011, Evans and Rosenbaum, 2008, Feinstein, 2003, Sektnan et al., 2010). Observational studies indicate that self-regulation (Dilworth-Bart, 2012, Evans and Rosenbaum, 2008, Sektnan et al., 2010) and cognitive ability (C. R. Chittleborough et al., 2014)
may mediate the association between socio-economic disadvantage (SED)
and academic achievement (although none explicitly compared the
mediating roles of both). It is therefore plausible that intervening on
these components of child development (Bierman et al., 2008, Raver et al., 2011)
may reduce socio-economic inequality in academic achievement.
Interventions targeting cognitive ability and/or self-regulation in the
United States have been shown to improve school readiness and early
academic achievement (Kautz et al., 2014), including in disadvantaged families (Bierman et al., 2008, Raver et al., 2011), although effects may fade with time (Burger, 2010, U.S. Department of Health and Human Services and Administration for Children and Families, 2010).
A comparison of cognitive and self-regulation skills, as two related
mechanisms that can be targeted by interventions, would inform the
design of early childhood programs to reduce socioeconomic gaps in
academic achievement.
Our goal was to
decompose the pathways from SED at birth (represented by low maternal
education) to children's academic achievement in mid-childhood that were
via early-life self-regulation (task attentiveness and persistence) and
cognitive ability (verbal and non-verbal skills). Fig. 1
shows the direct pathway from SED to the child academic achievement (in
bold), the indirect pathway via cognitive ability (in dashes), and the
indirect pathway via self-regulation (including via cognitive ability in
dots). We conducted comparative analyses throughout early- to
mid-childhood using data from contemporary, nationally representative
cohorts from Australia (the Longitudinal Study of Australian Children,
LSAC(Australian Institute of Family Studies, 2014)) and the United Kingdom (UK) (the Millennium Cohort Study, MCS(Connelly and Platt, 2014)).
As a sensitivity analysis to measurement error in the self-regulation
measures, which were based on maternal report in MCS and LSAC (see
Methods), we examined these associations in a third cohort - the Avon Longitudinal Study of Parents and Children, ALSPAC(Boyd et al., 2012, Fraser et al., 2013), which collected an objective measure of executive function, a measure of self-regulation in young people.
2. Methods
2.1. Participants
2.1.1. Longitudinal Study of Australian Children
The
LSAC is a nationally representative prospective study of two cohorts of
children, recruited 2003–2004. The methodology has been previously
described (Soloff et al., 2005). We used data on 5107 infants (64% of those invited to take part) from the ‘b-cohort’, who were first contacted at 0–1 year.
2.1.2. The Millennium Cohort Study
The
MCS is a longitudinal study of children born in the UK, 2000–2002.
Information on the survey design has been described elsewhere (Hansen, 2010).
The first contact with the cohort child was carried out at around age 9
months for 18,818 infants (91% of the 20,646 of the target sample).
Data were downloaded from the UK Data Service, University of Essex and
University of Manchester, in April 2014.
In
both cohorts, interviews were carried out with trained interviewers in
the home, with the primary caregiver (usually the mother) and her
partner (if relevant); postal questionnaires were also sent to the
children's teachers once they reached school age.
2.2. Measures
The counterfactual analytical method used to decompose the mediating pathways of interest (Vanderweele et al., 2014)
(see Analysis) favours use of binary exposure, mediator and
intermediate confounding variables, because the availability of just one
counterfactual state aids interpretability of results. All measures are
described in detail in Table 1 and summarised below, including cut-offs for dichotomisation (where relevant).
2.2.1. Exposure: socio-economic disadvantage
Mothers’
highest educational qualifications (when the cohort child was an
infant) were used as indicators of SED. Low education was defined by
educational targets set by the Australian (completion of Year 12(The Commonwealth of Australia and the States and Territories, 2009)) and UK (General Certificate in Secondary Education (GCSE), grades A*-C(HM Government, 2011)) governments.
