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Early child development in china
In the past 30 years, China has reached the target of lifting 500 million people out of poverty. The rate of increase in human development indicators has become the second fastest in the world, allowing China to enter the ranks of middle-income countries. As the most populous country, accounting for one-fifth of the world's population, its transformation has been unprecedented in human history. Scientific evidence and international experience in the past 10 years have found that early child development (ECD) is key to human development, as it lays the foundation for the rest of life. Early child development includes physical, psychological, emotional, language, behavioral, and social development. Experience in the early years of life will determine healthy development and happiness in the rest of life. Research has found that investment in ECD is the most cost effective strategy to improve human development. In China's demographic transition, the population of children and youth is declining in absolute numbers, and the investment of raising them can increase on a per capita basis. This study has been in the making since 2009. It was prepared during a time when China was charting its course of development under the 12th Five-Year Plan (2011-2015). The study began with an agreement between the World Bank and China's National Population and Family Planning Commission (NPFPC) for a collaborative study on ECD. Concurrently, China's Ministry of Education invited the World Bank to conduct an overall review of the education sector, in order to provide it with inputs and suggestions as it prepared China's national plan for medium- and long-term education reform and development (2010-2020). In reviewing achievements and challenges in the education sector, the Bank found that there was much room for expanding and improving preprimary education for children ages 3-6. The Ministry of Education appreciated the Bank's identification of this need and set ambitious goals for preprimary education in the national education plan.
eBook
Prevalence and Risk Factors of Immunosuppressant Nonadherence in Heart Transplant Recipients: A Single-Center Cross-Sectional Study
Immunosuppressant nonadherence (INA) has been shown to affect outcomes after solid organ transplantation. The aim of the present study was to determine the prevalence of INA in heart transplant recipients and the associated risk factors of INA.
Adult heart transplant recipients who firstly received heart transplantation (discharged for at least 3 months) were consecutively enrolled. Immunosuppressant adherence was assessed using the Basel Assessment of Adherence with Immunosuppressive Medication Scale (BAASIS). INA was categorized into five domains of contributing factors (socio-demographic factors, transplant-related factors, healthcare system access factors, post-transplant treatment-related factors, and patient-related psychosocial factors). These factors were compared between adherent and nonadherent patients. The risk factors of INA were investigated by logistic regression analysis.
A total of 168 heart recipients were ultimately included. Among them, 69 (41.1%) recipients were revealed to be nonadherent. Logistic regression analysis indicated that INA was associated with monthly income<3000 Chinese Yuan (CNY) (OR, 3.11; 95% CI, 1.58-6.12; p=0.001), number of prescribed concomitant drugs (OR, 1.23; 95% CI, 1.12-1.50; p=0.003) and concerns about immunosuppressants (OR, 1.09; 95% CI, 1.01-1.18; p=0.031).
Heart recipients had a high prevalence of INA. Lower income, greater number of prescribed concomitant drugs, and more concerns about immunosuppressants correlated most with timing nonadherence and taking nonadherence among heart recipients. These findings will be helpful to intervene on and prevent future INA of heart recipients.
Journal Article
Concurrent validity of the Ages and Stages Questionnaire and the Bayley Scales of Infant Development III in China
Choosing a valid and feasible method to measure child developmental outcomes is key to addressing developmental delays, which have been shown to be associated with high levels of unemployment, participation in crime, and teen pregnancies. However, measuring early childhood development (ECD) with multi-dimensional diagnostic tests such as the Bayley Scales of Infant and Toddler Development III (Bayley-III) can be time-consuming and expensive; therefore, parental screening tools such as the Ages and Stages Questionnaire (ASQ-3) are frequently an alternative measure of early childhood development in large-scale research. The ASQ is also becoming more frequently used as the first step to identify children at risk for developmental delays before conducting a diagnostic test to confirm. However, the effectiveness of the ASQ-3 is uncertain. In this study, we evaluate the accuracy of the ASQ-3 as a screening measure for children at risk of developmental delay in rural China by age group. To do so, we administered the Bayley-III, widely considered to be the \"gold standard\" of ECD diagnostic tests, to a sample of 1,831 five to twenty-four month-old children and also administered the ASQ-3 to their caregivers. We then compared the outcomes of the ASQ-3 test to those of the Bayley-III. We find that the ASQ-3 was significantly though weakly correlated with the Bayley-III and that the strength of this correlation increased with child age and was stronger when the mother was the primary caregiver (as compared to the grandmother). We also find that the sensitivity and specificity of ASQ-3 ranged widely. The overall findings suggest that the ASQ-3 may not be a very accurate screening tool for identifying developmentally delayed children, especially for children under 13 months of age or children whose primary caregiver is not the mother.
