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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Child Care Services, Socioeconomic Inequalities, and Academic Performance

Julie C. Laurin, Marie-Claude Geoffroy, Michel Boivin, Christa Japel, Marie-France Raynault, Richard E. Tremblay and Sylvana M. Côté
Pediatrics December 2015, 136 (6) 1112-1124; DOI: https://doi.org/10.1542/peds.2015-0419
Julie C. Laurin
aUniversity of Montreal; Research Group on Children's Psychosocial Maladjustment (GRIP) and Ste-Justine's Hospital Research Center, Montreal, Quebec, Canada;
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Marie-Claude Geoffroy
bDouglas Mental Health University Institute, and Department of Psychiatry, McGill University, Montreal, Quebec, Canada;
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Michel Boivin
cDepartment of Psychology, Laval University, Quebec, Canada;
dDepartment of Psychology, Tomsk State University, Tomsk, Russia;
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Christa Japel
eDepartment of Psychology, University of Québec in Montreal, Montreal, Canada;
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Marie-France Raynault
aUniversity of Montreal; Research Group on Children's Psychosocial Maladjustment (GRIP) and Ste-Justine's Hospital Research Center, Montreal, Quebec, Canada;
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Richard E. Tremblay
dDepartment of Psychology, Tomsk State University, Tomsk, Russia;
fSchool of Public Health, University College Dublin, Belfield, Ireland
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Sylvana M. Côté
aUniversity of Montreal; Research Group on Children's Psychosocial Maladjustment (GRIP) and Ste-Justine's Hospital Research Center, Montreal, Quebec, Canada;
dDepartment of Psychology, Tomsk State University, Tomsk, Russia;
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  • FIGURE 1
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    FIGURE 1

    Child-care trajectories. A, Intensity (n = 2120). The first trajectory is the most common and exhibits a sharp increase in child-care attendance intensity within the first year and remains stable, with high child-care attendance until 4 years (> 35 hours per week); ∼36.5% of the children follow the “high-intensity” (number of hours) trajectory. The next trajectory exhibits a gradual increase in child-care hours over the years. Approximately 29.5% of children follow the “moderate intensity” trajectory. The final trajectory is relatively low and stable, with children demonstrating a low number of hours in child-care attendance (<5 hours per week). An estimated proportion of 34% of the children follow this lowest number of hour trajectory. B, Center-based CCS (n = 1800). Solid lines represent observed values. Dashed lines represent predicted values. The first trajectory includes children who have a high probability of attending center-care early (at ∼1.5 years). Approximately 14% of our sample followed the “early-onset center care” trajectory. In the next trajectory, children have a high probability of being enrolled in other child-care services until 17 months and then gradually increase in their enrollment in center-based care (beginning at ∼2.5 years). Approximately 28.7% of children followed the “late-onset center care” trajectory. Finally, 57.3% of our sample had a high probability of never being exposed to center-based care during the preschool years (ie, enrolled in other child care services), and this was depicted by the low and stable trajectory.

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    FIGURE 2

    Interaction between CCS trajectories and SES on reading, writing, and mathematic academic achievement scores. A, Intensity. B, Center-based CCS. Confounding variables in each model includes the child’s gender and temperament, birth order, and Cumulative Score for Neonatal Risk (includes birth weight, gestational age, intrauterine growth retardation, retardation of cranial perimeter growth, congenital abnormalities, Apgar score, and neonatal complications), maternal childbearing age, family status and functioning, neighborhood safety and social problems, and 5 of the preschool environment factors (SES, negative parenting, family deviancy, mental health, child peer relationships).

