Life Chances Research Articles

INTRODUCTION: Africa's quest for inclusion: Trends and patterns

Social inclusion is a multifaceted concept and is a critical pillar for transformative economic development. Its opposite, social exclusion entails the lack of or denial of resources, rights, goods and services, and the inability to participate in normal relationships and activities, available to people in a society, whether in economic, social, cultural, or political contexts. It affects the quality of life of individuals, the equity and cohesion of society and the lived experiences of citizens (Levitas, Pantazis, Fahmy, Gordon, Lloyd, & Patsios, 2007). Social inclusion, considers the terms of engagement of individuals and or groups in society, assessing the ability of the system to improve the capability, opportunity, and dignity of those disadvantaged based on their identity (World Bank, 2024). The inability of individuals or communities to make meaningful and consistent contributions reflects their exclusion. Exclusion can be based on age, gender, occupation, ethnicity, race, religious beliefs, citizenship, disability, or sexual orientation (World Bank, 2024). There are differing levels of exclusion. When exclusion is deep, it is characterised by a lack of access to one or more domains resulting in severe negative consequences to quality of life, well-being, and future life chances (Levitas et al., 2007).

Class and Ethno-Gender Differences in Education and Labour Market Position—An Intersectional Analysis of Ethnic Integration in the UK

This paper analyses the socio-economic disadvantages of women from different ethnic minority heritages in the UK. Using data from the Labour Force Survey (2014–2023), which contains detailed information on parental class and respondents’ socio-economic conditions, we examine four domains of life chances which are crucial for ethnic integration: educational attainment at the degree level, risks of unemployment, access to professional-managerial (salariat) position and earning power. We proceeded with the gross differences and then examined the differences by ethno-gender status and parental class combinations, controlling for many confounding factors. We also examined the net ethno-gender differences over the life course and the trends of social fluidity over the period covered and across the ethno-gender groups. We found that women from all ethnic origins were doing well in education but faced multiple disadvantages in the labour market, especially in access to the salariat and in earning power. Women of Pakistani/Bangladeshi heritages faced pronounced unemployment risks, especially at the earlier life stages. There is a significant increase in fluidity over the period covered, but this is marked by considerable ethnic and class differences, with Black Caribbean, Black African, Pakistani and Bangladeshi women from more advantaged class origins being unable to secure advantaged class positions and those from working-class families unable to make long-range upward mobility as effectively as White men. Overall, Bangladeshi, Pakistani, Black African and Black Caribbean women are found to be considerably disadvantaged, but there are also signs of social progress.

Identify high-risk DOR women ≤ 35 years old following assisted reproduction technology through cutoffs of anti-mullerian hormone and antral follicle counts