2.2.2. Outcome: low academic achievement
We
analysed two separate measures of academic achievement: maths and
literacy scores derived from teacher assessment in LSAC and by tests
completed by the MCS children during the interview. ’Low’ academic
achievement was defined as being in the lowest quintile of scores.
2.2.3. Mediator 1: low self-regulation
We
used a number of items representing a component of self-regulation
known to influence academic achievement - task attentiveness and
persistence (Sawyer et al., 2015) (see Table 1). Responses to the items were summed to create self-regulation scores (Table 1); children in the lowest quintile were defined as having ‘low’ self-regulation.
2.2.4. Mediator 2: low cognitive ability
Cognitive ability was defined as the non-verbal and verbal abilities of the child (Table 1).
Non-verbal abilities were assessed with the Matrix Reasoning subtest in
LSAC and pattern construction in the MCS. Verbal abilities were
assessed using a test of receptive vocabulary. Verbal and non-verbal
scores were standardised using T-scores and then combined (Connelly, 2013). The lowest quintile was used to represent ‘low’ cognitive ability.
2.2.5. Baseline confounding
Baseline
confounders were young maternal age (<20 years) at first live birth
and language spoken in the home (English/other). MCS analyses were
repeated adjusting for ethnicity in place of language and the results
were unchanged (ethnicity was not collected for non-indigenous children
in LSAC).
2.2.6. Intermediate confounding
The
following were considered to confound the mediator/outcome association
and were also associated with the exposure: alcohol consumption and
smoking in pregnancy, and at ages 3–5: lone parenthood status, housing
tenure, household income, household unemployment, maternal psychological
distress, parenting style and formal childcare use.
Latent
class analysis (LCA) was used to create a summary measure of
confounding characteristics (referred to hereafter as the ‘Early home
and parenting environment’). A two class model offered a good fit in
both cohorts (see Table A1, Appendix A),
with good separation for all items except alcohol in pregnancy,
maternal psychological distress, parenting style and formal childcare
use. The resulting binary variable (representing the two classes)
distinguished between less and more supportive environments (Fig. 2). The LCA was carried out in Stata 13.0 (StataCorp, College Station, TX) using a Stata plug-in for the SAS procedure PROC LCA (Lanza et al., 2007).
2.3. Analysis
We used a counterfactual method for decomposing two related mediating pathways (Vanderweele et al., 2014).
In counterfactual methods, the observed data are used to estimate the
potential outcome that would have been observed had exposed individuals
been unexposed, and unexposed individuals been exposed (Rubin, 2005).
Therefore estimates refer to average change in outcomes when
individuals' observed exposure status is manipulated to the
counterfactual (for example, if less advantaged families were made more
advantaged). Some counterfactual methods allow the value of the mediator
to react to the change in the exposure from its observed to its
counterfactual state, enabling estimation of natural indirect and direct pathways (Lange et al., 2014, Vanderweele et al., 2014) (although issues of interpretation of natural direct and indirect ‘effects’ have been raised (Naimi et al., 2014)).
Estimating natural direct and indirect pathways can be problematic when
the mediator is subject to intermediate confounding (i.e. when a
confounder of the mediator–outcome relationship is induced by the
exposure) or when there are multiple, related mediating pathways (Vanderweele et al., 2014).
VanderWeele, Vansteelandt and Robins demonstrate a series of analytical
approaches that enable the estimation of direct and indirect pathways
in the presence of intermediate confounding, or two related mediators (Vanderweele et al., 2014).
The first of VanderWeele, Vansteelandt and Robins' analytical approaches, referred to as ‘Joint mediators’, provides an effect estimate of the ‘direct’ pathway from exposure to outcome that is not acting via the two mediators (M1 and M2, where M1 is a cause of M2), and another for the joint indirect pathway through two related mediators (Vanderweele et al., 2014).
