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What is a Cohort Study? Jane Elliott Director of the Centre for Longitudinal Studies July 2012 Sub-brand to go here CLS is an ESRC Resource Centre based at the Institute of Education
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Objectives Introduction to the content and design of the British Birth Cohort studies at CLS Further examples of cohort studies The distinction between a cohort study and a panel study Examples of recent research using cohort data Examples of how cohort studies have had an impact on policy How to find out more/access the data 2
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British Birth Cohort Studies 1946: MRC National Survey of Health & Development 1958: National Child Development Study 1970: 1970 British Birth Cohort Study MCS: Millennium Cohort Study — first national birth cohort study for 30 years (2000-1) Plans for a 2012/2013 cohort study
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4 A Roman Cohort? A cohort....individuals moving or progressing as a unit
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1958 Birth Cohort Study Sample of over 17,000 infants born in 1958 (perinatal mortality study) Sample followed at ages 7, 11, 16, 23, 33, 42, 46, 50 (biomedical at age 44) Multipurpose study: family life; education; employment; skills; housing; health; finances; citizenship Approximately 10,000 individuals are still participating Mainly quantitative – highly structured interviews, but qualitative interviews with a subsample of cohort members at age 50 Core funded by ESRC with data collected every four years (five years after age 50)
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Hypothetical life history x Born 1958 1st Child 1984 2nd Child 1987 Age 7 Age 11 1991 2000 Age 42 2004 Age 46 Age 16 Age 23 1981 Age 33 Gets married Parents’ social class Parental interest in school work Free school meals Mother smoking Parental divorce Maths and reading tests Teachers’ assessment of child’s behaviour Exam results Job 1Job 2Job 3 Voting behaviour Psychological well being Working hours preferences Savings Domestic division of labour Union membership Training and skills Aspirations
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Structured interview at age 50 Household composition, marital status etc Housing Relationships & domestic division of labour Children and parents Family income Employment and Partner’s employment Pensions & attitudes to retirement Qualifications, training and skills Health (including menopause) Alcohol consumption and smoking behaviour Memory & Concentration Voting behaviour, social participation & social support Well-being Consent to record linkage
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Overview of the 1970 cohort study BCS70 is a multi-disciplinary longitudinal study following the lives of over 17,000 individuals born in Great Britain in one week in 1970 There have so far been 8 sweeps of data collection: (Birth, 5, 10, 16, 26, 30, 34 and 38) The 9 th sweep will take place in 2012 when study members will be aged 42: 75 minute face to face interview Additional self-completion questionnaire (paper or online) Funded by ESRC
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Oversamples for Scotland, Wales and Northern Ireland, areas with high child poverty and, in England, areas with higher ethnic minority populations Over 19,000 children born in the UK between September 2000 and January 2002 Follows children throughout their lives Fifth survey, when children are in their last year of primary school Funded by ESRC and UK government departments One of five British Birth Cohort Studies Overview of the Millennium Cohort Study
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What have we done before? And what’s new?
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Narrative elements of cohort studies Allow us to trace lives through time & understand how childhood circumstances may impact on adult outcomes Potentially allow for the construction of individual case studies based on detailed information collected over the years (while preserving confidentiality) Allow for a focus on the historical context which has helped shape individual experiences Comparisons between cohorts can enable the development of a narrative about social change
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Cohort Comparisons 7 11 16 23 33 46 50 42 5 10 34 30 26 16 38 Life cycle effects
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Source: Exploring Data (C. Marsh 1988) Figure 6.1 Unemployment as a problem in Britain: actual and perceived Source: unemployed claimant count: Employment Gazette Decembet 1982 and May 1986. Percentage naming unemployment as most or second most urgent problem facing the country: Gallup Political Index monthly.