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    TABLE 1

    Descriptive Statistics

    AgeTotal (%)Mean (SD)MinMax
    Control variables
     Child’s gender5 mo1269———
      0 girl—597 (47.0)———
      1 boy—672 (53.0)———
     Child’s birth order5 mo1269———
      1, firstborn—576 (45.4)———
      2, had 1 sibling at birth—514 (40.5)———
      3, had 2 siblings at birth—132 (10.4)———
      4, had 3 siblings at birth—(2.3)———
      5, had at least 4 siblings at birth—17 (1.3)———
     Family status5 mo1266———
      0 nonintact—244 (19.3)———
      1 intact—1022 (80.5)———
     SES factor5–53 mo1269———
      0 adequate SES—941 (74.1)———
      1 low SES (bottom 25th quartile)—328 (25.9)———
     CSNRBirth11690.90 (1.17)0.004.88
     Difficult temperament5 mo12642.72 (1.58)0.008.00
     Childbearing age5 mo126929.00 (5.37)16.4044.50
     Family dysfunction5 mo12571.70 (1.40)0.006.55
     Neighborhood safety5 mo12001.81 (0.61)1.003.80
     Neighborhood social problems5 mo12492.79 (0.36)1.573.00
     Negative parenting factor5–53 mo12690.06 (0.62)−1.542.15
     Family deviancy factor5–53 mo12690.01 (0.20)–0.200.71
     Parent mental health factor5–53 mo12690.02 (0.55)−1.031.91
     Child peer relationship factor5–53 mo1269–0.02 (0.30)−1.000.55
    Independent variables
     CCS intensity5–53 mo1269———
      1 low CCS hours—416 (32.8)———
      2 moderate CCS hours—394 (31.0)———
      3 high CCS hours—459 (36.2)———
     Center-based CCS type5–53 mo1119———
      3 early-onset center-based CCS—133 (11.9)———
      2 late-onset center-based CCS—292 (26.1)———
      1 never center-based CCS—694 (62.0)———
    Dependent variables
     Reading (0 = repeated a grade)12 y107562.50 (26.44)0.00100.00
     Writing (0 = repeated a grade)12 y113665.55 (25.64)0.00100.00
     Mathematic (0 = repeated a grade)12 y111065.57 (26.74)0.0099.65
    • The SES factor variable is shown in its categorical formats as used in the analyses. CSNR includes birth weight, gestational age, intrauterine growth retardation, retardation of cranial perimeter growth, congenital abnormalities, Apgar score, and neonatal complications).

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    TABLE 2

    Bivariate Associations Between Potential Confounders and the Study’s Dependent, Independent, and Moderator Variables

