Longitudinal follow-up of poor inner-city youth between ages 8 and 18: intentions versus reality

Pediatrics. 2012 Mar;129(3):473-9. doi: 10.1542/peds.2011-2111. Epub 2012 Feb 20.

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.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Age Factors
  • Black or African American / psychology*
  • Black or African American / statistics & numerical data
  • Child
  • Confidence Intervals
  • Female
  • Health Status Disparities
  • Humans
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Multivariate Analysis
  • Odds Ratio
  • Poverty / psychology
  • Poverty / statistics & numerical data
  • Prospective Studies
  • Risk Assessment
  • Risk-Taking*
  • Self Concept*
  • Sex Factors
  • Stress, Psychological
  • Substance-Related Disorders / epidemiology*
  • Surveys and Questionnaires
  • United States
  • Urban Population
  • Violence / statistics & numerical data*