This approach might therefore be used to examine the potential for a
single intervention, which improves both self-regulation and cognitive
ability, to reduce inequality in academic achievement. The direct
pathway is given by the change in risk of the outcome when the value of
the exposure is altered from its observed to its counterfactual value
(while the mediators are held at their observed values). The joint
indirect pathway is the difference in the risk of the outcome when both
mediators are changed from their observed to their counterfactual values
(had the exposure taken the opposite value), while the exposure is held
at its observed value. A more detailed explanation and statistical
notation are provided in Appendix B.
The second approach, ‘Path specific effects’,
estimates the direct pathway in the same way, but in addition
decomposes the joint indirect pathway into that through each mediator
separately (Vanderweele et al., 2014).
This approach is therefore appropriate for comparing an intervention
designed to improve cognitive ability with an intervention to improve
self-regulation (which could in turn influence cognitive ability). The
direct pathway is estimated using approach 1. The indirect pathway
through the main mediator of interest (M2) is given by the difference in risk of the outcome when M2
is changed from its observed to its counterfactual value; the exposure
is held at its observed value, while the second related mediator (M1) is held at its counterfactual value. The indirect pathway through M1 is given by the difference in the risk of the outcome when M1 is changed from its observed value to its counterfactual value; while the exposure is held at its observed value, and M2 (which is caused by both the exposure and M1) is held at a new counterfactual value (under the observed exposure but counterfactual M1). See Appendix B for further detail.
The third approach, referred to as ‘Intervention effects’,
aims to emulate a randomized intervention. It provide an effect
estimate for just one mediating pathway, while adjusting for the second
related mediator (or an intermediate confounder), within levels of the
exposure, using inverse probability weights (IPTWs) (Vanderweele et al., 2014).
The effect estimate of the direct pathway refers to the pathway from
SED to academic ability that it not acting through the single mediator
of interest (after adjustment for intermediate confounding). This
approach is therefore suited to situations where there is just one
mediating pathway of interest, which is likely to be biased by
intermediate confounding. The indirect effect is given by the change in
the risk of the outcome when the value of M2 is estimated (adjusting for M1)
within levels of the observed exposure and within levels of the
counterfactual exposure. The direct effect is estimated by changing the
exposure from its observed to its counterfactual value, while the value
of M2 is held at the value it would have taken if assigned (adjusting for M1) within levels of the counterfactual exposure. See Appendix B.
The directed acyclic graph (DAG, Fig. 1) demonstrates the main pathways of interest: the direct pathway from SED (X) to academic achievement (Y), and indirect pathways via the two related mediators: self-regulation (M1) and cognitive ability (M2). The DAG also includes intermediate confounding (L). Because none of the analytic approaches allow examination of two mediators and adjustment for an intermediate confounder in a single model (Vanderweele et al., 2014), we carried out a series of analyses in the following steps, each focussing on a different ‘subset’ of the DAG:
- • ‘Step A: Effect decomposition via Self-regulation & Cognitive ability’ (Fig. 3a): in this step we focused on the two mediators of interest and disregarded intermediate confounding by L. Firstly, using the ‘Joint indirect effects’ approach, effect estimates for the direct pathway from SED to academic achievement (via neither of the mediators) and a joint indirect pathway via self-regulation (dotted line) and cognitive ability (dashed line) were estimated. This indirect pathway was then decomposed, using ‘Path specific effects’, to provide two separate effect estimates for the indirect pathway via cognitive ability, and the indirect via self-regulation (either directly, or via cognitive ability - because we hypothesized that the relationship between the mediators ran from self-regulation to cognitive ability).
- • ‘Step B: Self-regulation & intermediate confounding’ (Fig. 3b): In Step B we estimated the indirect pathway from SED to academic achievement via self-regulation after adjusting for confounding by L (with IPTWs), using the ‘Intervention analogue’ approach. Cognitive ability was not included in this model.
- • ‘Step C: Cognitive ability & intermediate confounding’ (Fig. 3c): Here the ‘Intervention analogue’ approach was used to examine the degree to which the indirect pathway through cognitive ability was confounded by L. Self-regulation was not included in this model.
