Abstract
China has made significant progress in enhancing maternal and child health over the past 70 years but geographic-based disparities in early childhood development remain. This study investigated trends in urban–rural gaps in early childhood development and the factors that influence them by leveraging secondary data from the China Family Panel Studies (2010–2018). We also analyzed data from two representative surveys involving direct assessments of child outcomes. In 2018, there were marked reductions in urban–rural differences in participation in center-based early education; the education level of mothers raising children under five years; and cognitive stimulation at home compared to 2010. While urban–rural disparities in children’s health status have decreased, persistent and significant urban–rural gaps in young children’s early developmental outcomes still exist. These disparities are associated with urban–rural differences in maternal education, which affect both children’s early home learning and early childhood education experiences. Suggestions to reduce such inequalities are advanced.
Résumé
Au cours des 70 dernières années, la Chine a réalisé des progrès considérables en matière d'amélioration de la santé maternelle et infantile, mais des disparités géographiques persistent durant le développement de la petite enfance. En s'appuyant sur les données secondaires de l'Enquête de Suivi des Familles Chinoises (2010-2018), cette étude a évalué l'évolution des écarts entre les zones urbaines et rurales en matière de développement de la petite enfance et les facteurs impliqués. En outre, nous avons analysé les données de deux enquêtes représentatives impliquant des évaluations directes des résultats des enfants. En 2018, les différences entre les zones urbaines et rurales ont été nettement réduites par rapport à 2010 en ce qui concerne la participation à l'éducation précoce en centre, le niveau d'éducation des mères élevant des enfants de moins de cinq ans et la stimulation cognitive à la maison. Bien que les disparités urbaines-rurales liées à l'état de santé des enfants aient diminué, il existe encore des écarts persistants et significatifs dans les résultats du développement précoce des jeunes enfants. Ces disparités sont associées à des différences d'éducation maternelle entre les zones urbaines et rurales, qui affectent à la fois l'apprentissage précoce des enfants à la maison et les expériences éducatives de la petite enfance. Des suggestions sont présentées pour réduire ces inégalités.
Resumen
Durante los últimos 70 años, China ha logrado avances significativos en materia de salud materno-infantil, sin embargo, aún persisten disparidades geográficas en el desarrollo de la infancia temprana. A través del aprovechamiento de datos secundarios provenientes de la Encuesta de Seguimiento de Familias Chinas (2010-2018), este estudio investigó tendencias en las brechas entre zonas urbanas y rurales relacionadas con el desarrollo de la infancia temprana, así como los factores que intervienen en ellas. Así mismo, analizamos datos de dos encuestas representativas que involucran evaluaciones directas de resultados de niños. En comparación con 2010, en 2018 hubo reducciones marcadas de diferencias urbano-rurales en cuanto a la participación en la educación temprana en centros; el nivel educativo de las madres que crían a niños menores de cinco años, y la estimulación cognitiva en el hogar. Si bien, las disparidades urbano-rurales relacionadas con el estado de salud de niños han disminuido, todavía existen brechas persistentes y significativas en los resultados del desarrollo temprano de niños pequeños. Estas disparidades están asociadas con diferencias en la educación maternal entre zonas urbanas y rurales, las cuales afectan tanto el aprendizaje temprano de los niños en el hogar como las experiencias educativas en la infancia temprana. Se presentan sugerencias para reducir dichas desigualdades.
Similar content being viewed by others
References
Augustine, J. M., Cavanagh, S. E., & Crosnoe, R. (2009). Maternal education, early child care, and the reproduction of advantage. Social Forces, 88(1), 1–29. https://doi.org/10.1353/sof.0.0233
Britto, P.R., Lye, S.J., Proulx, K., Yousafzai, A.K., Matthews, S.G., Vaivada, T., Perez-Escamilla, R., Rao, N., Ip, P., Fernald, L.C. and MacMillan, H., 2017. Nurturing care: promoting early childhood development. The Lancet, 389(10064), pp.91-102. https://doi.org/10.1016/S0140-6736(16)31390-3
Bronfenbrenner, U., & Morris, P. A. (2006). The bioecological model of human development. In R. M. Lerner, & W. Damon (Eds.), Handbook of child psychology: Theoretical models of human development (Vol. 1, pp. 793–828). https://doi.org/10.1002/9780470147658.chpsy0114.