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Proportion of women in paid employment, by age and cohort Source: Jenny Neuburger - Paper presented at CLS June 2008
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What is the difference between a cohort study and a (household) panel study? Cohort Study 1.All individuals in the sample are the same age 2.Data collection focussed on specific life stage 3.Large sample of the same age facilitates modelling of specific life transitions 4.Focus on individual trajectories (limited info about other hhold members) 5.Data collection may be less frequent (e.g. British Birth Cohort Studies) 6.Objective health measures in childhood – resource for biomedical research Panel Study 1.Sample of adults representative of whole age range 2.Questions need to be applicable to all 3.Sample spanning different ages allows for description of whole population 4.Focus on household dynamics and transfers 5.Data collection every year or perhaps every two years 6.Perhaps less likely to have a focus on health/bio-medical data 16
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Qualitative Resources Children’s Essays Biographical Interviews at age 50 Open ended question at age 50... ‘Imagine you are 60’ 17
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Social participation project: Qualitative Sub-study of NCDS 2008 ESRC funded a qualitative component of the 2008 sweep of the 1958 cohort study Initial aim to interview 180 cohort members in 3 separate areas of Britain 170 interviews carried out in England and Scotland and a further 50 in Wales Aim to provide archived qualitative data for secondary analysis, together with the existing quantitative datasets Joint project with CRESC at Manchester: Jane Elliott; Andy Miles; Sam Parsons; Mike Savage Funded by the ESRC Research Resources Board
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Structure of the interview and topic guide Interview in six sections: o Neighbourhood and belonging o Social participation and leisure activities o Friendships o Life story and trajectories o Identities o Experience of the NCDS o Visual exercises also included – personal community maps and life trajectories Aim for an average of ninety minute interviews Interviews digitally recorded and transcribed verbatim Interviewers also wrote a brief summary of the interview Interviews to be anonymised and deposited at the UK data archive
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Age 50 self-completion questionnaire At age 50, in 2008 NCDS Cohort members completed a 16-page paper self-completion questionnaire, including questions about health and well being and a personality inventory. The final question stated: Imagine that you are now 60 years old...please write a few lines about the life you are leading (your interests, your home life, your health and well-being and any work you may be doing). Mean length of 7383 responses: 57 words All of the 7383 responses have been transcribed and are being documented and prepared for deposit at the data archive.
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Basic Skills – a major policy concern in Britain 22
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The value of basic skills in the British labour market: Vignoles, De Coulon and Marcenaro-Guierrez (Oxford Economic papers 2011) Aim to evaluate the labour market value of literacy and numeracy Draw on literacy and numeracy tests carried out with the BCS70 cohort at age 34 in 2004. Make use of test score information collected during childhood and also information on qualifications and employment history in order to isolate the impact of basic skills on wages Cross cohort analysis carried out to assess whether the wage return to skills has changed over time. Richness of data from the cohort studies allows proper control for a wide range of observable characteristics. 23
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The value of basic skills? Vignoles, De Coulon and Marcenaro-Guierrez (Oxford Economic papers 2011) Models demonstrated that literacy and numeracy skills have a significant relationship with earnings even for individuals with similar levels of education The effects appear to be very similar for both men and women One standard deviation difference in skill levels is associated with approx 15% increase in earnings Cross-cohort comparisons suggest that the value of basic skills has remained stable over time – this implies that the increase in supply of skills has been matched by an increase in demand for skilled workers 28
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Poverty, family resources and children's early educational attainment: the mediating role of parenting (Kiernan and Mensah, 2011, British Ed Research Journal) Uses longitudinal data from first three waves of MCS (N=5462) Focus on both episodic and persistent poverty Outcome measure is based on the Foundation Stage Profile collected from teachers when children were aged 4-5 in the first year of primary school Equivalised family income was used to measure poverty Family resources index was also constructed: income poverty, mother’s education, family employment, housing tenure, quality of the local area, mother’s age at birth of her first child, family structure, number of children in the household, child’s birth order, child’s ethnic origin and the language spoken in the home Parenting measure constructed using reports of activities with child and interviewer observation 29
