Long-term Effects of Prenatal and Infancy Nurse Home Visitation on the Life Course of Youths

Family Life Development Center, Cornell University, Beebe Hall, Ithaca, NY 14853, USA.
JAMA Pediatrics (Impact Factor: 5.73). 01/2010; 164(1):9-15. DOI: 10.1001/archpediatrics.2009.240
Source: PubMed


To examine the effect of prenatal and infancy nurse home visitation on the life course development of 19-year-old youths whose mothers participated in the program.
Randomized trial.
Semirural community in New York.
Three hundred ten youths from the 400 families enrolled in the Elmira Nurse-Family Partnership program. Intervention Families received a mean of 9 home visits (range, 0-16) during pregnancy and 23 (range, 0-59) from birth through the child's second birthday.
Youth self-reports of educational achievement, reproductive behaviors, welfare use, and criminal involvement.
Relative to the comparison group, girls in the pregnancy and infancy nurse-visited group were less likely to have been arrested (10% vs 30%; relative risk [RR], 0.33; 95% confidence interval [CI], 0.13-0.82) and convicted (4% vs 20%; 0.20; 0.05-0.85) and had fewer lifetime arrests (mean: 0.10 vs 0.54; incidence RR [IRR], 0.18; 95% CI, 0.06-0.54) and convictions (0.04 vs 0.37; 0.11; 0.02-0.51). Nurse-visited girls born to unmarried and low-income mothers had fewer children (11% vs 30%; RR, 0.35; 95% CI, 0.12-1.02) and less Medicaid use (18% vs 45%; 0.40; 0.18-0.87) than their comparison group counterparts.
Prenatal and infancy home visitation reduced the proportion of girls entering the criminal justice system. For girls born to high-risk mothers, there were additional positive program effects consistent with results from earlier phases of this trial. There were few program effects for boys.

Download full-text


Available from: Kimberly Sidora-Arcoleo,
  • Source
    • "Intervention during childhood to promote human capital development has the potential to prevent a cascade of negative outcomes, including poor health, criminal behavior, and overreliance on government services in the future (Anderson et al., 2003; Dodge, 2009; Eckenrode et al., 2010; Garner et al., 2011; Heckman et al., 2010; O'Connell, Boat, & Warner, 2009). Evidence of this has made strategies for investing in youth a policy priority in the United States and globally (America's Promise Alliance, 2013; Barnett & Masse, 2007; Belfield et al., 2006; Heckman, 2006; Obama, 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Early interventions are a preferred method for addressing behavioral problems in high-risk children, but often have only modest effects. Identifying sources of variation in intervention effects can suggest means to improve efficiency. One potential source of such variation is the genome. We conducted a genetic analysis of the Fast Track randomized control trial, a 10-year-long intervention to prevent high-risk kindergarteners from developing adult externalizing problems including substance abuse and antisocial behavior. We tested whether variants of the glucocorticoid receptor gene NR3C1 were associated with differences in response to the Fast Track intervention. We found that in European-American children, a variant of NR3C1 identified by the single-nucleotide polymorphism rs10482672 was associated with increased risk for externalizing psychopathology in control group children and decreased risk for externalizing psychopathology in intervention group children. Variation in NR3C1 measured in this study was not associated with differential intervention response in African-American children. We discuss implications for efforts to prevent externalizing problems in high-risk children and for public policy in the genomic era.
    Journal of Policy Analysis and Management 06/2015; 34(3). DOI:10.1002/pam.21811 · 0.93 Impact Factor
  • Source
    • "Evaluations of prevention programs can thus be a useful tool for identifying salient and gender-specific predictors of crime and for guiding gender-responsive approaches to prevention . Fortunately, many impact evaluations have begun to investigate gender differences (e.g., Eckenrode et al., 2010; Oesterle, Hawkins, Fagan, Abbott, & Catalano, 2010; Reynolds, Temple, Ou, Arteaga, & White, 2011). However, this information has yet to be systematically reviewed, which is particularly important when considering gender differences in the effectiveness of community-based programs which are seeking to prevent or reduce delinquency among youth not yet involved in the juvenile justice system. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Empirical research indicates that males are more likely than females to be delinquent, yet it is unclear why this gender gap exists. This uncertainty can impede gender-responsive prevention efforts to implement programs that target the criminogenic factors most salient for each sex. However, information from experimental evaluations of gender differences in the effectiveness of prevention services can guide gender-responsive approaches. This article provides a systematic review of such literature. The results demonstrated some evidence of gender differences in the ability of community-based preventive interventions to reduce substance use, delinquency, and/or violence, although no clear patterns emerged regarding the types of programs that are most effective for each sex. In addition, some programs had similar effects on females and males and others evidenced harmful effects for one sex or the other. These findings suggest that practitioners should carefully review evaluation evidence prior to targeting females, males, or both sexes for prevention services.
    Criminal Justice and Behavior 08/2014; 41(9):1057-1078. DOI:10.1177/0093854814539801 · 1.71 Impact Factor
  • Source
    • "The effects of parental relationships on antisocial behavior also appear to endure beyond adolescence, as longitudinal studies have shown that good parenting prevents crime well into the future (Laub and Sampson, 2003; Rocque et al., 2012; Sampson and Laub, 2003; Thornberry and Krohn, 2003). David Olds' Nurse Family Partnership program showed that parent management training in the first years of life was a significant predictor of reduced crime and delinquency to age 19 (Eckenrode et al., 2010). Prosocial bonds have also been found to reduce crime among released offenders, suggesting that bonds might prevent victimization by preventing overall exposure to crime (Rocque et al., 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Family bonding is a mainstay in theories of crime and delinquency. Recently, it has also been extended to explain exposure to victimization in the US and abroad. Although research reveals that there are differences between countries in their views about the importance of family, scholarship has not yet considered how and why the protective features of family bonding might vary across the country context according to how the family is valued. This study, using data from the second International Self-Report Delinquency Study (ISRD-2), reveals that both individual levels of family bonding and macro levels of the perceived importance of the family are negatively related to victimization. Analyses suggest that exposure to victimization and the effects of family bonding vary across contexts where the effect of family bonding on victimization is stronger in countries that view the family as more important. We conclude that these results contribute insight into the operationalization of victimization theories across the country context and that policies at the country level may prove useful in reducing victimization risk.
    European Journal of Criminology 06/2014; 12(1). DOI:10.1177/1477370814538777 · 1.00 Impact Factor
Show more