Brownell, M. D., Ekuma, O., Nickel, N. C., Chartier, M., Koseva, I., & Santos, R. G. (2016). A population-based analysis of factors that predict early language and cognitive development. Early Childhood Research Quarterly, 35, 6–18. https://doi.org/10.1016/j.ecresq.2015.10.004
Carneiro, P., Meghir, C., & Parey, M. (2013). Maternal education, home environments, and the development of children and adolescents. Journal of the European Economic Association, 11(suppl_1), 123-160. https://doi.org/10.1111/j.1542-4774.2012.01096.x
Chan, K. W. (2010). The household registration system and migrant labor in China: Notes on a debate. Population and Development Review, 36 (2), 357–364. http://www.jstor.org/stable/25699064
Chen, L., D. Yang, & Q. Ren. (2015). Report on the State of Children in China. Chapin Hall at the University of Chicago. https://d3qi0qp55mx5f5.cloudfront.net/beijing/i/docs/CFPS-Report-20161.pdf.
Conger, R. D., & Donnellan, M. B. (2007). An interactionist perspective on the socioeconomic context of human development. Annual Review of Psychology, 58(1), 175–199. https://doi.org/10.1146/annurev.psych.58.110405.085551
Dabla-Norris, M. E., Kochhar, M. K., Suphaphiphat, M. N., Ricka, M. F., & Tsounta, M. E. (2015). Causes and consequences of income inequality: A global perspective. Strategy, Policy, and Review Department, International Monetary Fund. https://www.imf.org/external/pubs/ft/sdn/2015/sdn1513.pdf.
Easterlin, R. A., Angelescu, L., & Zweig, J. S. (2011). The impact of modern economic growth on urban–rural differences in subjective well-being. World Development, 39(12), 2187–2198. https://doi.org/10.1016/j.worlddev.2011.04.015
Emmers, D., Jiang, Q., Xue, H., Zhang, Y., Zhang, Y., Zhao, Y., Liu, B., Dill, S., Qian, Y., Warrinnier, N., Johnstone, H., Cai, J., Wang, X., Wang, L., Luo, R., Li, G., Xu, J., Liu, M., Huang, Y., … Rozelle, S. (2021). Early childhood development and parental training interventions in rural China: A systematic review and meta-analysis. BMJ Global Health. https://doi.org/10.1136/bmjgh-2021-005578
Fink, G., Günther, I., & Hill, K. (2014). Slum residence and child health in developing countries. Demography, 51(4), 1175–1197. https://doi.org/10.1007/s13524-014-0302-0
Gan, Y., Meng, L., & Xie, J. (2016). Comparison of school readiness between rural and urban Chinese preschool children. Social Behavior and Personality: An International Journal, 44(9), 1429–1442. https://doi.org/10.2224/sbp.2016.44.9.1429
Harding, J. F. (2015). Increases in maternal education and low-income children’s cognitive and behavioral outcomes. Developmental Psychology, 51(5), 583–599. https://doi.org/10.1037/a0038920
Hu, B. Y., Wu, H., Winsler, A., Fan, X., & Song, Z. (2020). Parent migration and rural preschool children’s early academic and social skill trajectories in China: Are ‘left-behind’ children really left behind? Early Childhood Research Quarterly, 51, 317–328. https://doi.org/10.1016/j.ecresq.2019.12.011
Kien, V. D., Lee, H.-Y., Nam, Y.-S., Oh, J., Giang, K. B., & Minh, H. V. (2016). Trends in socioeconomic inequalities in child malnutrition in Vietnam: Findings from the Multiple Indicator Cluster Surveys, 2000–2011. Global Health Action, 9(1), 29263. https://doi.org/10.3402/gha.v9.29263
LeFevre, J., Fast L., Skwarchuk, S., Smith-Chant, B. L., Bisanz, J., Kamawar, D., and Penner-Wilger, M. (2010). Pathways to mathematics: Longitudinal predictors of performance: Pathways to mathematics. Child Development, 81(6), 1753–1767. http://www.jstor.org/stable/40925297.