BackgroundFemales with diminished ovarian reserve (DOR) have significantly lower cumulative live birth rates (CLBRs) than females with normal ovarian reserve. A subset of young infertile patients, whose ovarian reserve is declining but has not yet met the POSEIDON criteria for DOR, has not received the attention it merited. These individuals have not been identified in a timely manner prior to the initiation of assisted reproductive technology (ART), leading to suboptimal clinical pregnancy outcomes. We categorized this overlooked cohort as the “high-risk DOR” group.ObjectiveThe primary aim of this study was to identify high-risk DOR patients through anti-Mullerian hormone (AMH) and antral follicle counts (AFCs).MethodsA total of 10037 young women (≤ 35 years old) who underwent their first initial oocyte aspiration cycle at a single reproductive medicine center were included and further classified into three groups, based on the thresholds for AMH and AFC established through receiver operating characteristic (ROC) analysis and in alignment with the POSEIDON criteria. Two ROC analyses were performed to identify the cutoff values of AMH and AFC to obtain one viable embryo (one top-quality embryo or one viable blastocyst). The cutoffs of ROC were measured by sensitivity and specificity. The primary outcome was the cumulative live birth rate (CLBR) per oocyte aspiration cycle. The secondary outcomes included the number of oocytes retrieved and the number of viable embryos formed. Pearson’s chi-square tests were conducted to compare the clinical outcomes among the three groups. Furthermore, univariate logistic regression analyses were performed to investigate the associations between ovarian reserve and clinical outcomes. All of the above comparisons between the high-risk DOR and NOR were further confirmed by propensity score matching (PSM) (1:1 nearest-neighbor matching, with a caliper width of 0.02).ResultsAccording to the ROC analyses and POSEIDON criteria, the present study identified a population of high-risk DOR patients (1.20 ng/mL < AMH values < 2.50 ng/mL, with 6 ≤ AFC ≤ 10; n = 682), and their outcomes were further compared to those of DOR patients (positive control, AMH values ≤ 1.2 ng/mL, and/or AFC ≤ 5; n = 1153) and of NOR patients (negative control, 2.5 ng/mL ≤ AMH values ≤ 5.5 ng/mL, and 11 ≤ AFC ≤ 20; n = 2649). Patients in the high-risk DOR group had significantly lower CLBRs than those in the NOR group (p < 0.001) but higher CLBRs than those in the DOR group (p < 0.001). Logistic regression further demonstrated that high-risk DOR was associated with a lower likelihood of cumulative live birth chance (OR 0.401, 95% CI: 0.332–0.486, p < 0.001) than NOR was, with a greater likelihood of cumulative live birth chance (OR 1.911, 95% CI:1.558–2.344, p < 0.001) than DOR was. To investigate the effects of embryo development stage, the outcomes of D3 embryos and blastocysts were analyzed separately. Significant differences in pregnancy outcomes were detected only in D3 embryo ET cycles among the three groups (high-risk DOR vs. NOR, all p < 0.05; DOR vs. NOR, all p < 0.05). DOR/high-risk DOR did not influence the pregnancy loss rates or pregnancy outcomes (clinical pregnancy rates and ongoing pregnancy rates) per positive HCG cycle (all p > 0.05). After PSM, the differences in ovarian response and pregnancy outcomes between the high-risk DOR and NOR groups were consistent with the results before PSM.Conclusion(s)Our study revealed that the CLBR of the high-risk DOR patients was significantly lower than that of females with normal ovarian reserve and greater than that of females with DOR. The values of AMH ranging from 1.2 to 2.5 and AFC ranging from 6 to 10 appeared to constitute meaningful thresholds in females with mildly reduced ovarian reserve.

Examining trends in school segregation in compulsory and upper secondary education in Sweden: the showcase of an urban school market

ABSTRACT Educational success is central to the life chances of young people, but increasing differences in student achievement between schools are commonly attributed to increasing school segregation. The aim of the study was to examine the trends in socioeconomic, ethnic, and academic segregation in compulsory and upper secondary education in the Gothenburg school market between 1998 and 2020. Utilizing register data from the Gothenburg Longitudinal Database (n = 1 662 166), the study showed that school segregation intensified over time and across education levels, particularly in the Gothenburg municipality and upper secondary education. The geography of upper secondary education becomes more clustered after stricter upper secondary qualifications are implemented. These findings are discussed in relation to the Swedish school reforms that resulted in the materialization and expansion of the school market with a significant increase in school provisions, leading to the (re-)production of unjust geographies.

Tackling inequalities in preconception health and care: barriers, facilitators and recommendations for action from the 2023 UK preconception EMCR network conference.

Reducing inequalities in preconception health and care is critical to improving the health and life chances of current and future generations. A hybrid workshop was held at the 2023 UK Preconception Early and Mid-Career Researchers (EMCR) Network conference to co-develop recommendations on ways to address inequalities in preconception health and care. The workshop engaged multi-disciplinary professionals across diverse career stages and people with lived experience (total n = 69). Interactive discussions explored barriers to achieving optimal preconception health, driving influences of inequalities and recommendations. The Socio-Ecological Model framed the identified themes, with recommendations structured at interpersonal (e.g. community engagement), institutional (e.g. integration of preconception care within existing services) and environmental/societal levels (e.g. education in schools). The co-developed recommendations provide a framework for addressing inequalities in preconception health, emphasising the importance of a whole-systems approach. Further research and evidence-based interventions are now needed to advance the advocacy and implementation of our recommendations.

One-to-one counselling and school attendance in the UK: a single group pre-post study

ObjectiveAbsence rates remain high in UK schools, with negative implications for attainment, life chances and inequality. Reasons for non-attendance are complex but include psychosocial factors. Few UK-based studies have evaluated...

Evaluating a targeted selective speech, language, and communication intervention at scale – Protocol for the Happy Talk cluster randomised controlled trial.

