Does attendance at preschool affect adult health? A systematic review
Abstract
Background Early child development interventions can set children on positive social and educational trajectories. The aim of this review was to examine the evidence for the adult health impacts of centre-based preschool interventions for preschoolers.Methods Medline, Embase, ERIC, Psych Info, Sociological Abstracts, the Cochrane Library, C2-SPECTR and the Head Start database were searched (1980-2008), and reference lists were searched for articles missed by the electronic search.Results The 12 eligible articles reviewed reported multi-faceted interventions and involved disadvantaged populations in all but one study. Limitations included a restricted range of health outcomes, reliance on self-report measures (11 studies), small sample sizes (nine studies with <100 in each arm) and a relatively young adult age at follow-up. There were positive intervention effects across the majority of behavioural outcomes, and a suggestion of a reduction in symptoms of depression. Non-communicable disease outcomes (e.g. diabetes mellitus) tended to have adverse or near-zero effect estimates.Conclusions The reviewed articles provide some support for the role of early childhood interventions to improve health behaviours but not chronic disease outcomes. Population health researchers should become more involved in the evaluation of preschool interventions as there is great potential for broad population health benefit.
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There is some evidence that visits in the prenatal period or during infancy to provide mothers with parenting skills, or offering education services to children growing up in disadvantaged communities, can help prevent substance use later in life, but additional studies are needed before these interventions can be considered evidence-based.
“There is also some evidence that visits in the prenatal period or during infancy to provide mothers with parenting skills 281 , or offering education services to children growing up in disadvantaged communities 282 , can help prevent substance use later in life, but additional studies are needed before these interventions can be considered evidence- based.”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [282]
Early childhood development interventions including stimulation in early childhood, preschool level interventions, and ECD consultations have shown to be effective in improving health behaviors, conduct problems, and social skills.
“Evidence suggests that early childhood development (ECD) interventions including stimulation in early childhood, preschool level interventions, and ECD consultations have shown to be effective in improving health behaviors, conduct problems, and social skills and are also low-cost interventions delivered in home and at school [63], [64], [65], [66], [67].”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [65]
Early childhood development interventions are low-cost interventions delivered in home and at school.
“Evidence suggests that early childhood development (ECD) interventions including stimulation in early childhood, preschool level interventions, and ECD consultations have shown to be effective in improving health behaviors, conduct problems, and social skills and are also low-cost interventions delivered in home and at school [63], [64], [65], [66], [67].”
From Interventions for Adolescent Mental Health: An Overview of Systematic Reviews (2016) · cites this paper as [65]
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- Authors
- D'Onise, K., McDermott, R. A., & Lynch, J. W.
- Affiliations
- University of South Australia (AU)
- Venue
- Public Health
- Publisher
- Elsevier BV
- Published
- 2010-09
- Volume
- 124
- Issue
- 9
- Pages
- 500-511
- ISSN
- 0033-3506 (ISSN-L)
- OpenAlex
- W2166407950
- Cited by
- 17
- References
- 39
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2012: 2
- FWCI
- 1.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Public Health (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Bristol Research (University of Bristol) (submittedVersion)
- Funders
- National Health and Medical Research Council
- National Heart Foundation of Australia
- Topics
- Social Sciences › Education › Early Childhood Education and Development
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- preschool attendance, early childhood intervention, adult health outcomes, health behavior, depressive symptoms, non-communicable diseases, diabetes mellitus, disadvantaged children, population health
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Chronic Disease, Health Services, Health Status, Humans, Infant, Mental Health, Smoking, Health Behavior, Exercise, Early Intervention, Educational, Substance-Related Disorders, Health Status Disparities
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