@article {5926, title = {Effects of a school-based, early childhood intervention on adult health and well-being: a 19-year follow-up of low-income families}, journal = {Arch Pediatr Adolesc Med}, volume = {161}, number = {8}, year = {2007}, note = {Reynolds, Arthur J
Temple, Judy A
Ou, Suh-Ruu
Robertson, Dylan L
Mersky, Joshua P
Topitzes, James W
Niles, Michael D
R01 HD034294/HD/NICHD NIH HHS/United States
R01HD034294-11/HD/NICHD NIH HHS/United States
Evaluation Studies
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov{\textquoteright}t
United States
Arch Pediatr Adolesc Med. 2007 Aug;161(8):730-9. doi: 10.1001/archpedi.161.8.730.}, month = {Aug}, pages = {730-9}, edition = {2007/08/08}, abstract = {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.}, keywords = {*Social Behavior, *Urban Population, Adolescent, Adult, African Americans/education/*psychology, Chicago, Child, Crime/ethnology/legislation \& jurisprudence, Early Intervention (Education)/*organization \& administration, Educational Status, Employment, Family Health/*ethnology, Female, Hispanic Americans/education/*psychology, Holistic Health, Humans, Longitudinal Studies, Male, Mental Health, Minority Groups/education/*psychology, Parents/*education, Poverty Areas, Poverty/*ethnology, Program Evaluation, Prospective Studies, Schools/*organization \& administration, Socioeconomic Factors, Universities}, isbn = {1072-4710 (Print)
1072-4710}, doi = {10.1001/archpedi.161.8.730}, author = {Reynolds, A. J. and Temple, J. A. and Ou, S. R. and Robertson, D. L. and Mersky, J. P. and Topitzes, J. W. and Niles, M. D.} }