Journal Article
Education of Children Left Behind in Rural China
Despite China's substantial internal migration, long-standing rural-urban bifurcation has prompted many migrants to leave their children behind in rural areas. This study examined the consequences of out-migration for children 's education using longitudinal data from the China Health and Nutrition Survey (N = 885). This study took into account the complex family migration strategies and distinguished various types of migration in China, including different forms of parental migration as well as sibling migration. The results showed that migration of siblings generates benefits for children ' s education, which is particularly pronounced for girls and children at middle-school levels. But parental migration has not given children left behind a significant advantage in educational prospects as their parents had hoped. Younger children seem to be especially susceptible to the disruptive effect of parental out-migration.
Journal Article
Children's Sharing Behavior in Mini-Dictator Games: The Role of In-Group Favoritism and Theory of Mind
This study investigated the motivational and social-cognitive foundations (i.e., inequality aversion, in-group bias, and theory of mind) that underlie the development of sharing behavior among 3-to 9-year-old Chinese children (N = 122). Each child played two mini-dictator games against an in-group member (friend) and an outgroup member (stranger) to divide four stickers. Results indicated that there was a small to moderate agerelated increase in children's egalitarian sharing with strangers, whereas the age effect was moderate to large in interactions with friends. Moreover, 3-to 4-year-olds did not treat strangers and friends differently, but 5-to 6-year-old and older children showed strong in-group favoritism. Finally, theory of mind was an essential prerequisite for children's sharing behavior toward strangers, but not a unique predictor of their sharing with friends.
Journal Article
Does free education help combat child labor? The effect of a free compulsory education reform in rural China
This paper evaluates the effect of a free compulsory education reform in rural China on the incidence of child labor. We exploit the cross-province variation in the rollout of the reform and apply a difference-in-differences strategy to identify the causal effects of the reform. We find that exposure to free compulsory education significantly reduces the incidence of child labor for boys, but has no significant effect on the likelihood of child labor for girls. Specifically, one additional semester of free compulsory education decreases the incidence of child labor for boys by 8.3 percentage points. Moreover, the negative effect of the reform on the likelihood of child labor is stronger for boys from households with lower socioeconomic status. Finally, the free compulsory education reform may induce parents to reallocate resources towards boys within a household and thus may enlarge the gender gap in human capital investment.
Journal Article
The Evolution of China's One-Child Policy and Its Effects on Family Outcomes
In 1979, China introduced its unprecedented one-child policy, under which households exceeding the birth quota were penalized. However, estimating the effect of this policy on family outcomes turns out to be complicated. China had already enacted an aggressive family planning policy in the early 1970s, and its fertility rates had already dropped sharply before the enactment of the one-child policy. The one-child policy was also enacted at almost the same time as China's market-oriented economic reforms, which triggered several decades of rapid growth, which would also tend to reduce fertility rates. During the same period, a number of other developing countries in East Asia and around the world have also experienced sharp declines in fertility. Overall, finding defensible ways to identify the effect of China's one-child policy on family outcomes is a tremendous challenge. I expound the main empirical approaches to the identification of the effects of the one-child policy, with an emphasis on their underlying assumptions and limitations. I then turn to empirical results in the literature. I discuss the evidence concerning the effects of the one-child policy on fertility and how it might affect human capital investment in children. Finally I offer some new exploratory and preliminary estimates of the effects of the one-child policy on divorce, labor supply, and rural-to-urban migration.
Journal Article