    CCS Intensity Sample (n = 1269)
    Dependent Variables: 12-y Government ExaminationsIndependent Variable: CCS Intensity TrajectoriesModerator: SES
    ReadingWritingMathematicsLow Hours (n = 416)Moderate Hours (n = 394)High Hours (n = 459)PAdequate SES (n = 941)Low SES (n = 328)P
    rPrPrP
    Reading——————60.01 (28.13)61.62 (26.74)66.47 (23.41).00167.73 (23.22)48.85 (29.09)<.001
    Writing——————61.00 (27.68)64.72 (25.17)70.31 (22.76)<.00170.43 (22.20)51.45 (28.87)<.001
    Mathematics——————62.36 (28.83)64.92 (26.45)69.96 (23.58)<.00170.59 (23.21)52.47 (30.35)<.001
    CCS intensity trajectories0.10<.0010.15<.0010.12<.001————2.19 (0.81)1.60 (0.72)<.001
    Gender–0.16<.001–0.23<.001–0.09.0030.53 (0.50)0.50 (0.50)0.56 (0.50).270.54 (0.50)0.51 (0.50).48
    Birth order–0.05.12–0.08.01–0.08.011.91 (0.96)1.68 (0.79)1.62 (0.73)<.0011.72 (0.79)1.79 (0.95).20
    Family status0.17<.0010.18<.0010.19<.0010.78 (0.42)0.80 (0.40)0.84 (0.37).080.88 (0.33)0.61 (0.49).00
    CSNR–0.06.05–0.06.07–0.05.120.94 (1.19)0.85 (1.18)0.90 (1.13).510.85 (1.16)1.04 (1.18).02
    Difficult temperament0.07.010.08.0080.06.032.64 (1.62)2.77 (1.57)2.73 (1.56).512.73 (1.59)2.68 (1.55).66
    Maternal age0.16<.0010.14<.0010.11<.00128.64 (5.93)28.18 (5.31)30.02 (4.71)<.00129.91 (4.76)26.37 (6.13)<.001
    Family dysfunction–0.09.003–0.09.002–0.08.0061.80 (1.42)1.70 (1.36)1.62 (1.41).201.55 (1.31)2.15 (1.55)<.001
    Neighborhood safety–0.08.007–0.10<.001–0.09.0021.88 (0.64)1.84 (0.64)1.73 (0.56)<.0011.76 (0.59)1.98 (0.65)<.001
    Social problems in neighborhood0.08.0070.11<.0010.100.0012.73 (0.42)2.78 (0.35)2.84 (0.30)<.0012.83 (0.31)2.67 (0.45)<.001
    T1—SES Factor–0.32<.001–0.33<.001–0.30<.0010.43 (0.50)0.27 (0.44)0.10 (0.30)<.001———
    T1—Positive parenting factor0.01.740.01.680.00.87–0.03 (0.39)–0.02 (0.34)–0.07 (0.35).09–0.04 (0.35)–0.04 (0.39).74
    T1—Negative parenting factor–0.06.06–0.05.08–0.03.250.05 (0.66)0.08 (0.60)0.05 (0.61).830.06 (0.60)0.07 (0.69).71
    T1—Family deviancy factor–0.06.06–0.07.02–0.05.110.01 (0.19)0.02 (0.21)0.00 (0.19).60–0.01 (0.18)0.06 (0.23)<.001
    T1—Parent mental health factor–0.16<.001–0.17<.001–0.16<.0010.10 (0.58)0.04 (0.54)–0.08 (0.51)<.001–0.09 (0.51)0.31 (0.56)<.001
    T1—Child peer relationships factor0.09.0040.09.0030.10<.001–0.02 (0.33)–0.03 (0.29)0.00 (0.29).360.00 (0.30)–0.05 (0.32).01
    Center-Based CCS Sample (n = 1119)
    Dependent Variables: 12-y Government ExaminationsIndependent Variable: Center-Based CCS TrajectoriesModerator: SES
    ReadingWritingMathematicsNever CB CCS (n = 694)Late-Onset CB CCS (n = 292)Early-Onset CB CCS (n = 133)PAdequate (n = 876)Low (n = 243)P
    rPrPrP
    Reading——————64.47 (25.61)62.66 (25.37)62.38 (25.86).4767.45 (23.36)50.37 (28.61)<.001
