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Early Childhood Routines and Adolescent Health & Well-Being: Associations From a US Urban Cohort of Children With
Carol Duh-Leong1, Chidiogo Anyigbo2,3, Caitlin F Canfield4
1Division of General Pediatrics, Department of Pediatrics, NYU Grossman School of Medicine, New York, NY, USA.
Insights
Establishing early childhood routines like shared meals and reading predicts adolescent routines and promotes long-term health. These practices are crucial for healthy development and well-being.
Area of Science:
- Child Development
- Public Health
- Longitudinal Studies
Background:
- Early childhood routines are predictable practices promoting healthy growth and development.
- Socioeconomic disadvantage can impact the establishment of these routines.
- Understanding the long-term effects of early routines is vital for public health strategies.
Purpose of the Study:
- To investigate the longitudinal associations between early childhood routines and adolescent health outcomes.
- To determine if childhood routines predict adolescent routines and overall well-being.
- To explore potential mechanisms linking early routines to later health.
Main Methods:
- Secondary data analysis of the Future of Families cohort.
- Included 2943 children with socioeconomic disadvantage from 20 U.S. cities.
- Examined routines at age 3 (family meals, bedtime, reading) and outcomes at age 15 (routines, health, well-being) using regression analyses.
Main Results:
- Early childhood routines were associated with adolescent routines, including shared family meals, bedtime routines, and daily reading.
- A childhood bedtime routine predicted excellent adolescent health.
- Adolescent routines were concurrently linked to overall health and psychological well-being.
Conclusions:
- Early childhood routines predict adolescent routines and contribute to long-term adolescent health.
- Promoting childhood routines during critical developmental stages is a strength-based strategy for long-term health.
- Findings highlight the importance of consistent routines for sustained health and well-being.
Purpose:
To investigate longitudinal associations between the presence of early childhood routines- predictable and repeatable functional practices that promote healthy growth, development, and relationships - and adolescent health outcomes.
Design:
Secondary data analysis.
Setting:
20 large U.S. cities.
Subjects:
2943 children with socioeconomic disadvantage from the Future of Families cohort.
Measures:
Routines at age 3 (shared family meals, bedtime routine, daily reading); outcomes later in the same children at age 15 (healthy routines, overall health, psychological well-being).
Analysis:
Descriptive statistics, regression analyses.
Results:
We detected longitudinal associations between early childhood routines and later adolescent routines (increased count of shared family meals by parent report [IRR 1.13, 95% CI: 1.03, 1.24, P = 0.007], bedtime routine and daily reading by adolescent report [aOR 1.34, 95% CI: 1.08, 1.67, P = 0.008; aOR 1.18, 95% CI: 1.01, 1.38, P = 0.04; respectively]). A bedtime routine in early childhood was associated with excellent health in adolescence (aOR 1.42, 95% CI: 1.12, 1.79, P = 0.004]. Adolescent routines were concurrently associated with overall health and psychological well-being. We also detected two longitudinal patterns of associations suggesting multiple mechanisms for how early childhood routines influence later health and well-being.
Conclusion:
Early childhood routines predict adolescent routines, and may contribute to long term adolescent health outcomes. Future studies may promote childhood routines during critical developmental stages as a strength-based strategy to promote long-term health and well-being.
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