Effects of a school-based, early childhood intervention on adult health and well-being - A 19-year follow-up of low-income families
Effects of a school-based, early childhood intervention on adult health and well-being - A 19-year follow-up of low-income families
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DOI：
10.1001/archpedi.161.8.730
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发表时间：
2007-08-01
影响因子：
--
通讯作者：
Niles, Michael D.
中科院分区：
文献类型：
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作者：
Reynolds, Arthur J.;Temple, Judy A.;Niles, Michael D.
目的：确定已建立的预防性干预措施对城市青年群体健康和福祉的影响。设计：对 24 岁的非随机替代干预匹配组队列进行随访。地点：伊利诺伊州芝加哥。参与者：共有 1539 名低收入参与者，他们在 20 个地点参加了儿童家长中心计划或参加替代性幼儿园干预。干预措施：儿童家长中心计划提供基于学校的干预措施丰富教育和从学前班到三年级的综合家庭服务。主要结果指标：教育程度、成人被捕和监禁、健康状况和行为以及经济福祉。结果：相对于对照组并针对许多协变量进行调整，儿童家长中心学前班参与者的学业完成率较高（分别为 63.7% vs 71.4%；P=.01）、四年制大学就读率以及更长的教育年限。他们更有可能拥有健康保险（分别为 61.5% 和 70.2%；P=.005）。与对照组相比，学前班毕业生的重罪逮捕率（分别为 16.5% vs 21.1%；P=.02）、定罪率、监禁率（分别为 20.6% vs 25.6%；P=.03）、抑郁症状率（分别为 12.8% vs 17.4%；P=.06）和户外安置率也较低。与对照组相比，参与学前班和学龄期干预与较高的全职就业率（分别为 42.7% 和 36.4%；P=0.04）、较高的教育程度、较低的暴力犯罪被捕率和较低的残疾率相关。结论：从学前班开始参与学校干预与广泛的积极成果相关。研究结果证明，既定的早期教育计划可以对成年后的总体福祉产生持久影响。
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.