Background In areas of social disadvantage up to 40–50% of children enter preschool with speech and language skills significantly poorer than would be expected for their age. The Happy Talk trial tests if a community embedded, targeted selective speech and language programme that simultaneously engages with parents and early childhood educators, (1) improves language outcomes in children aged between 2 years 10 months and 6 years and (2) is cost effective for the health care system. Method The Happy Talk trial is a large scale cluster randomised trial of a 12-week manualised intervention delivered in pre/school settings serving socially disadvantaged communities, in Ireland. Seventy-two clusters will receive the intervention (12 participants per cluster). Parents and pre/school staff engage in group training and coaching in the form of 12 1-hour sessions for parents and four staff workshops, over the course of the pre/school year. Training/coaching includes core interaction skills (modelling, expanding, balancing questions and comments), early literacy and phonological awareness. Blinded assessments pre- and immediately post-intervention and at 6 months follow up, will measure the primary outcomes of children’s receptive and expressive language and functional impact, and secondary outcomes of quality of life. Parental responsiveness and educator-child interactions will also be evaluated. Discussion This robust study evaluates a public health approach to the delivery of speech language and communication intervention in the ‘real world’ in the community, which focuses on prevention and equity of access. Pilot work indicates that the programme is feasible, acceptable to parents and staff, cost effective, and suitable for implementation at scale. The trial includes a process evaluation, a well-developed economic evaluation and the outcomes are directly relevant to children, families and educators. This work has the potential to improve the long-term outcomes and life chances of people living in social disadvantage. Trial registration clinicaltrials.gov NCT06460090 Trial Management There is a formal governance structure to oversee the conduct and running of the trial, consisting of a trial management group and a steering committee. More details on the composition, roles and responsibilities of each committee can be found in the supplemental material.

Raising post‐secondary education participation of young people transitioning from care: The effects of extended legislative support

AbstractOut‐of‐home care is associated with a range of negative social outcomes for the young people who experience it. The most promising path to improved life chances for care‐experienced young people is arguably through education, especially post‐secondary education. Currently, no national data are collected on the post‐secondary education participation of care‐experienced young people. However, the evidence that exists suggests their participation rate is likely very low. Historically, one reason for post‐secondary participation gaps has been the fact that care ended abruptly at 18 years, forcing care‐experienced young people into independence much faster and earlier than the vast majority of their same‐age peers. The recent extension to care to 21 years for most young people in care across all Australian jurisdictions has changed the out‐of‐home care landscape considerably. A central question is whether the extension of care will, in itself, result in increased post‐secondary education access and success for care‐experienced young people. We address this question through an examination of the current out‐of‐home care and education landscape, including state and territory legislation, Australian Government policy and current post‐secondary settings and outcomes.

EYoung men's experiences of violence and poverty and the relationship to sexually transmissible HIV: a cross sectional study from rural South Africa.

Young (ages 18-35 years) men are inadequately engaged in HIV prevention and treatment globally, including in South Africa, increasing the likelihood of them having sexually transmissible HIV (i.e. living with HIV but with high viral loads). We sought to understand how men's experiences of poverty and violence, impacted on transmissible HIV, directly or indirectly via mental health and substance misuse. Rural communities in northern KwaZulu-Natal, South Africa. Cross-sectional population-based random selection (September 2018-June 2019), assessing transmissible HIV (living with HIV and viral load ≥400 copies/mL) via dried blood spots, and socio-demographic data. Structural equation models (SEM), assessed direct and indirect pathways from food insecurity and violence experience to transmissible-HIV, with mediators common mental disorders, alcohol use, gender inequitable attitudes and perceptions of life chances. 2,086 young (ages 18-36 years) men and 8.6%(n=178) men had transmissible HIV. In SEM no direct pathways between food insecurity, or violence experience, and transmissible HIV. Poor mental health and alcohol use mediated the relationship between violence experience and food insecurity and transmissible HIV. Life chances also mediated the food insecurity to transmissible HIV pathway. There was a high level of transmissible HIV in a representative sample of young men. The analysis highlights the need to address both the proximate 'drivers' poor mental health and substance misuse, as well as the social contexts shaping these among young men, namely poverty and violence experience. Building holistic interventions that adequately engage these multiple challenges is critical for improving HIV among young men.