Leyendeckera, B., Jäkel, J., Kademoğlu, S. O., & Yagmurlu, B. (2011). Parenting practices and pre-schoolers’ cognitive skills in Turkish immigrant and German families. Early Child Development and Care, 181(8), 1095–1110. https://doi.org/10.1080/03004430.2010.517836
Lehrl, S., Kluczniok, K., & Rossbach, H. G. (2016). Longer-term associations of preschool education: The predictive role of preschool quality for the development of mathematical skills through elementary school. Early Childhood Research Quarterly, 36, 475–488. https://doi.org/10.1016/j.ecresq.2016.01.013
Li, K., Zhang, P., Hu, B. Y., Burchinal, M. R., Fan, X., & Qin, J. (2019). Testing the ‘thresholds’ of preschool education quality on child outcomes in China. Early Childhood Research Quarterly, 47, 445–456. https://doi.org/10.1016/j.ecresq.2018.08.003
Leventhal, T., & Brooks-Gunn, J. (2000). The neighborhoods they live in: the effects of neighborhood residence on child and adolescent outcomes. Psychological Bulletin, 126(2), 309. https://doi.org/10.1037/0033-2909.126.2.309.
Lu, C., Cuartas, J., Fink, G., McCoy, D., Liu, K., Li, Z., Daelmans, B., & Richter, L. (2020). Inequalities in early childhood care and development in low/middle-income countries: 2010–2018. BMJ Global Health, 5(2), e002314. https://doi.org/10.1136/bmjgh-2020-002314
Magnuson, K. A., Sexton, H. R., Davis-Kean, P. E., & Huston, A. C. (2009). Increases in Maternal Education and Young Children’s Language Skills. Merrill-Palmer Quarterly, 55(3), 319–350. http://www.jstor.org/stable/23096260
McCoy, D. C., Peet, E. D., Ezzati, M., Danaei, G., Black, M. M., Sudfeld, C. R., Fawzi, W., & Fink, G. (2016). Early childhood developmental status in low-and middle-income countries: National, regional, and global prevalence estimates using predictive modeling. PLOS Medicine, 13(6), e1002034. https://doi.org/10.1371/journal.pmed.1002034
Miller, P., & Votruba-Drzal, E. (2013). Early academic skills and childhood experiences across the urban-rural continuum. Early Childhood Research Quarterly, 28(2), 234–248. https://doi.org/10.1016/j.ecresq.2012.12.005
National Bureau of Statistics of China. (2020). China statistical yearbook. Beijing: China Statistics Press. http://www.stats.gov.cn/tjsj/ndsj/2020/indexeh.htm.
National Bureau of Statistics of China. (2021). Communiqué of the Seventh National Population Census (No. 7). http://www.stats.gov.cn/english/PressRelease/202105/t20210510_1817192.html.
National Bureau of Statistics of China, UNICEF China, & UNFPA China. (2017). Population Status of Children in China in 2015: Facts and Figures. https://www.unicef.cn/en/reports/population-status-children-china-2015.
National Health Commission of China. (2019). Report on the development of maternal and child health in China. http://www.nhc.gov.cn/fys/s7901/201905/bbd8e2134a7e47958c5c9ef032e1dfa2.shtml.
