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The impact of socioeconomic status on teenage mothers and children who received early intervention
Authors:Wendy L. Stone   R. Debra Bendell  Tiffany M. Field
Affiliation:1. Staff Anesthesiologist, Department of General Anesthesiology, Cleveland Clinic, 9500 Euclid Ave- E30, Cleveland, OH 44195;2. Staff Intensivist, Center for Critical Care, and Staff Anesthesiologist, Department of General Anesthesiology and Department of Outcomes Research, Cleveland Clinic Foundation, Cleveland, OH 44195;3. Residency Program Director, Anesthesiology Institute and Associate Professor of Anesthesiology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of General Anesthesiology, Cleveland Clinic, 9500 Euclid Ave- E30, Cleveland, OH 44195;4. Vice Chair for Education, Anesthesiology Institute and Chairman, Pediatric Anesthesiology, Pediatric Anesthesiology, Cleveland Clinic, 9500 Euclid Avenue/P20, Cleveland, OH 44195;5. Associate Staff Biostatistician, Department of Quantitative Health Sciences, Cleveland Clinic, 9500 Euclid Avenue/P77, Cleveland, OH 44195;6. Biostatistician, Department of Quantitative Health Sciences, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195;7. Anesthesiology Resident, Department of General Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA;8. Assistant Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and Staff Anesthesiologist, Department of General Anesthesiology, 9500 Euclid Ave- E30, Cleveland, OH 44195;1. Anesthesiology Resident, Anesthesiology Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195;10. Vice Chair for Professional Development, Department of General Anesthesiology and Associate Professor of Anesthesiology Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of General Anesthesiology, 9500 Euclid Ave- E30, Cleveland, OH 44195
Abstract:To determine the early school age effects of an intervention program for low SES, black teenage mothers and their term and preterm infants, a subsample of 61 mother-child dyads was assessed when the children were 5 to 8 years of age. The mothers and children were videotaped in a storytelling interaction together and then interviewed and tested. The child interviews included the Pictorial Scale of Perceived Competence, the Peabody Picture Vocabulary Test, the Wide Range Achievement Test, and the Bender Visual Motor Gestalt Test. The maternal interviews included a demographic questionnaire, the Rosenberg Self Esteem Scale, the Eyberg Child Behavior Inventory, the Parenting Stress Index, and the Vocabulary subtest of the Wechsler Adult Intelligence Scale. Analyses of variance yielded no intervention effects and no effects of prematurity on any of the child or mother measures. Correlation analysis, however, yielded a number of significant relations between socioeconomic status and child and maternal outcome measures. These findings suggest that the effects of intervention may be short-term for this population, and that low socioeconomic status (SES) may override the effects of early intervention and prematurity by the time children reach school age.
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