Keynote 1: Chris GidlowThinking about inclusion - learning from physical activity research and beyond

Abstract Certain individuals and population subgroups are ‘under-served’; not sufficiently included in society, health-enhancing opportunities or associated research to have the same chances of a healthy life as others. This presentation uses data from England to illustrate the reduction of public spending and worsening of the social determinants that has created conditions that exacerbate such exclusion and corresponding poor health outcomes. Specifically, learning will be shared from multiple disadvantage research, where people find themselves at the extreme margins of social disadvantage through a combination of traumatic and health-damaging life experiences (e.g., homelessness, substance misuse, mental health problems). Lessons with wider relevance to physical activity and other health promotion will be shared: the simultaneous exclusion from programmes and the research on which they are based; the critical role of lived experience to identify and understand the needs of those excluded; and applying Marmot’s concept of proportionate universalism to move from services/programmes that target equity, rather than equality, as a means of improving inclusion.

An out-of-court community-based programme to improve the health and well-being of young adult offenders: the Gateway RCT.

Young adults represent a third of the United Kingdom prison population and are at risk of poor health outcomes, including drug and alcohol misuse, self-harm and suicide. Court diversion interventions aim to reduce the negative consequences of criminal sanctions and address the root causes of offending. However, evidence of their effectiveness has not yet been established. The Gateway programme, issued as a conditional caution, aimed to improve the life chances of young adults committing low-level offences. Participants agreed not to reoffend during the 16-week caution and, following a needs assessment, received individual support from a Gateway navigator and attended two workshops encouraging analysis of own behaviour and its consequences. To evaluate the effectiveness and cost-effectiveness of Gateway in relation to health and well-being of participants compared to usual process (court summons or a different conditional caution). Pragmatic, multisite, parallel-group, superiority randomised controlled trial with two 6-month internal pilots and a target sample size of 334. Randomisation between Gateway and usual process was on a 1 : 1 basis. Four Hampshire Constabulary sites recruited 18- to 24-year-old residents of Hampshire and Isle of Wight who were questioned for an eligible low-level offence. Semistructured interviews were also held with a sample of Gateway programme participants, staff and police study recruiters. Primary outcome was the Warwick-Edinburgh Mental Wellbeing Scale score at 12 months. Secondary outcomes included health status, alcohol and drug use, recidivism and resource use. Recruitment commenced in October 2019 and the trial stopped in April 2021. A total of 191 participants were recruited, with 109 randomised to Gateway and 82 to usual process. Due to an initial overestimation of potentially eligible young people and low retention rates, recruitment targets were adjusted, and a range of mitigating measures introduced. Although recruitment broadly met study progression criteria [35/50 (70%) Pilot 1: 64/74 (86%) Pilot 2], retention was low throughout (overall: data collected at week 4 was 50%: at week 16 it was 50%: 1-year 37%). Low retention was multifactorial, with one of the main barriers being difficulties contacting participants. It was therefore not possible to complete the randomised controlled trial or the health economics analyses. Qualitative interviews held with 58 individuals yielded rare insights into the benefits and limitations of this type of intervention, as well as barriers and facilitators in relation to recruitment in this setting. Despite close collaboration with the police to address recruitment and consent issues, expansion of the inclusion criteria and recruitment area and introducing other measures, the researchers were unable to collect sufficient data within an acceptable timeframe. The Gateway study was a unique endeavour to gather evidence for a potentially life-changing intervention for an underserved population. The experience gained indicates that randomised controlled trials of interventions, with a health-related outcome, are possible in this setting but point towards the need for conservative recruitment and retention estimates in this target population. Other study designs should be considered. The qualitative evaluation provided a range of valuable lessons for those seeking to design similar interventions or conduct research in similar settings. This study is registered as ISRCTN11888938. This award was funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme (NIHR award ref: 16/122/20) and is published in full in Public Health Research; Vol. 12, No. 7. See the NIHR Funding and Awards website for further award information.

Уровни цифрового неравенства: особенности проявления в Уральском федеральном округе

