title: Effects of a prekindergarten educational intervention on adult health: 37-year follow-up results of a randomized controlled trial.
abstract: OBJECTIVE
  We used 37 years of follow-up data from a randomized controlled trial to explore the linkage between an early educational intervention and adult health.
  
  
  METHODS
  We analyzed data from the High/Scope Perry Preschool Program (PPP), an early school-based intervention in which 123 children were randomized to a prekindergarten education group or a control group. In addition to exploring the effects of the program on health behavioral risk factors and health outcomes, we examined the extent to which educational attainment, income, family environment, and health insurance access mediated the relationship between randomization to PPP and behavioral and health outcomes.
  
  
  RESULTS
  The PPP led to improvements in educational attainment, health insurance, income, and family environment Improvements in these domains, in turn, lead to improvements in an array of behavioral risk factors and health (P = .01). However, despite these reductions in behavioral risk factors, participants did not exhibit any overall improvement in physical health outcomes by the age of 40 years.
  
  
  CONCLUSIONS
  Early education reduces health behavioral risk factors by enhancing educational attainment, health insurance coverage, income, and family environments. Further follow-up will be needed to determine the long-term health effects of PPP.
authors: Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. pm124@columbia.edu
authors: Peter
authors: P
authors: Muennig
authors: Lawrence
authors: L
authors: Schweinhart
authors: Jeanne
authors: J
authors: Montie
authors: Matthew
authors: M
authors: Neidell
mesh_terms: D000328:Adult; D002656:Child Day Care Centers / Q000706:statistics & numerical data*; D002657:Child Development; D002675:Child, Preschool; D003479:Curriculum; D004493:Education; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D007348:Insurance, Health; D008297:Male; D012931:Social Environment; D012959:Socioeconomic Factors