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The Effects Of Early Care And Education On Children’s Health

Key Points

  • Most children in the US attend early care and education (ECE) such as public or private preschool, child care centers, or Head Start before entering kindergarten. High-quality ECE programs can promote positive educational, social-emotional, and behavioral outcomes.
  • Intensive, high-quality, model ECE programs, such as Abecedarian and the Infant Health and Development Program, have strong, lasting health benefits, including improved cardiovascular and metabolic health and reduced smoking. Less intensive, at-scale ECE programs—particularly those with health components (for example, nutrition, screenings, and links to health insurance) such as Head Start—also show health benefits for participants, including higher immunization, screening, and identification rates; improved mental health; and reduced smoking. However, the initial entrance into group care and education settings has short-term negative effects on the incidence of communicable diseases.
  • Investments in ECE programs, particularly those with health components, may provide lasting health benefits for participants.
  • There is a need for additional research on the effects of contemporary public and private early childhood programs on children’s health and the mechanisms underlying these effects.

 

Source: Health Affairs (2019). The Effects of Early Care and Education on Children’s Health.