Introduction. Access to information, digital products and services contributes to reducing barriers in individual’s interaction with state, organizations, and other individuals, also providing opportunities for human development. The author assesses the digital inequality level of the constituent entities of the Ural Federal District.Materials and methods. Theoretically, the research is based on the concept of three levels of digital inequality, according to which inequality can be manifested at the level of access to Internet and information and communication technologies; at the level of the users’ digital skills and competencies; at the level of benefits obtained from the use of digital technologies and impacting individual life chances. The materials used are: statistical data of the Russian information society development monitoring, research on the digital literacy of the Russian population, conducted by the Analytical Center of the National Agency for Financial Research, the Russian Association of Electronic Communications, the Ministry of Digital Development, Communications and Mass Communications of the Russian Federation and the National Research University “Higher School of Economics”, as well as the results of an expert survey conducted by the author in 2023 with state civil servants of the Sverdlovsk region and employees of “Electronic government operator”, the state budgetary institution of the Sverdlovsk region.Results. The article reveals the specific features of digital inequality of the entities of the Ural Federal District. The geographical features of the region paradoxically affects the digital inequality level. The more compactly located territories of the Sverdlovsk, Tyumen and Chelyabinsk regions provide for the appropriate infrastructure with better broadband Internet access. A social consequence of low Internet access in the Yamalo-Nenets Autonomous Okrug is, in part, that not all medical organizations can be connected to the Integrated National Health Information System. In addition, there is no direct correlation between Internet access and digital skills development. On the contrary, remoteness and inaccessibility of territories act as drivers for the development of digital competencies of the Khanty-Mansi Autonomous Okrug and Yugra residents, who are more efficient in using digital technologies in e-commerce and public services.Discussions and conclusions. “Bridging the Digital Divide” federal program implementation will increase the information infrastructure availability. Conscious and focused effort is required to improve digital literacy and cyber hygiene of the population.

Is foster caring associated with an earlier transition to adulthood for caregivers’ own children? ONS Longitudinal Study

This study investigates whether existing children in a fostering household differ from young people in non-caregiving households in the timing of their transitions to key adult roles, known to affect later health and life chances. Using data from the ONS Longitudinal Study, we pooled records from census years 1971–2001 and linked them to follow-up records from 1981–2011. We identified 2,656 children living with a foster child and compared their profiles on the ‘big five’ transitions to roles of adulthood – finishing school, leaving home, finding work and becoming financially independent, getting married and having children – with those of other children without a foster child in the household (N = 209,453). We fitted logistic and multinomial models that controlled for childhood socioeconomic and demographic confounders to estimate the proportion achieving the five roles in early adulthood. When compared to those without a foster child in the household, a modest but reliably higher proportion of caregivers’ children achieved the transition to adulthood. There was some evidence that caregivers’ children might cope better with the transition to adulthood if they were older than the foster child or were female. The findings suggest that supporting foster parents with delaying their children’s transition to adulthood could become part of the role of supervising social workers.

Does White Supremacy Explain Racial Inequality?

AbstractYes. I defend this claim against the charge of race reductionism and the charge that ‘white interests’ cannot figure meaningfully into structural explanations of racial inequality. We then distinguish two explanatory roles for white supremacy. The racial role approach attempts to trace the causal effects of white supremacy's normative white/non‐white hierarchy on life chances. The racial materialism approach treats racial inequality as an emergent feature of social orders which depend on conventional racial divisions in labor performance. Each approach emphasizes a different level of explanation for the same basic fact: white interests both drive and are served by racial inequality.

A realist review of the causes of, and current interventions to address 'missingness' in health care.

This protocol describes a realist review exploring the problem of "missingness" in healthcare, defined as the repeated tendency not to take up offers of care that has a negative impact on the person and their life chances. More specifically, the review looks at the phenomenon of patients missing multiple appointments in primary care in the UK - at the causal factors that influence how patients come to be "missing" in this way, and what interventions might support uptake and "presence" in healthcare. Background research informing this project suggests that a high rate of missed appointments predicted high premature death rates, and patients were more likely to have multiple long-term health conditions and experience significant socioeconomic disadvantage. Most research in this field focuses on population- or service-level characteristics of patients who miss appointments, often making no distinction between causes of single missed appointments and of multiple missed appointments. There have therefore been no interventions for 'missingness', accounting for the complex life circumstances or common mechanisms that cause people to repeatedly miss appointments. We use a realist review approach to explore what causes missingness - and what might prevent or address it - for whom, and in what circumstances. The review uses an iterative approach of database searching, citation-tracking and sourcing grey literature, with selected articles providing insight into the causal dynamics underpinning missed appointments and the interventions designed to address them. The findings of this review will be combined with the findings of a qualitative empirical study and the contributions of a Stakeholder Advisory Group (STAG) to inform the development of a programme theory that seeks to explain how missingness occurs, whom it affects and under what circumstances. This will be used to develop a complex intervention to address multiple missed appointments in primary care. CRD42022346006.

