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Effects of a School-Based, Early Childhood Intervention on Adult Health and Well-being: A 19-Year Follow-up of Low-Income Families
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.
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“At age 24 years, in comparison with control subjects, participants had lower rates of out-of-home placement (indicating child abuse), lower rates of arrests and conviction for violent behaviors, and lower rates of disability.”
From Education improves public health and promotes health equity (2015) · cites this paper as [43]
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Self-citationGündoğmuş, E., Bumın, G., & Yalçın, S. S. (2024) · American Journal of Occupational Therapy · doi:10.5014/ajot.2024.050706 · Cited by 14
“Notably, children with DD face an elevated likelihood of behavior problems, including challenges in social – emotional and interactive domains (Reynolds et al., 2007; Steenis et al., 2015).”
Psychological well-being in midlife following early childhood intervention
Mondi, C. F., & Reynolds, A. J. (2022) · Development and Psychopathology · doi:10.1017/s0954579421001528 · Cited by 10
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript to long-term PW (e.g., Reynolds et al., 2007; Reynolds & Ou, 2011).”
BackgroundSelf-citationInvesting in youth: an empowerment strategy
Barrington-Leach, L., Canoy, M., Hubert, A., & Lerais, F. (2007) · Cited by 10
Children’s Cognitive Development in Social Vulnerability: An Interventional Experience
Richaud, M. C., & Filippetti, V. A. (2015) · Journal of Psychology Research · doi:10.17265/2159-5542/2015.12.003 · Cited by 12
“(Reynolds & Temple, 1998; Reynolds, Temple, Robertson, & Mann 2001; Reynolds et al., 2007).”
Zafeiriou, M., & Gulliford, A. (2020) · Educational Psychology in Practice · doi:10.1080/02667363.2020.1818553 · Cited by 10
A Benefit-Cost Analysis of the Tulsa Universal Pre-K Program
Bartik, T. J., Belford, J. A., Gormley, W. T., & Anderson, S. (2016) · Upjohn Research (W.E. Upjohn Institute for Employment Research) · doi:10.17848/wp16-261 · Cited by 11
Moore, G. F. (2025) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.70061 · Cited by 16
Dennis, S. M., Noon, T., & Liaw, S. T. (2016) · Australian Journal of Primary Health · doi:10.1071/py15166 · Cited by 10
“A long-term follow-up of an intervention for disadvantaged students in the USA demonstrated significant improvements in employment and educational achievement, and lower rates of convictions and disability after involvement in the intervention (Reynolds et al. 2007).”
BackgroundGustafsson‐Wright, E., & Gardiner, S. (2016) · Brookings Institution eBooks · Cited by 9
Reynolds, A. J., Magro, S. W., Ou, S., & Eales, L. (2019) · Preventive Medicine · doi:10.1016/j.ypmed.2019.105768 · Cited by 9
Self-citationHenderson, M., Wittkowski, A., McIntosh, E., McConnachie, A., Buston, K., Wilson, P., Calam, R. M., Minnis, H., Thompson, L. C., O'Dowd, J. J., et al. (2019) · Trials · doi:10.1186/s13063-019-3571-5 · Cited by 9
Care-giver child interactions and early cognitive development in West and Central Africa
Kyei, P. S., & Nyarko, N. Y. (2024) · Early Child Development and Care · doi:10.1080/03004430.2024.2320883 · Cited by 9
Prevention and social care for adults with learning disabilities
Emerson, E., Hatton, C., & Robertson, J. (2011) · London School of Economics and Political Science Research Online (London School of Economics and Political Science) · Cited by 8
Preschool instructional approaches and age 35 health and well-being
Ernst, J. R., & Reynolds, A. J. (2021) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101498 · Cited by 14
Self-citation“Hear my Voice”: Subjective Well-Being Scale for Young Children (SWB-YC)
Gündoğan, A. (2021) · Child Indicators Research · doi:10.1007/s12187-021-09877-2 · Cited by 8
“This may be due to the low impact of pre-school education on subjective well-being (Bozgün & Akın-Kösterelioğlu, 2020) or the fact that the effects of pre-school attendance become more pronounced at later ages, as in family income (Reynolds et al., 2007).”
BackgroundOu, S., Arteaga, I. A., & Reynolds, A. J. (2019) · Children and Youth Services Review · doi:10.1016/j.childyouth.2019.04.005 · Cited by 8
“It is worth noting that school-age program was not significantly associated with outcomes when it was examined with the preschool program as two separate components in previous CLS studies (Reynolds, Temple, Ou, et al., 2011; Reynolds et al., 2007).”
BackgroundMethodResultSelf-citationOu, S., & Reynolds, A. J. (2012) · Urban Education · doi:10.1177/0042085912451586 · Cited by 8
“…and educational attainment Ou and Reynolds 295 have been reported (Ou & Reynolds, 2006, 2008, 2010; Reynolds, Temple, Ou, Arteaga, & White, 2011; Reynolds et al., 2007; Reynolds, Temple, Robertson, & Mann, 2001), program participation was included as a covariate to ensure that any difference…”
BackgroundSelf-citationImpacts and Implications of the Child-Parent Center Preschool Program
Reynolds, A. J., Temple, J. A., & Ou, S. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511762666.009 · Cited by 8
“Some program effects were stronger for males, 2-year preschool participants, and children in centers rated high in child-initiated activities (see Reynolds et al., 2001, 2007).”
Self-citation
Metadata
- Authors
- Reynolds, A. J., Temple, J. A., Ou, S.-R., Robertson, D. L., Mersky, J. P., Topitzes, J. W., & Niles, M. D.
- Affiliations
- University of Minnesota (US)
- University of Wisconsin–Milwaukee (US)
- Arizona State University (US)
- Venue
- Archives of Pediatrics & Adolescent Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2007-08-01
- Volume
- 161
- Issue
- 8
- Pages
- 730
- ISSN
- 1072-4710 (ISSN-L)
- OpenAlex
- W2101473826
- Cited by
- 344
- References
- 31
- Citations by year
- 2026: 5 · 2025: 17 · 2024: 12 · 2023: 12 · 2022: 10 · 2021: 26 · 2020: 20 · 2019: 14 · 2018: 10 · 2017: 11 · 2016: 21 · 2015: 22 · 2014: 25 · 2013: 15 · 2012: 26
- FWCI
- 118.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD034294)
- Topics
- Social Sciences › Education › Early Childhood Education and Development
- Social Sciences › Psychology › Developmental and Educational Psychology › Youth Development and Social Support
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
- Keywords
- Child-Parent Center, early childhood intervention, preschool education, school-based intervention, low-income children, urban youth, educational attainment, incarceration, arrests, depressive symptoms, health insurance coverage, employment, economic well-being, family support, long-term outcomes
- MeSH terms
- Adolescent, Adult, Black or African American, Chicago, Child, Crime, Educational Status, Employment, Family Health, Female, Hispanic or Latino, Holistic Health, Humans, Longitudinal Studies, Male, Mental Health, Minority Groups, Parents, Poverty, Poverty Areas, Prospective Studies, Schools, Social Behavior, Socioeconomic Factors, Universities, Urban Population, Program Evaluation, Early Intervention, Educational
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