Life course effects and pathways of extended early childhood intervention

生命历程的影响和长期儿童早期干预的途径

• 批准号: 10840237
• 负责人: ARTHUR J REYNOLDS
• 金额: $ 22.88万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-03 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10840237
• 关键词: Achievement; Address; Adult Children; Affect; Age; Area; Black Populations; Black race; Censuses; Chicago; Child; Chronic; Cohort Studies; Collaborations; Communities; Data; Data Set; Development; Discrimination; Disparity; Economics; Education; Educational Assessment; Elements; Employment; Enrollment; Family; Generations; Goals; Health; Health Benefit; Health behavior; Hispanic; Income; Individual; Inequality; Inequity; Institutional Racism; Insurance; Intervention; Investments; Knowledge; Length; Life; Life Cycle Stages; Link; Longitudinal Studies; Longitudinal cohort study; Low income; Maps; Medicare/Medicaid; Midwestern United States; Modeling; Neighborhoods; Nursery Schools; Onset of illness; Outcome; Parents; Participant; Pathway interactions; Personal Satisfaction; Persons; Population; Poverty; Prevention Research; Process; Program Effectiveness; Program Sustainability; Quasi-experiment; Recording of previous events; Records; Reporting; Research; Resources; Risk; Running; Sampling; Schools; Services; Sex Differences; Socioeconomic Status; Source; Subgroup; Surveys; Testing; Time; Underemployment; United States Centers for Medicare and Medicaid Services; United States National Institutes of Health; United States Social Security Administration; cardiovascular health; career; cohort; comparison group; cost; cost effectiveness; data centers; disability; disparity reduction; early childhood; economic cost; economic evaluation; family support; health data; health disparity; health record; high school; innovation; intergenerational; longitudinal, prospective study; member; middle age; mortality; next generation; offspring; pandemic disease; physical conditioning; programs; racial discrimination; racism; retention rate; scale up; sex; social; success; third grade; young adult

Project Summary This study will investigate links between participation in a large-scale established ECP and life course outcomes across generations of the Chicago Longitudinal Study (CLS) cohort up to age 48 and the current Midwest Longitudinal Study (MLS) scale up of the program by age 19. The central purpose is to determine if CPC participation for different lengths of time affects well-being in three cohorts: CLS participants’ physical and economic well-being in midlife, the educational well-being of participant’s children, and impacts in the present context for a 2012-2013 preschool cohort (MLS). Federal earnings and health data will be analyzed in collaboration with federal agencies. The key outcomes are cardiovascular health, socioeconomic status and career success, and school achievement, attainments, and health for the younger cohorts. Mechanisms of change also are assessed. Among the major questions are (1) Is participation in the CPC program associated with better well-being by age 48, including physical health (e.g., disease onset, mortality), economic and career success, and health behavior?, (2) Does participation affect the educational and economic well-being of CLS offspring in the 20s?, (3) Are effects in the MLS through high school similar to the CLS, and (4) What mechanisms of change from individual to community contexts of inequality contribute to long-term impacts and by sex and early family risk? By expanding the CLS to age 48 and intergenerationally, the study will assess for the first time the full impact and cost-effectiveness across generations of this continuing large-scale program. Prospective longitudinal studies beginning early in life and continuing into midlife remain very rare, especially for low-income Black children in urban contexts. No studies of sustained ECPs have continued through midlife. In addition to having a large sample with high rates of retention (91% for 1,400 program and comparison individuals [93% Black]), CLS members also enrolled in K-3 services thus enabling an assessment of the added value. The importance of assessing long-run and intergenerational impacts is elevated by the increasing priority on ECPs in the context of the pandemic and systemic racism and structural inequality. Given the expansion of programs and evidence that the quality and continuity of most are not sufficient for sustained gains, evidence in the MLS (N = 1985 in Chicago) is needed more than ever. In the next five years, we will collect, obtain, and analyze a comprehensive set of data for the three across- generation cohorts, with the MLS children followed through high school. In collaboration with the Census Bureau and Centers for Medicare and Medicaid, we will assess for the first time the impact of CPC for a complete profile of SES and health outcomes, and changes over time. Mechanisms of change also are probed. A CLS offspring survey for over 700 young adults will assess impacts on education and health. Generalizability of the MLS to current practice is assessed. New knowledge will strengthen scale up of early childhood investments. CLS is the largest and longest- running ECP study. The project is not only unique in following existing cohorts but is resource efficient. Only by integrating long-term and intergenerational data will a complete understanding of ECP benefits be achieved.

项目摘要 本研究将调查参与大规模既定ECP和生命历程结果之间的联系 在芝加哥纵向研究（CLS）队列中年龄最大为48岁的几代人和目前的中西部 纵向研究（MLS）在19岁之前扩大该计划。核心目的是确定中国共产党的参与 不同的时间长度会影响三个队列的幸福感：CLS参与者的身体和经济幸福感 在中年，参与者的子女的教育福利，以及在目前的情况下，2012-2013年的影响， 学龄前队列（MLS）。联邦收入和健康数据将与联邦机构合作进行分析。 主要结果是心血管健康、社会经济地位和职业成功以及学校成绩， 成就和健康的年轻人。还评估了变化机制。在主要问题中， （1）参与CPC计划是否与48岁时的更好的福祉相关，包括身体健康 (e.g.,疾病发作，死亡率），经济和职业成功，以及健康行为，(2)参与是否会影响 20年代CLS后代的教育和经济福祉？，(3)在大联盟的影响，通过高中 类似于CLS，以及（4）从个人到社区不平等背景的变化机制是什么？ 是否会造成长期影响，以及是否按性别和早期家庭风险分列？ 通过将CLS扩展到48岁和代际，该研究将首次评估 和成本效益在这一持续的大规模计划的几代人。前瞻性纵向研究 从生命早期开始并持续到中年仍然非常罕见，特别是对于城市低收入的黑人儿童来说， contexts.没有持续ECP的研究一直持续到中年。除了有一个大样本， 保留率（1，400名计划和比较人员的保留率为91%[93%为黑人]），CLS成员还参加了 K-3服务，从而能够评估附加值。评估长期和 在大流行和系统性疾病的背景下， 种族主义和结构性不平等。鉴于方案的扩大和证据表明， 大多数是不足以持续的收益，证据在MLS（N = 1985在芝加哥）是需要比以往任何时候都多。 在接下来的五年里，我们将收集、获取和分析一套全面的数据，涵盖三个领域： 世代队列，与MLS儿童通过高中跟踪。与人口普查局合作， 医疗保险和医疗补助中心，我们将首次评估CPC对SES完整概况的影响 和健康结果，并随着时间的推移而变化。还探讨了变化的机制。一项CLS后代调查， 700名年轻人将评估对教育和健康的影响。MLS对当前实践的普遍性是 评估。新知识将加强对幼儿期投资的规模。CLS是最大和最长的- 运行ECP研究。该项目不仅在跟踪现有群组方面是独一无二的，而且具有资源效率。只有 整合长期和代际数据将有助于全面了解ECP的益处。