    Writing——————66.99 (24.84)66.10 (24.91)67.43 (24.91).8070.39 (22.38)53.88 (28.78)<.001
    Mathematics——————67.19 (25.80)65.53 (25.61)68.11 (25.83).5370.62 (23.26)53.33 (29.53)<.001
    CB CCS Trajectories–0.03.280.00.940.00.92————1.52 (0.71)1.40 (0.64).02
    Gender–0.16<.001–0.23<.001–0.08.010.52 (0.50)0.55 (0.50)0.50 (0.50).630.54 (0.50)0.47 (0.50).05
    Birth order–0.02.57–0.05.11–0.05.111.68 (0.80)1.68 (0.72)1.82 (0.98).171.70 (0.78)1.70 (0.91).90
    Family status0.16<.0010.15<.0010.19<.0010.84 (0.37)0.80 (0.40)0.76 (0.43).070.88 (0.33)0.60 (0.49)<.001
    CSNR–0.05.17–0.04.28–0.03.310.93 (1.17)0.81 (1.17)0.80 (1.13).190.85 (1.17)1.01 (1.13).06
    Difficult Temperament0.08.010.07.020.07.032.73 (1.63)2.78 (1.64)2.69 (1.34).802.73 (1.60)2.78 (1.59).71
    Maternal age0.17<.0010.16<.0010.12<.00128.76 (5.32)29.26 (5.11)29.86 (5.60).0629.85 (4.70)26.03 (6.25)<.001
    Family dysfunction–0.07.03–0.07.03–0.06.071.63 (1.42)1.69 (1.35)1.83 (1.37).201.55 (1.30)2.10 (1.63)<.001
    Neighborhood safety–0.07.02–0.10.003–0.09.011.79 (0.61)1.82 (0.61)1.76 (0.57).571.76 (0.59)1.93 (0.65)<.001
    Social problems in neighborhood0.09.0030.12<.0010.12<.0012.80 (0.35)2.78 (0.37)2.77 (0.33).562.82 (0.31)2.67 (0.45)<.001
    T1—SES factor–0.28<.001–0.27<.001–0.28<.0010.24 (0.43)0.20 (0.40)0.15 (0.36).06———
    T1—Positive parenting factor0.03.340.03.310.01.64–0.03 (0.35)–0.08 (0.35)–0.07 (0.36).11–0.04 (0.35)–0.08 (0.36).12
    T1—Negative parenting factor–0.08.01–0.08.01–0.04.180.04 (0.60)0.14 (0.62)0.07 (0.64).040.05 (0.59)0.13 (0.67).08
    T1—Family deviancy factor–0.06.09–0.07.04–0.05.140.01 (0.20)0.01 (0.20)0.01 (0.20).99–0.01 (0.18)0.08 (0.25)<.001
    T1—Parent mental health factor–0.15<.001–0.16<.001–0.16<.001–0.04 (0.51)0.09 (0.59)0.04 (0.62).003–0.09 (0.51)0.35 (0.56)<.001
    T1—Child peer relationships factor0.09.0040.10.0020.10.0030.00 (0.30)–0.04 (0.31)–0.05 (0.32).070.00 (0.30)–0.08 (0.32)<.001
    • Data are presented as r, mean, and SD. The center-based (CB) CCS sample eliminates those who remained in parental care (n = 150), thus comparing only children who attend CCS. Among the variables tested as potential selection bias factors, only the positive parenting factor was not related to child care, SES, or academic achievement. It was thus dropped from our analyses, leaving 14 confound variables in the analyses. Also, children in either child-care trajectory (independent variables) differed on 1 individual (birth order) and 6 family variables (maternal age, neighborhood safety, social problems in neighborhood, SES, negative parenting, and parental mental health); T1, Time 1, 5 months to 5 years. These 7 selection bias variables were used as controls in the analyses. —, not applicable.