Pace, A., Alper, R., Burchinal, M. R., Golinkoff, R. M., & Hirsh-Pasek, K. (2019). Measuring success: Within and cross-domain predictors of academic and social trajectories in elementary school. Early Childhood Research Quarterly, 46, 112–125. https://doi.org/10.1016/j.ecresq.2018.04.001
Qian, X., & Smyth, R. (2008). Measuring regional inequality of education in China: Widening coast–inland gap or widening rural–urban gap? Journal of International Development: The Journal of the Development Studies Association, 20(2), 132–144. https://doi.org/10.1002/jid.1396
Qiao, J., Wang, Y., Li, X., Jiang, F., Zhang, Y., Ma, J., Song, Y., Ma, J., Fu, W., Pang, R., Zhu, Z., Zhang, J., Qian, X., Wang, L., Wu, J., Chang, H.-M., Leung, P.C.K., Mao, M., Ma, D., Hesketh, T. (2021). A Lancet Commission on 70 years of women's reproductive, maternal, newborn, child, and adolescent health in China. The Lancet, 397(10293), 2497-2536. https://doi.org/10.1016/S0140-6736(20)32708-2
Rao, N., Cohrssen, C., Sun, J., Su, Y., & Perlman, M. (2021). Early child development in low-and middle-income countries: Is it what mothers have or what they do that makes a difference to child outcomes? Advances in Child Development and Behavior, 61, 255–277. https://doi.org/10.1016/bs.acdb.2021.04.002
Rao, N., Sun, J., Richards, B., Weber, A. M., Sincovich, A., Darmstadt, G. L., & Ip, P. (2019). Assessing diversity in early childhood development in the East Asia-Pacific. Child Indicators Research, 12, 235–254. https://doi.org/10.1007/s12187-018-9528-5
Rao, N., Sun, J., Ng, M., Becher, Y., Lee, D., Ip, P., & Bacon-Shone, J. (2014). Validation, Finalization, and Adoption of the East Asia-Pacific Early Child Development Scales (EAP-ECDS). UNICEF, East and Pacific Regional Office. https://arnec.net/publication/full-report:-east-asia-pacific-early-child-development-scales-(eap-ecds).
Rao, N., Sun, J., Bacon-Shone, J., Ip, P., & Becher, Y. (2016). East Asia-Pacific early child development scales-short form. The University of Hong Kong.
Reardon, S. F. (2013). The widening income achievement gap. Educational Leadership, 70(8), 10–16.
Ren, L., & Zhang, X. (2020). Antecedents and consequences of organized extracurricular activities among Chinese preschoolers in Hong Kong. Learning and Instruction, 65, 101267. https://doi.org/10.1016/j.learninstruc.2019.101267
Reynolds, S. A., Andersen, C., Behrman, J., Singh, A., Stein, A. D., Benny, L., Crookston, B. T., Cueto, S., Dearden, K., Georgiadis, A., Krutikova, S., & Fernald, L. C. H. (2017). Disparities in children’s vocabulary and height in relation to household wealth and parental schooling: A longitudinal study in four low-and middle-income countries. SSM-Population Health, 3, 767–786. https://doi.org/10.1016/j.ssmph.2017.08.008
Rubin, D. B. (1987). Multiple imputation for survey nonresponse (Vol. 81). John Wiley & Sons.
Schady, N., Behrman, J., Araujo, M. C., Azuero, R., Bernal, R., Bravo, D., Lopex-Boo, F., Macours, K., Marshall, D., Paxson, C., & Vakis, R. (2014). Wealth gradients in early childhood cognitive development in five Latin American countries (No. 83776). Inter-American Development Bank. https://doi.org/10.2139/ssrn.2395307.
Shi, H., Zhao, C., Dou, Y., Duan, X., Yang, L., Du, Y., Huang, X., Wang, X., & Zhang, J. (2020). How parental migration affects early social–emotional development of left-behind children in rural China: A structural equation modeling analysis. International Journal of Public Health, 65, 1711–1721. https://doi.org/10.1007/s00038-020-01509-w
Song, Y. (2014). What should economists know about the current Chinese hukou system? China Economic Review, 29, 200–212. https://doi.org/10.1016/j.chieco.2014.04.012
Su, Y., Lau, C., & Rao, N. (2020). Early education policy in China: Reducing regional and socioeconomic disparities in preschool attendance. Early Childhood Research Quarterly, 53, 11–22. https://doi.org/10.1016/j.ecresq.2020.02.001
Su, Y., Rao, N., Sun, J., & Zhang, L. (2021). Preschool quality and child development in China. Early Childhood Research Quarterly, 56(2), 15–26. https://doi.org/10.1016/j.ecresq.2021.02.003
UNICEF, WHO, & World Bank Group. (2021). Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates, key findings of the 2021 edition. https://reliefweb.int/report/world/levels-and-trends-child-malnutrition-unicefwhoworld-bank-group-joint-child-2.
