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. 1994 Jun;84(6):924–931. doi: 10.2105/ajph.84.6.924

The effects of early education intervention on maternal employment, public assistance, and health insurance: the infant health and development program.

J Brooks-Gunn 1, M C McCormick 1, S Shapiro 1, A Benasich 1, G W Black 1
PMCID: PMC1614939  PMID: 8203688

Abstract

OBJECTIVES. The purpose of this study was to test whether early education intervention influences maternal employment, education, fertility, and receipt of public assistance and health insurance. METHODS. The Infant Health and Development Program is a randomized trial of the efficacy of early education on the outcomes of 985 low-birthweight, premature children. Families in eight sites received either pediatric follow-up and referral (follow-up only group) or pediatric services plus early intervention services (intervention group) for the first 3 years of the child's life. RESULTS. Mothers in the intervention group were employed more months and returned to the work force earlier than those in the follow-up only group. Fertility and education were not associated with treatment. Mothers who had some college education received more months of public assistance in the intervention group compared with the follow-up only group. Mothers who were employed received more public assistance and public health insurance in the intervention group compared with the follow-up only group, when maternal employment was controlled. CONCLUSIONS. Findings are discussed in terms of the recent emphasis on two-generational programs directed to providing health, welfare, and child care services to young children and their families.

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Selected References

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  1. Brooks-Gunn J., Gross R. T., Kraemer H. C., Spiker D., Shapiro S. Enhancing the cognitive outcomes of low birth weight, premature infants: for whom is the intervention most effective? Pediatrics. 1992 Jun;89(6 Pt 2):1209–1215. [PubMed] [Google Scholar]
  2. Brooks-Gunn J., Klebanov P. K., Liaw F., Spiker D. Enhancing the development of low-birthweight, premature infants: changes in cognition and behavior over the first three years. Child Dev. 1993 Jun;64(3):736–753. doi: 10.1111/j.1467-8624.1993.tb02940.x. [DOI] [PubMed] [Google Scholar]
  3. Desai S., Chase-Lansdale P. L., Michael R. T. Mother or market? Effects of maternal employment on the intellectual ability of 4-year-old children. Demography. 1989 Nov;26(4):545–561. [PubMed] [Google Scholar]
  4. Egbuonu L., Starfield Child health and social status. Pediatrics. 1982 May;69(5):550–557. [PubMed] [Google Scholar]
  5. Enthoven A., Kronick R. A consumer-choice health plan for the 1990s. Universal health insurance in a system designed to promote quality and economy (1). N Engl J Med. 1989 Jan 5;320(1):29–37. doi: 10.1056/NEJM198901053200106. [DOI] [PubMed] [Google Scholar]
  6. Field T., Widmayer S., Greenberg R., Stoller S. Effects of parent training on teenage mother and their infants. Pediatrics. 1982 Jun;69(6):703–707. [PubMed] [Google Scholar]
  7. Gray S. W., Wandersman L. P. The methodology of home-based intervention studies: problems and promising strategies. Child Dev. 1980 Dec;51(4):993–1009. [PubMed] [Google Scholar]
  8. Kraemer H. C., Fendt K. H. Random assignment in clinical trials: issues in planning (Infant Health and Development Program). J Clin Epidemiol. 1990;43(11):1157–1167. doi: 10.1016/0895-4356(90)90017-j. [DOI] [PubMed] [Google Scholar]
  9. Leibowitz A., Waite L. J., Witsberger C. Child care for preschoolers: differences by child's age. Demography. 1988 May;25(2):205–220. [PubMed] [Google Scholar]
  10. McCormick M. C., Brooks-Gunn J., Shapiro S., Benasich A. A., Black G., Gross R. T. Health care use among young children in day care. Results in a randomized trial of early intervention. JAMA. 1991 May 1;265(17):2212–2217. [PubMed] [Google Scholar]
  11. Newacheck P. W., McManus M. A. Financing health care for disabled children. Pediatrics. 1988 Mar;81(3):385–394. [PubMed] [Google Scholar]
  12. Olds D. L., Henderson C. R., Jr, Tatelbaum R., Chamberlin R. Improving the delivery of prenatal care and outcomes of pregnancy: a randomized trial of nurse home visitation. Pediatrics. 1986 Jan;77(1):16–28. [PubMed] [Google Scholar]
  13. Olds D. L., Henderson C. R., Jr, Tatelbaum R., Chamberlin R. Improving the life-course development of socially disadvantaged mothers: a randomized trial of nurse home visitation. Am J Public Health. 1988 Nov;78(11):1436–1445. doi: 10.2105/ajph.78.11.1436. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Parker S., Greer S., Zuckerman B. Double jeopardy: the impact of poverty on early child development. Pediatr Clin North Am. 1988 Dec;35(6):1227–1240. doi: 10.1016/s0031-3955(16)36580-4. [DOI] [PubMed] [Google Scholar]
  15. Pocock S. J., Simon R. Sequential treatment assignment with balancing for prognostic factors in the controlled clinical trial. Biometrics. 1975 Mar;31(1):103–115. [PubMed] [Google Scholar]
  16. Ramey C. T., Bryant D. M., Wasik B. H., Sparling J. J., Fendt K. H., LaVange L. M. Infant Health and Development Program for low birth weight, premature infants: program elements, family participation, and child intelligence. Pediatrics. 1992 Mar;89(3):454–465. [PubMed] [Google Scholar]
  17. Rosenbach M. L. The impact of Medicaid on physician use by low-income children. Am J Public Health. 1989 Sep;79(9):1220–1226. doi: 10.2105/ajph.79.9.1220. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Seitz V., Rosenbaum L. K., Apfel N. H. Effects of family support intervention: a ten-year follow-up. Child Dev. 1985 Apr;56(2):376–391. [PubMed] [Google Scholar]
  19. Wasik B. H., Ramey C. T., Bryant D. M., Sparling J. J. A longitudinal study of two early intervention strategies: Project CARE. Child Dev. 1990 Dec;61(6):1682–1696. [PubMed] [Google Scholar]
  20. Zigler E., Muenchow S. How to influence social policy affecting children and families. Am Psychol. 1984 Apr;39(4):415–420. doi: 10.1037//0003-066x.39.4.415. [DOI] [PubMed] [Google Scholar]

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