Findings
from Steps A-C were then subjectively triangulated, in order to compare
the mediating roles of self-regulation and cognitive ability (Step A)
and the extent to which each of the indirect pathways might have been
confounded (Steps B and C). Baseline confounders (C) were adjusted for in all analyses.
2.3.1. Statistical modelling
Effect
estimates for direct and indirect pathways from SED to maths and
literacy scores (as separate outcomes) were estimated using binary
regression, in form of the risk ratios (RRs, representing relative
inequalities), and risk differences (RDs, representing absolute
inequalities). 95% confidence intervals (CIs) were estimated using 5000
non-parametric bootstrap samples. Analyses were conducted in Stata/SE
13.0 (StataCorp, College Station, TX). Annotated Stata code is provided
in Appendix B.
Given
the complexity of the methods applied, we did not multiply impute the
data and all analyses were carried out in a complete case sample. Fig. 4 shows how the analysis samples for the main models were obtained. Table A2 (Appendix C) compares the characteristics of response samples to complete case samples.
2.3.2. Sensitivity analyses
It was only possible to adjust for one exposure-induced intermediate confounder (Vanderweele et al., 2014).
Therefore several different variables representing the early home and
parenting environment were combined in a two class latent variable.
Although this measure provided a good fit in both cohorts, it is likely
that the degree of intermediate confounding will be underestimated. We
therefore repeated our analyses adjusting for individual confounding
variables which were less well differentiated in the latent measure:
maternal psychological distress, parenting style, formal childcare use.
School
quality is an important determinant of academic achievement. In the
case of LSAC children, it is also possible that school quality will have
influenced self-regulation and cognitive skills (because these were
captured at age 6–7). Therefore the indirect pathway from SED to
academic outcomes via self-regulation and cognitive ability may have
been overestimated, due to our inability to adjust for school quality.
To address this we carried out a sensitivity analysis to unmeasured
confounding in the joint indirect effect (VanderWeele and Chiba, 2014).
In
LSAC and MCS, self-regulation was captured using a series of maternally
reported questions about task attentiveness, whereas cognitive
development was captured using tests. Because indirect pathways may be
underestimated if a mediating variable is poorly measured (Blakely et al., 2013), we repeated our analyses in the UK ALSPAC(Boyd et al., 2012, Fraser et al., 2013), which included an objective measure of self-regulation in young people.
Finally,
analyses were repeated using an alternative measure of SED (lowest
household income quintile), alternative cut-offs for the self-regulation
and cognitive ability measures (lowest two quintiles in place of the
lowest quintile), and continuous maths and literacy scores in place of
the binary measures.
3. Results
3.1. Descriptive statistics
3.1.1. Socio-economic inequalities in the academic achievement (outcome) and cognitive ability and self-regulation (mediators)
Table 2
shows that, in both cohorts, the prevalence of low maths and literacy
scores was almost twice as high in children from less advantaged
backgrounds. For example the prevalence of poor maths scores was 30.9%,
as compared to 16.2% in the more advantaged group (RR = 1.91 [1.59,
2.28]) in LSAC, and 30.6% compared to 16.4% (RR 1.87 [1.74, 2.01]) in
MCS. Children from less advantaged backgrounds were also more likely to
have low self-regulation and cognitive ability, although differences
were greater for cognitive ability. For example, in LSAC the RRs for
cognitive ability and self-regulation were 1.79 (1.50, 2.13) and 1.24
(1.03, 1.49).
3.1.2. Academic achievement (outcome) according to self-regulation and cognitive ability (mediators)
As shown in Table 3,
LSAC and MCS children with low self-regulation scores were around twice
as likely to have low maths and literacy scores, compared to children
who did not have low self-regulation. For example the prevalence of low
maths scores was 28.2% of LSAC children in the lowest quintile of
self-regulation scores, compared to 15.0% in those from all other
quintiles. A stronger association with maths and literacy scores was
observed for cognitive ability than self-regulation, particularly in the
MCS where children with low cognitive ability were around three times
as likely to have low maths scores (47.4% vs. 14.3%).