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    TABLE 3

    Child Care Trajectories (Intensity and Center-Care) Predicting Preadolescent Academic Achievement Scores Using Multiple Linear Regressions

    ReadingWritingMathematics
    B95% CIPESB95% CIPESB95% CIPES
    Model with CCS intensity (n = 1269)
     Step 1
      Gender−8.53−11.42 to –5.64<.001–0.34−11.73−14.43 to –9.03<.001–0.47−4.78−7.73 to –1.84.001–0.18
      Birth order−1.91−3.84 to 0.01.05–0.08−2.42−4.22 to –0.62.008–0.10−2.05−4.00 to 0.10.04–0.08
      Family status4.821.02 to 8.63.010.194.580.97 to 8.19.010.196.532.57 to 10.50.0010.25
      CSNR−0.97−2.52 to 0.58.22–0.04−0.73−2.19 to 0.73.33–0.03–0.68−2.28 to 0.92.40–0.03
      Difficult temperament1.910.45 to 3.36.010.081.930.56 to 3.31.0060.081.600.11 to 3.09.040.06
      Maternal age2.140.56 to 3.73.0080.081.620.13 to 3.11.030.071.11–0.55 to 2.76.190.04
      Family dysfunction−0.46−2.16 to 1.23.59–0.02−0.37−1.94 to 1.20.64–0.020.09−1.60 to 1.78.920.00
      Neighborhood safety−0.26−1.86 to 1.34.75–0.01−0.65−2.11 to 0.82.39–0.03–0.81−2.42 to 0.80.32–0.03
      Social problems in neighborhood−0.11−1.77 to 1.54.900.000.28−1.26 to 1.82.720.010.23−1.42 to 1.87.790.01
      T1—SES factor−15.32−19.19 to –11.45<.001–0.60−14.68−18.28 to –11.08<.001–0.59−14.13−18.06 to –10.20<.001–0.54
      T1—Negative parenting factor−0.54−2.56 to 1.48.60–0.02−0.2−2.08 to 1.67.83–0.010.39−1.66 to 2.45.710.02
      T1—Family deviancy factor0.68−1.05 to 2.40.440.030.32−1.28 to 1.92.700.010.87–0.85 to 2.59.320.03
      T1—Parent mental health factor−0.91−3.18 to 1.36.43–0.03−0.92−3.01 to 1.17.39–0.04–0.973.23 to 1.29.40–0.04
      T1—Child peer relationships factor0.44−1.52 to 2.39.660.020.32−1.49 to 2.14.730.011.49–0.47 to 3.45.140.06
      CCS intensity trajectory contrasts
       High vs low CCS hours−0.28−3.97 to 3.42.88–0.012.67–0.79 to 6.13.130.101.06−2.62 to 4.73.570.05
       Moderate vs low CCS hours−1.81−5.47 to 1.85.33–0.070.09−3.27 to 3.45.960.00–0.76−4.42 to 2.89.68–0.03
     Step 2
      SES interactions with CCS intensity trajectory contrasts
      High vs low intensity × SES9.490.06 to 18.92.05.379.150.25 to 18.05.040.3711.812.23 to 21.38.020.46
      Moderate vs low intensity × SES4.00−3.60 to 11.60.30.165.78−1.35 to 12.91.110.242.57−5.26 to 10.40.520.10
      R20.154—<.001—0.189—<.001—0.128—<.001—
      F14.21—<.001—18.26—<.001—11.53—<.001—
      Δ R20.003—.12—0.004—.08—0.005—.05—
      Δ F2.408———2.837———3.407———
    Model with CB CCS type (n = 1119)
     Step 1
      Gender−8.78−11.82 to –5.73<.001–0.34−11.67−14.51 to –8.83<.001–0.46−4.80−7.82 to –1.780.002–0.18
      Birth order−1.59−3.65 to 0.460.13–0.06−2.64−4.54 to 0.730.007–0.10−1.90−3.95 to 0.140.07–0.07
      Family status4.320.14 to 8.510.040.173.70–0.23 to 7.630.070.156.602.36 to 10.850.0020.26
      CSNR−0.68−2.33 to 0.970.42–0.03–0.37−1.93 to 1.190.64–0.01–0.37−2.05 to 1.310.67–0.01
      Difficult temperament2.210.68 to 3.730.0040.092.030.62 to 3.440.0050.081.820.28 to 3.360.020.07
      Maternal age2.620.90 to 4.330.0030.102.380.79 to 3.980.0030.091.30–0.41 to 3.010.130.05
      Family dysfunction−0.25−2.02 to 1.520.78–0.01–0.13−1.82 to 1.550.880.000.53−1.24 to 2.300.560.02
      Neighborhood safety−0.39−2.07 to 1.290.65–0.02–0.75−2.31 to 0.820.35–0.03–0.77−2.47 to 0.920.37–0.03
      Social problems in neighborhood0.51−1.23 to 2.250.570.021.27–0.38 to 2.930.130.051.07–0.71 to 2.840.240.04
      T1—SES factor−13.92−18.10 to –9.73<.001–0.54−13.33−17.25 to –9.42<.001–0.54−13.59−17.87 to –9.31<.001–0.53
      T1—Negative parenting factor−0.66−2.75 to 1.420.53–0.03–0.43−2.43 to 1.570.67–0.020.54−1.58 to 2.660.620.02
      T1—Family deviancy factor0.61−1.22 to 2.430.520.030.41−1.23 to 2.050.620.020.89–0.87 to 2.650.320.03
      T1—Parent mental health factor−0.69−3.07 to 1.680.57–0.03–0.79−3.01 to 1.420.48–0.03−1.33−3.70 to 1.040.27–0.05
      T1—Child peer relationships factor0.19−1.88 to 2.270.850.01–0.05−1.99 to 1.890.960.000.79−1.28 to 2.870.460.03
      CB CCS trajectory contrasts
       Early-onset vs never−3.19−7.91 to 1.530.19–0.12–0.49−4.95 to 3.970.83–0.020.45−4.34 to 5.240.850.02
       Late-onset vs never−2.02−5.57 to 1.530.27–0.08–0.95−4.23 to 2.320.57–0.04−1.70−5.24 to 1.830.35–0.07
     Step 2
    SES interactions with CB CCS trajectory contrasts
      Early-onset vs never × SES17.425.10 to 29.740.0060.6819.717.77 to 31.640.0010.7916.182.22 to 30.130.020.66
      Late-onset vs never × SES9.210.66 to 17.760.030.375.94−2.22 to 14.100.150.249.820.97 to 18.680.030.39
      R20.140—<.001—0.164—<.001—0.118—<.001—
      F11.18—<.001—13.56—<.001—9.22—<.001—
      Δ R20.009—0.006—0.009—0.003—0.006—0.01—
      Δ F5.581———6.063———3.038———
    • ES are standardized coefficients. Gender: 1 = boys, 0 = girls; birth order: 0 = firstborn, 1 = has siblings; family status: 1 = intact family, 0 = nonintact (blended or single-parent families); SES: 0 = adequate (top 75th quartile); 1 = nonadequate (bottom quartile). —, not applicable; CI, confidence interval; T1, Time 1, 5 months to 5 years.