UNESCO. (2021). Sustainable Development Goals 1 and 4: 4.2.2 Participation rate in organized learning (one year before the official primary entry age), by sex (administrative data) http://data.uis.unesco.org/.
United Nations. (2018). World urbanization prospects: The 2018 revision. Department of Economic and Social Affairs, United Nations. https://population.un.org/wup/Publications/Files/WUP2018-KeyFacts.pdf.
Vandell, D. L., Belsky, J., Burchinal, M., Steinberg, L., Vandergrift, N., & NICHD Early Child Care Research Network. (2010). Do effects of early child care extend to age 15 years? Results from the NICHD study of early child care and youth development. Child Development, 81(3), 737–756. https://doi.org/10.1111/j.1467-8624.2010.01431.x
Victora, C. G., Barros, A. J., França, G. V., da Silva, I. C., Carvajal-Velez, L., & Amouzou, A. (2017). The contribution of poor and rural populations to national trends in reproductive, maternal, newborn, and child health coverage: Analyses of cross-sectional surveys from 64 countries. The Lancet Global Health, 5(4), e402–e407. https://doi.org/10.1016/S2214-109X(17)30077-3
von Hippel, P. T. (2007). Regression with missing Ys: An improved strategy for analyzing multiply imputed data. Sociological Methodology, 37(1), 83–117. https://doi.org/10.1111/j.1467-9531.2007.00180.x
Weber, A., Darmstadt, G. L., & Rao, N. (2017). Gender disparities in child development in the East Asia-Pacific region: A cross-sectional, population-based, multicountry observational study. The Lancet Child & Adolescent Health, 1(3), 213–224. https://doi.org/10.1016/S2352-4642(17)30073-1
White, I. R., Royston, P., & Wood, A. M. (2011). Multiple imputation using chained equations: Issues and guidance for practice. Statistics in Medicine, 30(4), 377–399. https://doi.org/10.1002/sim.4067
Xie, Y., & Hu, J. (2014). An introduction to the China family panel studies (CFPS). Chinese Sociological Review, 47(1), 3–29.
Yang, C., Liu, X., Yang, Y., Huang, X., Song, Q., Wang, Y., & Zhou, H. (2019). Quality of care and suspected developmental delay among children aged 1–59 months: A cross-sectional study in 8 counties of rural China. BMC Pediatrics, 19(1), 1–11. https://doi.org/10.1186/s12887-019-1406-x
Yu, M., & Crowley, C. B. (2020). The discursive politics of education policy in China: Educating migrant children. The China Quarterly, 241, 87–111. https://doi.org/10.1017/S0305741019000742
Zhang, Y., Kang, L., Zhao, J., Song, Y., Jiang, F., & Lu, C. (2021). Assessing the inequality of early child development in China-A population-based study. The Lancet Regional Health-Western Pacific, 14, 100221. https://doi.org/10.1016/j.lanwpc.2021.100221
Acknowledgements
The work described in this paper was supported by two grants from the Research Grants Council of the Hong Kong SAR, China (Project No. HKU 17610517—Early childhood development, preschool quality, school readiness and early achievement: A longitudinal study in China; and Project No. HKU 17609521 -Enhancing Early Childhood Development in China and India: Understanding the Contributions of Maternal Education and Policy Variations); and a UKRI Collective Fund Award (Grant Ref: ES/T003936/1), UKRI GCRF Harnessing the power of global data to support young children’s learning and development: Analyses, dissemination and implementation.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Rao, N., Su, Y. & Gong, J. Persistent Urban–Rural Disparities in Early Childhood Development in China: The Roles of Maternal Education, Home Learning Environments, and Early Childhood Education. IJEC 54, 445–472 (2022). https://doi.org/10.1007/s13158-022-00326-x
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13158-022-00326-x