3.2. Decomposition of direct and indirect pathways from socio-economic disadvantage to academic achievement
Table 4
presents the decomposition of relative inequalities (using RRs) in
Maths and Literacy scores. Absolute inequalities (represented by RDs)
are decomposed in Table 5.
Section A of the tables contain effect estimates for the direct pathway
from SED to academic scores, the joint indirect pathway via
self-regulation and cognitive ability, and the decomposed indirect
pathways via self-regulation and cognitive ability separately. Sections B
and C present the effect estimates for the indirect pathways, after
adjustment for intermediate confounding (by L).
Risk Ratios (RRs) and 95% CIs for the Direct and Indirect pathways From Low Socio-economic Disadvantage (SEDe) to Low Maths and Literacy Scores, Before (Section A) and After (Sections B and C) Adjustment for Intermediate Confoundingd.
Risk differences (RDs) and 95% CIs for the direct and indirect pathways from socio-economic disadvantage (SEDe) to low maths and literacy scores, before (Section A) and after (Sections B and C) adjustment for intermediate confoundingd.
3.2.1. Total ‘effects’ (direct and indirect pathways combined)
Addition of the RRs from the direct and joint indirect pathways (Section A, Table 4)
indicated that, in total, children who were living in less advantaged
families were around two thirds more likely to have low maths scores
(RRs were around 1.65). For poor literacy scores, the combined RRs
ranged from 1.7 to 1.9 (Section A, Table 4). In absolute terms (see Table 5),
the total prevalence difference between children from more and less
advantaged families was 12–13% for maths and 13–15% for literacy. The
decomposition of these total ‘effects’ are now discussed.
3.2.2. Direct and indirect pathways via self-regulation and cognitive ability
In
both cohorts, the direct pathway from SED to low maths scores accounted
for around two thirds of the total ‘effect’, meaning that just one
third of the total ‘effect’ was acting through self-regulation and/or
cognitive ability. When the joint indirect pathway was decomposed, the
pathway via cognitive ability was considerably larger than the one via
self-regulation. Similar patterns were observed for literacy. Using low
maths scores (Table 4)
in LSAC as an example: the RR for the direct pathway from SED to maths
scores was 1.46 (1.17–1.79) and the joint indirect pathway via
self-regulation and cognitive ability was 1.19 (1.10–1.32). The
path specific analysis indicated that the majority of the joint
indirect pathway was via cognitive ability (1.13 [1.06–1.22]) and not
self-regulation (1.05 [1.01–1.11]). Decomposition of absolute inequality
(risk differences) were similar: the direct pathway carried a RD of
7.51% (2.87, 12.59), with 3.00% (1.37, 5.10) and 1.12% (−0.13, 1.63) for
the indirect pathways via cognitive ability and self-regulation
respectively (Table 5).
3.3. Intermediate confounding on the indirect pathways through self-regulation and cognitive ability
Section B of Table 4
shows that the small indirect pathway from SED to academic achievement
through self-regulation was not attenuated after adjustment for
intermediate confounding. As can be seen in Section C of Table 4,
the indirect pathway via cognitive ability increased very slightly,
despite adjustment for intermediate confounding, because the part of the
indirect pathway from self-regulation to cognitive ability was not
excluded (as it was in Section A). Similar patterns were seen for
absolute inequalities (Table 5).
3.4. Sensitivity analyses
We
repeated the analyses in ALSPAC, which contains objective measures of
executive function (a component of self-regulation in young people) and
cognitive ability (Avon Longitudinal Study of Parents and Children).
Because these measures were only collected in adolescence, findings are
not directly comparable to the LSAC and MCS. However, this sensitivity
analysis confirmed that the indirect pathway via cognitive ability was
considerably larger than for self-regulation (Appendix D, Table A3).
A
series of sensitivity analyses adjusted for individual intermediate
confounding measures which were less well differentiated in the LCA
(mother's psychological distress, parenting and formal childcare use) in
separate models. Overall conclusions were unchanged.