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    TABLE 4

    SES Within Effects for Child-Care Trajectories (Intensity and CB Type): Predicting SES Differences in Preadolescent Academic Achievement Scores Using Multiple Linear Regressions

    ReadingWritingMath
    B95% CIPESB95% CIPESB95% CIPES
    Model with CCS intensity (n = 1269)
     Gender−8.52−11.41 to –5.63.00–0.34−11.72−14.42 to –9.03.00–0.47−4.77−7.71 to –1.83.00–0.18
     Birth order−1.92−3.85 to 0.00.05–0.08−2.42−4.22 to –0.62.01–0.10−2.08−4.02 to –0.13.04–0.08
     Family status4.891.09 to 8.69.010.194.631.03 to 8.24.010.196.632.67 to 10.59.000.25
     CSNR−1.03−2.59 to 0.53.19–0.04–0.77−2.23 to 0.69.30–0.03–0.78−2.38 to 0.82.34–0.03
     Difficult temperament1.910.45 to 3.36.010.081.940.57 to 3.32.010.081.590.10 to 3.08.040.06
     Maternal age2.170.58 to 3.76.010.081.630.15 to 3.12.030.071.15–0.50 to 2.80.170.05
     Family dysfunction–0.49−2.18 to 1.20.57–0.02–0.38−1.95 to 1.19.64–0.020.04−1.65 to 1.73.960.00
     Neighborhood safety–0.18−1.78 to 1.42.820.00–0.58−2.04 to 0.88.44–0.02–0.71−2.32 to 0.91.39–0.03
     Social problems in neighborhood–0.16−1.81 to 1.50.850.000.22−1.32 to 1.76.780.010.19−1.46 to 1.84.820.01
     T1—Negative parenting factor–0.60−2.62 to 1.42.56–0.02–0.26−2.14 to 1.61.78–0.010.33−1.72 to 2.39.750.01
     T1—Family deviancy factor0.58−1.15 to 2.31.510.020.23−1.37 to 1.83.780.010.74–0.98 to 2.47.400.03
     T1—Parent mental health factor–0.93−3.20 to 1.34.42–0.04–0.95−3.04 to 1.14.37–0.04–0.98−3.24 to 1.28.40–0.04
     T1—Child peer relationships Factor0.42−1.53 to 2.38.670.020.33−1.48 to 2.15.720.011.45–0.51 to 3.41.150.05
    CCS intensity trajectory contrasts
     High vs low CCS hours−2.23−6.39 to 1.93.29–0.090.56−3.36 to 4.49.780.02−1.10−5.29 to 3.09.61–0.04
     Moderate vs low CCS hours−3.37−7.83 to 1.10.14–0.13−2.03−6.16 to 2.10.33–0.09−1.93−6.37 to 2.51.39–0.07
    SES interactions with CCS intensity trajectories
     High CCS intensity × SES−8.94−17.25 to 0.63.03–0.35−9.22−17.01 to –1.42.02–0.37−5.33−13.60 to 2.94.21–0.20
     Moderate CCS intensity × SES−14.43−20.38 to –8.47.00–0.56−12.59−18.16 to –7.02.00–0.50−14.57−20.73 to –8.41.00–0.56
     Low CCS intensity × SES−18.43−23.75 to –13.11.00–0.72−18.37−23.35 to –13.39.00–0.74−17.14−22.58 to –11.69.00–0.66
     R20.16———0.19———0.13———
     F12.93—<.001—16.60—<.001—10.67—<.001—
    Model with CB CCS type (n = 1119)
     Gender−8.73−11.76 to –5.69.00–0.33−11.63−14.46 to –8.80.00–0.46−4.75−7.76 to –1.74.00–0.18
     Birth order−1.73−3.79 to 0.32.10–0.07−2.85−4.75 to –0.94.00–0.11−2.02−4.07 to 0.02.05–0.08
