Overcoming the Odds: High Risk Children from Birth to Adulthood

Abstract

This study was a follow-up study of a 1955 cohort of births (614 births) on Kauai island in Hawaii. Follow-up was conducted at birth age one and two years age 10 years age 18 years and 31-32 years. The final sample in adulthood was 505 persons. The sample population was comprised of three ethnic groups (Japanese Filipino and part and full Hawaiian) and 54% grew up in poverty. Births were scored for complications as mild moderate or severe. The interviews conducted with mothers postpartum and at one and two years focused on maternal educational level socioeconomic status and family stability; environmental setting was evaluated as favorable to unfavorable on a five-point scale. The 10 year evaluation assessed school work and school behavioral problems mental abilities and stressful life events and illnesses occurring over the preceding 8 years. The home environment was evaluated on the level of educational stimulation emotional support and socioeconomic status. At 18 years a psychological inventory of self-assurance and interpersonal adequacy was conducted and community records were checked for serious mental health or criminal problems. Quality of life of the home environment was also assessed. The follow-up at age 31-32 years assessed the quality of adult adaptation from community records and interview questions which were self-evaluations of personal success satisfaction with family and social life and psychological well-being. Most of the sample led ordinary lives. Some of the stressful life events in childhood and adolescence were associated with coping problems in adulthood.