Low and very low birthweight disadvantage in compulsory education achievement and the transition to upper secondary education in the Finnish birth cohorts of 1987 to 1997

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-03-15 DOI:10.1111/cch.13243

Matti Lindberg

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引用次数: 0

Abstract

Background

We compared the educational achievements of very low-birthweight (VLBW) and low-birthweight (LBW) adolescents (ages 16 to 19) to those of their normal-birthweight (NBW) peers in the complete Finnish birth cohorts of 1987 to 1997. We focused on three key phases of the education process: the end of compulsory education (9th-grade completion), and the transition to and the completion of upper secondary-level education.

Methods

We used register data on grades, educational transitions and completed education. We employed multiple indicators on the progression of the education process and estimated population-level and within-families linear probability (LPM) models with robustness checks at the population level using logistic regression. We tested whether parental education and the child's sex modify the association between (V)LBW and educational achievement.

Results

Results of both descriptive analysis and the population-level and within-family LPM models indicate that (V)LBW is associated with an increased risk of not being able to keep up with the normative education process and to compete for upper secondary education study places at the end of compulsory education. The modifying effect of parental education was robust, whereas that of the child's sex was not. Among (V)LBW students who were able to keep up with the normative education process, (V)LBW was not associated with a lower grade point average or with a meaningfully lower probability of completing upper secondary education by the normative age.

Conclusions

The upper secondary-level educational choices and achievements of the children born with (V)LBW who managed to complete the standard compulsory education curriculum and complete the transition to upper secondary-level education within the expected time did not, in essence, differ from those of the NBW children. Some specific characteristics of the Finnish education system likely contributed to these results, such as the grading at compulsory education being only relatively loosely standardized.

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1987年至1997年芬兰出生组群中低出生体重儿和超低出生体重儿在义务教育成绩和高中教育过渡方面的劣势。

背景：我们比较了芬兰1987年至1997年完整出生队列中超低出生体重（VLBW）和低出生体重（LBW）青少年（16至19岁）与正常出生体重（NBW）同龄人的教育成就。我们重点研究了教育过程的三个关键阶段：义务教育结束（九年级毕业）、过渡到高中教育以及完成高中教育：我们使用了有关年级、教育过渡和完成教育的登记数据。我们采用了有关教育过程进展的多个指标，并利用逻辑回归对人口水平和家庭内线性概率（LPM）模型进行了估计，同时进行了稳健性检查。我们检验了父母教育程度和儿童性别是否会改变（V）低体重儿与教育成就之间的关联：结果：描述性分析和人口水平及家庭内 LPM 模型的结果表明，(V)LBW 与无法跟上正常教育进程和在义务教育结束时竞争高中学习名额的风险增加有关。父母教育程度的调节作用是稳健的，而儿童性别的调节作用则不稳健。在能够跟上正常教育进程的(V)枸杞血症学生中，(V)枸杞血症与较低的平均学分绩点无关，也与在正常年龄完成高中教育的概率显著降低无关：结论：(V)LBW先天性心脏病患儿在高中教育阶段的选择和成绩，与那些非正常体重儿相比，并无本质区别，他们都能完成标准的义务教育课程，并在预期时间内完成向高中教育的过渡。芬兰教育体系的一些特殊性很可能是造成这些结果的原因，例如义务教育阶段的分级标准相对松散。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.