     Family status4.340.17 to 8.51.040.173.76–0.16 to 7.68.060.156.612.38 to 10.84.000.26
     CSNR–0.68−2.32 to 0.97.42–0.03–0.34−1.89 to 1.21.67–0.01–0.37−2.05 to 1.30.66–0.01
     Difficult temperament2.380.86 to 3.90.000.092.150.73 to 3.56.000.092.000.46 to 3.54.010.08
     Maternal age2.590.87 to 4.30.000.102.420.83 to 4.01.000.091.26–0.45 to 2.97.150.05
     Family dysfunction–0.34−2.10 to 1.42.70–0.01–0.21−1.89 to 1.47.81–0.010.43−1.33 to 2.19.630.01
     Neighborhood safety–0.45−2.13 to 1.23.60–0.02–0.82−2.38 to 0.74.30–0.03–0.83−2.53 to 0.87.34–0.03
     Social problems in neighborhood0.47−1.27 to 2.21.600.021.20–0.46 to 2.85.160.051.04–0.74 to 2.82.250.04
     T1—Negative parenting factor–0.69−2.77 to 1.39.52–0.03–0.43−2.42 to 1.57.67–0.020.51−1.61 to 2.62.640.02
     T1—Family deviancy factor0.78−1.04 to 2.60.400.030.61−1.03 to 2.25.470.021.06–0.70 to 2.81.240.04
     T1—Parent mental health factor–0.90−3.27 to 1.47.46–0.03–0.98−3.19 to 1.23.38–0.04−1.53−3.90 to 0.83.20–0.05
     T1—Child peer relationships factor0.13−1.94 to 2.19.900.00–0.10−2.03 to 1.84.920.000.72−1.35 to 2.78.500.03
     CB CCS trajectory contrasts
      Early-onset vs never CB CCS−6.1111.27 to –0.95.020.24−3.71−8.55 to 1.13.130.15−2.29−7.46 to 2.88.390.10
      Late-onset vs never CB CCS−3.94−7.90 to 0.02.050.08−2.22−5.86 to 1.43.230.06−3.74−7.66 to 0.18.06–0.05
     SES interactions with CCS Type Trajectories
      Never CB CCS × SES−17.65−22.58 to –12.72.00–0.69−16.45−21.04 to –11.87.00–0.66−17.3722.31 to –12.42.00–0.68
      Late-onset CB CCS × SES−8.44−15.98 to –0.89.03–0.32−10.52−17.76 to –3.27.00–0.42−7.5415.50 to 0.41.06–0.29
      Early-onset CB × SES–0.23−11.92 to 11.47.970.003.25−8.11 to 14.61.570.13−1.1914.60 to 12.21.86–0.02
      R20.15———0.17———0.13———
      F10.64—<.001—12.83—<.001—8.85—<.001—
    • CB, center based; CI, confidence interval; T1, Time 1, 5 months to 5 years.

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Child Care Services, Socioeconomic Inequalities, and Academic Performance
Julie C. Laurin, Marie-Claude Geoffroy, Michel Boivin, Christa Japel, Marie-France Raynault, Richard E. Tremblay, Sylvana M. Côté
Pediatrics Dec 2015, 136 (6) 1112-1124; DOI: 10.1542/peds.2015-0419

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Child Care Services, Socioeconomic Inequalities, and Academic Performance
Julie C. Laurin, Marie-Claude Geoffroy, Michel Boivin, Christa Japel, Marie-France Raynault, Richard E. Tremblay, Sylvana M. Côté
Pediatrics Dec 2015, 136 (6) 1112-1124; DOI: 10.1542/peds.2015-0419
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