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Poverty, family resources and children's early educational attainment (results summary) Children from poor families and those with low levels of family resources are doing worse in their first year of school Poverty matters but persistent poverty is even more detrimental The parenting index was also a very important factor predicting children’s early educational attainment Positive parenting matters regardless of the levels of resources in the family A decompositional analysis suggested that about one-half of the effects of child poverty and 40% of resource disadvantage may be accounted for by the quality of parenting the child has received in early childhood 30
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How do I access the data? Data is available via the Economic and Social Data Service based at the University of Essex Data is free for non-commercial use (e.g. teaching and research) Following a simple registration procedure data can be downloaded directly from the Economic and Social Data Service website Information about what questions have been asked is provided via the CLS website but we can also answer individual enquiries about specific topics. Plans to make more potentially disclosive data available via the Secure Data Service at the University of Essex: http://securedata.data-archive.ac.uk/home
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CLS Birth Cohort Studies: Web Resources Resources available via CLS website: (www.cls.ioe.ac.uk/Cohort/mainncds.htm)www.cls.ioe.ac.uk/Cohort/mainncds.htm –Searchable bibliography (over 2000 articles, chapters etc) –Briefings (summaries of recent findings) –Annotated Questionnaires and CAPI Documentation –Technical Reports – e.g. on sampling, instrument development and fieldwork of MCS –Data Dictionaries –Events and workshops
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Policy relevance of 1958 and 1970 cohort studies The health impact of smoking in pregnancy Child poverty Declining intergenerational mobility Antecedents and consequences of disability Health continuities over the lifecourse and health inequalities Determinants of crime and anti-social behaviour Social and economic returns to education and training Access and barriers to higher education Improving adult basic skills Women’s opportunities in employment Maternal employment and child outcomes
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Conclusions: research questions best addressed by birth cohort data Long term outcomes of experiences and decisions in early life Medium and short-term outcomes & links between different life domains (e.g. health and employment) Descriptions of individual trajectories – careers, relationships, fertility, poverty and disadvantage The links between social change and the changing experiences of different cohorts Intergenerational transmission of advantage and disadvantage and the processes involved
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Website www.cls.ioe.ac.uk Please register for regular updates Follow us on twitter at: www.twitter.com/Clscohorts
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Overview of the Cohort Resources Facility 36
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37 Leadership team WP6: Data linkage - geography WP5: Data linkage administrative data WP7: Data linkage – health data WP1: Harmonisation of biological structure and function WP2: Harmonisation socio-economic resources WP3: Harmonisation analysis of biological samples WP4: Harmonisation measures of vision 1946 cohort 1958 cohort 1970 cohort ALSPAC MCS Understanding Society SWS HCS New BCS Cohorts’ College Cohorts’ repository Metadata Uniform Search Platform Training and capacity building Impact
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BCS70 Sample size (Previous sweeps) - additional information 0 (1970) 5 (1975) 10 (1980) 16 (1986) 26 (1996) 30 (2000) 34 (2004) 38 (2008) Total 16,57113,07114,87411,6219,00311,6219,6658,874 Postal Survey Telephone Survey Achieved sample size in previous sweeps N% Eligible Productive887475.6 Non-contact194916.6 Refusal7126.1 Other unproductive1981.7 Ineligible (Died / Emigrated)110- Total Issued Sample11,843 Age 38 Telephone Survey Response
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A different cohort design – the Hertfordshire Cohort Study 39
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Hertfordshire Cohort Study: structure 1931-19391998-2003 20052008 Live births in Hertfordshire recorded in Health Visitor’s ledgers 39,764 Traced and living in Hertfordshire 8,650 Home interviews 3,225 Clinical outcome questionnaire 2,225 Dead 215 Musculo-skeletal follow-up 642 Clinic visits 2,997
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Hertfordshire Cohort Study: measurements Historical records:Birth weight, weight at one year Infant feeding/infections Questionnaire:General health HRQoL: SF36 Diet: FFQ and 24 hr diary Physical activity Clinic visit:CVD: blood pressure, ECG COPD: spirometry Type 2 DM: anthropometry, OGTT Osteoporosis: DXA OA: Hand & knee x-ray Sarcopenia:strength, anthropometry, pQCT Frailty: Fried score, Rockwood index Wellbeing: WEMWB Scale Venous blood:Glucose, insulin, bone turnover, DNA Syddall et al Int J Epidemiol 2005
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Hertfordshire Cohort Study: geography Hertford Radlett Royston Welwyn Garden City Southampton Baldock
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Hertfordshire Cohort Study: history
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