Effects of a school-based, early childhood intervention on adult health and well-being: a 19-year follow-up of low-income families

TitleEffects of a school-based, early childhood intervention on adult health and well-being: a 19-year follow-up of low-income families
Publication TypeJournal Article
AuthorsReynolds, A. J., J. A. Temple, S. R. Ou, D. L. Robertson, J. P. Mersky, J. W. Topitzes, and M. D. Niles
OBJECTIVE: To determine the effects of an established preventive intervention on the health and well-being of an urban cohort in young adulthood. DESIGN: Follow-up of a nonrandomized alternative-intervention matched-group cohort at age 24 years. SETTING: Chicago, Illinois. PARTICIPANTS: A total of 1539 low-income participants who enrolled in the Child-Parent Center program in 20 sites or in an alternative kindergarten intervention. INTERVENTIONS: The Child-Parent Center program provides school-based educational enrichment and comprehensive family services from preschool to third grade. MAIN OUTCOME MEASURES: Educational attainment, adult arrest and incarceration, health status and behavior, and economic well-being. RESULTS: Relative to the comparison group and adjusted for many covariates, Child-Parent Center preschool participants had higher rates of school completion (63.7% vs 71.4%, respectively; P = .01) and attendance in 4-year colleges as well as more years of education. They were more likely to have health insurance coverage (61.5% vs 70.2%, respectively; P = .005). Preschool graduates relative to the comparison group also had lower rates of felony arrests (16.5% vs 21.1%, respectively; P = .02), convictions, incarceration (20.6% vs 25.6%, respectively; P = .03), depressive symptoms (12.8% vs 17.4%, respectively; P=.06), and out-of-home placement. Participation in both preschool and school-age intervention relative to the comparison group was associated with higher rates of full-time employment (42.7% vs 36.4%, respectively; P = .04), higher levels of educational attainment, lower rates of arrests for violent offenses, and lower rates of disability. CONCLUSIONS: Participation in a school-based intervention beginning in preschool was associated with a wide range of positive outcomes. Findings provide evidence that established early education programs can have enduring effects on general well-being into adulthood.
Title Effects of a school-based, early childhood intervention on adult health and well-being: a 19-year follow-up of low-income families
Publication Title Arch Pediatr Adolesc Med
Publication Type Journal Article
Published Year 2007
Authors A.J. Reynolds; J.A. Temple; S.R. Ou; D.L. Robertson; J.P. Mersky; J.W. Topitzes; M.D. Niles
Edition 2007/08/08
Accession Number 17679653
Number 8
ISBN Number 1072-4710 (Print)<br/>1072-4710
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