A
sensitivity analysis to unmeasured confounding by school
characteristics (in LSAC only) indicated that the association between
self-regulation and cognitive ability would have had to have been
overestimated by 30% in order for the indirect pathway to have been
completely removed. A more likely bias of 5% reduced the joint indirect
pathway by a minimal amount. For maths scores the RR for the indirect
pathway fell from 1.19 to 1.15 (and the direct effect increased from
1.46 to 1.49). For literacy scores the RR for the indirect pathway fell
from 1.16 to 1.12 (and the direct effect increased from 1.51 to 1.54).
Similarly
conclusions were unchanged when analyses were repeated with an
alternative measure of SED (income), alternative cut-offs for the
self-regulation and cognitive ability measures (capturing children in
the lowest two quintiles), and continuous maths and literacy scores (data available on request).
4. Discussion
4.1. Summary of findings
We
examined the potential for cognitive ability and self-regulation at the
start of school to reduce inequalities in academic achievement at ages
7–9 in the UK and Australia. Children from less advantaged backgrounds
(i.e. whose mothers left high school without Year 12 qualifications
(Australia) or GCSEs grades A*-C (UK)) were around 1.6–1.9 times more
likely to be in the lowest quintile of maths and literacy scores than
those from more advantaged backgrounds. In terms of absolute
inequalities, the prevalence of poor academic achievement in children
from less advantaged backgrounds was 12%–15% higher than in those who
were living in more advantaged families.
About
two-thirds of the association between SED and children's academic
abilities was direct (i.e. not mediated by self-regulation or cognitive
ability). Decomposition of the indirect pathway showed that around
80–90% was through cognitive ability rather than self-regulation, in
part reflecting the weaker association between self-regulation and both
the exposure (maternal education) and the outcome (academic
achievement). These findings were consistent when repeated with an
alternative measure of SED (low income).
4.2. Methodological considerations
It
was not possible to separately decompose two mediating pathways while
also adjusting for intermediate confounding. However, we were able to
account for intermediate confounding for one mediating pathway at a
time. Intermediate confounding was captured using a binary latent
variable representing a number of characteristics. A two class measure
provided a parsimonious representation of the data, but it remains
likely that the degree of confounding has been underestimated. However,
sensitivity analyses adjusting for the characteristics which were least
well differentiated in the latent measure indicated a similar level of
confounding as seen in the main models. Additional sensitivity analyses (VanderWeele and Chiba, 2014) also implied that the conclusions are unlikely to be the artefact of unmeasured intermediate confounding.
In
addition to the above limitations, which are specific to the analysis
used, our findings are subject to the standard assumptions of sample
representativeness, generalisability and measurement error. Around 70%
of children who took part in the initial sweeps of LSAC and MCS had
information on the exposure and outcome, and of these around 10% were
missing baseline confounders or mediators (very few were missing
intermediate confounding data because the latent class analysis was
carried out under a missing at random assumption). However, findings
were consistent for both outcomes and between cohorts. Additionally,
conclusions were unchanged when analyses were repeated with an
alternative measure of SED (low income), when using continuous maths and
literacy scores in place of the binary outcomes, and when using an
alternative cut-off in the mediating variables. There were differences
in the measurement tools used in the MCS and LSAC which meant that
results are not directly comparable. However we believe the consistency
of findings between two different countries (Australia and UK), and in
early (MCS, LSAC) and mid-late childhood (ALSPAC), indicate that these
findings are generalisable to other high income settings. Finally, a
sensitivity analysis in ALSPAC, which has objective measures of
self-regulation, indicated that the smaller mediating pathway via
self-regulation (compared to cognitive ability) was unlikely to be due
to measurement error.