Mastering Life Chances and Choices: A Metasynthesis of How Disadvantaged Young People Navigate Between Self-Identity and Stigma

Care-dependent people are increasingly expected to actively participate in an accelerating society. This metasynthesis provides insight into how contemporary society complicates the pathways to self-actualization for disadvantaged young people. Giddens’ concept of self-identity was used to analyze the experiences of disadvantaged young people in three participatory projects. These initiatives enable network governance where young people and professionals work together, to better match their care needs and support. Participants often feel that they need to magnify their capabilities to get opportunities for self-actualization and to magnify their disadvantages so they can be acknowledged as “care dependent”, a prerequisite to receive professional support. They call upon professionals and policymakers to recognize their multilayered self-identities and to provide a supportive environment that is adjusted to their own pace, so that they can belong and genuinely participate as their true selves.

Acute Necrotizing Encephalopathy in Children: A Case Report in Barranquilla-Colombia

Acute necrotizing encephalopathy is a rapidly progressive disease of the central nervous system that is generally described in texts as a pathology of pediatric patients, but even in people of this age range, it is rare to find a case of this disease, which presents with a fulminant tissue necrosis and can be secondary to infections, mainly of viral origin. Due to presenting very non-specific clinical manifestations, this diagnosis often goes unnoticed or is made late. ANE survivors go through three phases during the clinical course that include the prodromal stage, the period of acute encephalopathy, and the recovery stage. It is through specific radiological findings observed on computed tomography affecting the bilateral thalamus and possibly the cerebral white matter, brainstem, or cerebellum that the diagnosis can be confirmed. This report discusses the case of an 8-year-old schoolboy who begins with acute gastroenteritis, which progresses with seizures and neurological deterioration. A skull CT scan is performed with imaging findings suggestive of acute necrotizing encephalopathy. Management is established with adequate clinical response and favorable recovery of neurological symptoms. The clinical characteristics and radiological findings are the key to facilitating an early diagnosis, reducing sequelae and improving the prognosis, which provides a chance of life to people who suffer from this condition.

Suspended in Time: De-Arresting Black Youth from the ‘Ethnographic Present’

Within urban sociology, the unpredictability of poor, urbanized space explains why black youth are “present oriented” and why they treat orientations to the future as futile. But where urban sociology suspends black youth in time and space, this research aims to de-arrest them from the “ethnographic present.” Drawing on data from in-depth interviews with thirty youth, I make the case that within “present orientations” there is prescience. This paper is based on over one year of fieldwork at Run-a-Way – a center for youth in Minneapolis, Minnesota. With limited life chances and limited chances at life, youth at Run-a-Way saw the future as fugitive. Instead of being a paralyzing force keeping youth suspended in time, present orientations were marked by the production of nowness, in light of a prescient vision of what is to come. Because black youth chose not to entertain liberal futurities directed towards “rights” and “freedoms” associated with a post-raciality did not make them present oriented. It made them prepared. As prescience comes to serve as a more accurate signifier of black youth’s relation to the future, we come to see why the “ethnographic present” and the interpellation of blackness through abjection are both unsustainable and obsolete.

Youth and climate crisis: participation and learning in complex, adaptive systems

AbstractThe Friday for Future school strikes have vividly demonstrated young people’s concern for the rapidly deteriorating life and survival chances of future generations of human and nonhuman beings. The young people’s ambivalence between despair and hope, feelings of powerlessness and empowerment challenge us to recognise the complexity and dynamic not only of ecosystems but of socio-ecological systems and to question the mechanistic and linear thinking often prevalent in youth research and education science. This thinkbite invites readers to consider young people’s experiences with the climate crisis and (climate change) education through the perspective of Complex Adaptive System Theory to open up learning space for more wholesome and creative responses to the challenge.

Education inequalities

Abstract Education is one of the most important predictors of people's life chances, shaping outcomes like work and pay, health, and wealth. Explaining inequalities in educational outcomes, as well as how wider outcomes vary by education levels, is therefore essential to understanding lifetime inequalities. In this article, we document the changing—and unchanging—nature of educational inequalities in England and their implications for other aspects of social inequalities. We review the evidence on the returns to different types and levels of qualifications; analyse the extent to which the current education system mitigates or perpetuates other dimensions of inequalities, including social background, gender, ethnicity, and geography; and investigate the drivers of educational inequalities during schooling and beyond. Finally, we draw the policy implications of our analysis and set out principles for building a more equal education system.