Child & youth care forum · 2024
Start Earlier, Stay Healthier? An Earlier Start to Public Preschool May Improve Detection of Health Problems.
СтатьяНазвание и аннотация: Перевод в очереди
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Wright Anna, Martin Anne, Johnson Anna D, Tulsa SEED Study Team
Аннотация
BACKGROUND: Public preschool can provide opportunities for earlier detection of child health problems and receipt of special needs services. This is especially important for children from low-income households who disproportionately face cost barriers to obtaining health screenings and services.
OBJECTIVE: This study explores the possibility that entering public preschool at age 3 instead of age 4 could contribute to earlier detection of health problems and receipt of special needs services for low-income children.
METHOD: We analyzed data on 757 low-income children in Tulsa, Oklahoma who attended Head Start or public pre-k. We compared rates of parent-reported health conditions and Individualized Education Plans (IEPs) at age 4 according to children's pattern of preschool attendance across their 3- and 4-year-old years, using propensity score-weighted logistic regressions.
RESULTS: At the spring of their 4-year-old year, children who had entered preschool at age 3 were more likely than those who entered at age 4 to have eczema (OR = 3.25, p < .05) and vision problems (OR = 2.26, p < .05). Among children who entered preschool at age 3, those who stayed in Head Start at age 4 were marginally more likely than those who transitioned to school based pre-k at age 4 to have asthma (OR = 3.81, p = .055) and allergies (OR = 2.16, p = .088). There were no differences in rates of IEPs by children's preschool experience.
CONCLUSIONS: If replicated, results underscore the potentially unrealized public health benefits of expanding public preschool access to 3-year-olds.
OBJECTIVE: This study explores the possibility that entering public preschool at age 3 instead of age 4 could contribute to earlier detection of health problems and receipt of special needs services for low-income children.
METHOD: We analyzed data on 757 low-income children in Tulsa, Oklahoma who attended Head Start or public pre-k. We compared rates of parent-reported health conditions and Individualized Education Plans (IEPs) at age 4 according to children's pattern of preschool attendance across their 3- and 4-year-old years, using propensity score-weighted logistic regressions.
RESULTS: At the spring of their 4-year-old year, children who had entered preschool at age 3 were more likely than those who entered at age 4 to have eczema (OR = 3.25, p < .05) and vision problems (OR = 2.26, p < .05). Among children who entered preschool at age 3, those who stayed in Head Start at age 4 were marginally more likely than those who transitioned to school based pre-k at age 4 to have asthma (OR = 3.81, p = .055) and allergies (OR = 2.16, p = .088). There were no differences in rates of IEPs by children's preschool experience.
CONCLUSIONS: If replicated, results underscore the potentially unrealized public health benefits of expanding public preschool access to 3-year-olds.