Indicator Metadata
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Name |
Children Vulnerable in Areas of Early Development |
Short/Other Names |
Children Vulnerable in One or More Areas of Early Development |
Description |
This indicator is an important determinant of health and well-being in later life. It measures the percentage of children who are considered vulnerable in at least 1 developmental domain at school entry, as measured by the Early Development Instrument (EDI). The EDI is a kindergarten teacher–completed checklist that consists of 103 questions and measures 5 areas of early child development:
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Interpretation | A lower percentage of children considered vulnerable at school entry is a positive indicator of healthy development at approximately age 5. |
HSP Framework Dimension | Health System Outcomes: Improve health status of Canadians |
Areas of Need | Not applicable |
Geographic Coverage | Newfoundland and Labrador, Prince Edward Island, New Brunswick, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon, Northwest Territories |
Reporting Level/Disaggregation | National, Province/Territory, Region |
Indicator Results | Accessing Indicator Results on Your Health System: In Depth |
Name | Children Vulnerable in Areas of Early Development |
Short/Other Names | Children Vulnerable in One or More Areas of Early Development |
Description |
This indicator is an important determinant of health and well-being in later life. It measures the percentage of children who are considered vulnerable in at least 1 developmental domain at school entry, as measured by the Early Development Instrument (EDI). The EDI is a kindergarten teacher–completed checklist that consists of 103 questions and measures 5 areas of early child development:
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Calculation: Description |
This indicator is calculated by dividing the number of children who are considered vulnerable in at least 1 developmental domain by the total number of children for whom the EDI was completed (indicator reported based on school year, September to June; school year may vary slightly by province/school board). All questionnaires must meet the inclusion criteria to be included in the analyses.
A child is considered vulnerable when his or her EDI score in a developmental domain is equal to or lower than the score corresponding to the 10th percentile of all kindergarten children (based on a pan-Canadian set of EDI results) for that developmental domain. Children who are vulnerable in areas of early development are more likely to face greater challenges in school learning than those who are not vulnerable. The pan-Canadian results may vary slightly from those published by provinces and territories because the population of reference is different. The Canadian vulnerability percentage is calculated based on the most recent data for all available provinces and territories. As of August 2020, coverage is not available in Nunavut. |
Calculation: Geographic Assignment |
Place of residence |
Calculation: Type of Measurement |
Percentage or proportion |
Calculation: Adjustment Applied |
None |
Calculation: Method of Adjustment |
Not applicable |
Denominator |
Description: |
Numerator |
Description: |
Rationale |
Healthy child development is an important determinant of health and well-being in later life. It is the outcome of available services and supports for families, effective parenting, as well as the social and economic circumstances in which children live and grow up, such as their housing, neighbourhood and community environment; family income and parents' level of education; and access to nutritious foods and physical recreation. Child development can be assessed at age 5 with the EDI. The EDI was developed to provide a feasible, acceptable and psychometrically sound measuring instrument that assesses developmental health of children before entering Grade 1. The instrument has been designed to provide information for groups of children to
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Interpretation | A lower percentage of children considered vulnerable at school entry is a positive indicator of healthy development at approximately age 5. |
HSP Framework Dimension | Health System Outcomes: Improve health status of Canadians |
Areas of Need | Not applicable |
Targets/Benchmarks | Not Applicable |
References |
Chief Medical Officer of Health of Ontario. Maintaining the Gains, Moving the Yardstick: Ontario Health Status Report, 2011. 2011 Annual Report of the Chief Medical Officer of Health of Ontario to the Legislative Assembly of Ontario, 2013.
Janus M, Offord D. Development and psychometric properties of the Early Development Instrument (EDI): A measure of children’s school readiness. Canadian Journal of Behavioural Science. 2007. Offord Centre for Child Studies. Early Development Instrument. https://edi.offordcentre.com/ |
Data Sources |
Early Development Instrument (EDI) |
Available Data Years |
Type of Year: |
Geographic Coverage |
Newfoundland and Labrador, Prince Edward Island, New Brunswick, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon, Northwest Territories |
Reporting Level/Disaggregation |
National, Province/Territory, Region |
Update Frequency |
The frequency of data collection varies across jurisdictions. Some jurisdictions have a 1-year data collection period, while others have a collection period of 2 or more years. The most recent data available is for the following periods: N.L.: 2013–2014; P.E.I.: 2007–2008; N.S.: 2017–2018; N.B.: 2008–2009; Que.: 2016–2017; Ont.: 2018–2019; Man.: 2016–2017; Sask.: 2009–2010 to 2010–2011; Alta.: 2015–2016; B.C.: 2016–2017 to 2018–2019; Y.T.: 2012–2013; N.W.T.: 2014–2015 to 2016–2017. The Canadian average is calculated based on the most recent data for all available provinces and territories. |
Indicator Results |
Web Tool: |
Updates |
Not applicable |
Caveats and Limitations |
To protect confidentiality and to allow for the deduction of meaningful statistics, the Offord Centre for Child Studies suppresses information for units of aggregation that feature EDI results for less than 35 children (when the units are geographic in nature). EDI collection in Alberta was completed via active parent/guardian consent (rather than passive consent, as is done in other provinces/territories). School authorities were given the choice to participate in EDI collection. 2016 is considered a provincial collection, although data was not collected from all school authorities. Please note that the age of entry into kindergarten may vary by province, specifically in Quebec and Prince Edward Island. |
Trending Issues |
Trending should be conducted with caution given that the frequency of data collection varies across jurisdictions. Some jurisdictions have a 1-year data collection period, while others have a collection period of 2 or more years involving pooled data years. It is important to consider these differences in jurisdictional data collection when evaluating trends over time. |
Comments |
Data is reported by school year (September to June; may vary slightly by province/school board); the first year of available data is for the 2004–2005 school year. National results are calculated based on the most recent data from all available provinces and territories. Refer to the Update Frequency field above for detailed information on the most recent data available. Provincial/territorial and health regional data includes all provinces and territories except Nunavut. Indicator results are also available on
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