Low socioeconomic status can negatively impact children's health in preschool, along with their ability to follow specialized health education intervention programs, Mount Sinai researchers found in an international study focused on health promotion in schools, including those in the Harlem section of New York City. The results, published in the Journal of the American College of Cardiology, stress the importance of introducing a specialized health curriculum in classrooms starting in preschool.
The overall adjusted baseline KAH averaged at 46.3 points on a scale from 0 to 80. Children with higher socioeconomic status—as measured by both household income and educational level—started with higher baseline scores. Students with high parental educational level had higher KAH scores than those with low parental educational level .
Children from high-income households had better KAH scores than children from low-income households . Children from families with high educational level and household income had a lower zBMI compared with children from families with low educational level and household income at baseline. After the end of the intervention, researchers compared KAH and zBMI between intervention and control groups. Overall, KAH improved more in the intervention group than in controls, and went up by 4.76 points compared to the control group after four months. There was also a bigger jump in points among children with higher socioeconomic status.
KAH for the high-household-income intervention group went up by 6.33 more points than the control group. KAH for low-KAH for intervention students from high-education families went up by 4.96 compared to the control group, and 3.75 for those from low-education families, suggesting that children from these families did not follow the curriculum as well as those from high-education backgrounds.
Dr. Fuster and his team are now running this school program in two boroughs of New York City and plan to expand it across the five boroughs in the next few years. This project will evaluate many other factors about health, teacher's motivation, environment , and familial issues.Valentin Fuster et al, Impact of Socioeconomic Background on Cardiovascular Health Promotion in Early Childhood,
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