4.3. Concordance with previous research
Our
findings are in agreement with the research of Cunha, Heckman and
colleagues, which found that (in United States White males) cognitive
ability was more important than “non-cognitive” skills for academic
attainment upon leaving school (although it was less important than
“non-cognitive” skills for labour market success) (Flavio Cunha and Heckman, 2008, Heckman et al., 2006). A number of studies examining self-regulation (Dilworth-Bart, 2012, Evans and Rosenbaum, 2008, Sektnan et al., 2010) or aspects of cognitive ability (C. R. Chittleborough et al., 2014)
as mediators between SED and academic achievement in childhood indicate
that both play a part. However, to our knowledge, ours is the first
study to decompose and compare their contributions to socio-economic
inequalities in childhood academic achievement.
4.4. Implications for equity interventions
Our
results suggest that reducing social inequality (for example through
increasing access to higher education in tomorrow's parents, or
decreasing child poverty) remains an important strategy for narrowing
inequalities in academic achievement and preventing the
inter-generational transfer of social disadvantage. In the medium and
shorter-term, interventions to support cognitive ability (rather than
self-regulation skills) hold potential for reducing the socio-economic
gap in academic achievement. Health, early care and education systems
already reach almost the entire population and have a duty and a
commitment to act now. Early cognitive ability is routinely monitored in
Australia (Australian Government Department of Education and Training, 2015) and the UK(NHS England, 2014) and it is an integral focus of the national early years learning frameworks (Australian
Government Department of Education and Employment and Workplace
Relations for the Council of Australian Governments, 2009, Department for Education, 2012).
The impact of these universal services on school readiness and academic
achievement should be monitored into the future. Pro-equity progressive
universal approaches are likely to be most successful for the
improvement of academic achievement and inequality reduction (C. R. Chittleborough et al., 2014),
because some families will require more support than others. However,
identifying those who may benefit most from additional support remains a
challenge (C. Chittleborough et al., 2011, Smithers et al., 2014).
Acknowledgements
We
would like to thank all the Millennium Cohort families for their
participation, and the director of the Millennium Cohort Study and
colleagues in the management team at the Centre for Longitudinal
Studies, Institute of Education, University of London. This paper used
confidentialised unit record data from Growing Up in Australia, the
Longitudinal Study of Australian Children (LSAC). The LSAC is conducted
in partnership between the Department of Families, Housing, Community
Services and Indigenous Affairs, the Australian Institute of Family
Studies (AIFS) and the Australian Bureau of Statistics (ABS). We'd like
to thank the LSAC families for their participation in the study, and the
LSAC management team. We are extremely grateful to all the families who
took part in ALSPAC, the midwives for their help in recruiting them,
and the whole ALSPAC team, which includes interviewers, computer and
laboratory technicians, clerical workers, research scientists,
volunteers, managers, receptionists and nurses. The UK Medical Research
Council and the Wellcome Trust (Grant ref: 102215/2/13/2) and the
University of Bristol provide core support for ALSPAC. Thanks also to
colleagues within the BetterStart Child Health Research Group,
University of Adelaide and at the UCL Institute of Child Health,
especially Amelia Maika, Steven Hope and Emeline Rougeaux.
Footnotes
AppendicesSupplementary data related to this article can be found at http://dx.doi.org/10.1016/j.socscimed.2016.07.016.
Funding
This
work was supported by: UK Medical Research Council Population Health
Scientist fellowship to AP (grant number MR/J012351/1); National Health
and Medical Research Council of Australia Fellowship to JL (grant number
570120). ACPS and MNM are also supported by funds awarded to JL. The
Population, Policy and Practice Programme (UCL Institute of Child
Health) was formed in 2014, incorporating the activities of the Centre
for Paediatric Epidemiology and Biostatistics (CPEB). The CPEB was
supported in part by the Medical Research Council in its capacity as the
MRC Centre of Epidemiology for Child Health (grant number G0400546).
Research at the UCL Institute of Child Health and Great Ormond Street
Hospital for Children receives a proportion of the funding from the
Department of Health's National Institute for Health Research Biomedical
Research Centres funding scheme. All researchers were independent of
the funders and the funders played no part in the study design, analysis
or interpretation of the data, writing of the report or the decision to
submit for publication.
Appendices. Supplementary data
The following are the supplementary data related to this article:
Click here to view.(18K, docx)
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