Longitudinal Follow-up of Poor Inner-city Youth Between Ages 8 and 18: Intentions Versus Reality

Author:

Handzel Jennifer M.1,Brodsky Nancy2,Betancourt Laura2,Hurt Hallam2

Affiliation:

1. Departments of Pediatrics and

2. Neonatology, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania

Abstract

OBJECTIVES: (1) To document, at ages 8 to 10, children’s perceptions of their future and, at ages 16 to 18, youth outcomes; and (2) to assess early childhood factors associated with trajectory-altering events (TAEs), defined as youth risk behaviors that may modify developmental trajectories. METHODS: A prospective longitudinal study of 97 poor, inner-city, African American youth followed since birth who completed (1) early childhood environment, cognitive, and social-emotional evaluations, as well as an inventory at ages 8 to 10 of perceptions of their futures; and (2) evaluation for presence or absence of 4 TAEs documented at ages 16 to 18: drug use, adjudication, school failure, and teen parenthood. RESULTS: At age 9.4 ± 0.5, 94% of participants felt it unlikely they would try marijuana; 93% felt they were unlikely to get arrested; 92% felt they were likely to attend college or trade school; 81% did not know one could become pregnant with first-time sex. Age 18.1 ± 0.8 outcomes showed that 33% had used drugs, 33% had been adjudicated, 19% had school failure, and 20% had become parents. Fifty-six percent had ≥1 TAE. No relationship was found between childhood perceptions and intentions and documented outcomes. Odds of having a TAE increased with greater exposure to violence and poorer home environment. CONCLUSIONS: Young inner-city children are idealistic regarding their future. By ages 16 to 18 however, more than half of this cohort had a TAE. Factors most strongly associated with a TAE were greater exposure to violence and poorer home environment.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference38 articles.

1. Youth risk behavior surveillance—United States, 2009;Eaton;MMWR Surveill Summ,2010

2. U.S. Department of Justice. Table 36 Crime in the United States 2008. 2009. Available at: www2.fbi.gov/ucr/cius2008/data/table_36.html. Accessed June 2011

3. U.S. Department of Education. The Condition of Education 2010 (NCES 2010-028). 2010. Available at: http://nces.ed.gov/fastfacts/display.asp?id=16. Accessed June 2011

4. Births: preliminary data for 2009;Hamilton;Natl Vital Stat Rep,2010

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