Article

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

ABSTRACT

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

Full-text

Available from: Kimberly Sidora-Arcoleo
  • Source
    • "A number of studies have investigated the differential impact of early intervention programs by gender (e.g. Anderson, 2008; Eckenrode et al., 2010; Heckman et al., 2010). Many find that such programs are more effective for girls than boys in the long term, particularly in the area of human capital; however, recent work has also found long term effects for men regarding health outcomes (Campbell et al., 2014). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This article investigates the impact of an early intervention program, which experimentally modifies the parenting and home environment of disadvantaged families, on child physical health in the first 3 years of life. We recruited and randomized 233 (115 intervention, 118 control) pregnant women from a socioeconomically disadvantaged community in Dublin, Ireland into an intervention or control group. The treatment includes regular home visits commencing antenatally and an additional parenting course commencing at 2 years. Maternal reports of child health are assessed at 6, 12, 18, 24, and 36 months. Treatment effects are estimated using permutation testing to account for small sample size, inverse probability weighting to account for differential attrition, and both the stepdown procedure and an indices approach to account for multiple hypothesis testing. Following adjustment for multiple testing and attrition, we observe a positive and statistically significant main treatment effect for wheezing/asthma. The intervention group are 15.5 percentage points (pp) less likely to require medical attention for wheezing/asthma compared to the control group. Subgroup analysis reveals more statistically significant adjusted treatment effects for boys than girls regarding fewer health problems (d=0.63), accidents (23.9pp), and chest infections (22.8-37.9pp). Our results suggest that a community-based home visiting program may have favorable impacts on early health conditions.
    Full-text · Article · Sep 2015 · Economics and human biology
  • 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.
    Full-text · Article · Jun 2015 · Journal of Policy Analysis and Management
  • 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.
    Preview · Article · Aug 2014 · Criminal Justice and Behavior
Show more