000 02666nab a22003737a 4500
999 _c5260
_d5260
005 20250625151422.0
008 170109t2016 -nz||||| |||| 00| 0 eng d
040 _aAFVC
100 _aCaspi, Avshalom
_9897
245 _aChildhood forecasting of a small segment of the population with large economic burden
_cAvshalom Caspi, Renate M. Houts, Daniel W. Belsky, HonaLee Harrington, Sean Hogan, Sandhya Ramrakha, Richie Poulton and Terrie E. Moffitt
260 _bNJP,
_c2016
500 _aNature Human Behaviour, 2016, Advance online publication, 12 December 2016 (Open access)
520 _aPolicymakers are interested in early-years interventions to ameliorate childhood risks. They hope for improved adult outcomes in the long run that bring a return on investment. The size of the return that can be expected partly depends on how strongly childhood risks forecast adult outcomes, but there is disagreement about whether childhood determines adulthood. We integrated multiple nationwide administrative databases and electronic medical records with the four-decade-long Dunedin birth cohort study to test child-to-adult prediction in a different way, using a population-segmentation approach. A segment comprising 22% of the cohort accounted for 36% of the cohort's injury insurance claims; 40% of excess obese kilograms; 54% of cigarettes smoked; 57% of hospital nights; 66% of welfare benefits; 77% of fatherless child-rearing; 78% of prescription fills; and 81% of criminal convictions. Childhood risks, including poor brain health at three years of age, predicted this segment with large effect sizes. Early-years interventions that are effective for this population segment could yield very large returns on investment. (Authors' abstract). Record #5260
650 _aDOMESTIC VIOLENCE
_9203
650 _aADVERSE CHILDHOOD EXPERIENCES
_94089
650 4 _aBRAIN DEVELOPMENT
_92691
650 4 _aCHILD EXPOSURE TO VIOLENCE
_9130
650 0 _94056
_aDunedin Multidisciplinary Health and Development Study
650 0 _aINTERVENTION
_9326
650 5 _aLONGITUDINAL STUDIES
_9351
650 5 _aRISK FACTORS
_9505
651 4 _aNEW ZEALAND
_92588
700 _aHouts, Renate
_95652
700 _aBelsky, Daniel W.
_96317
700 _aHarrington, HonaLee
_95651
700 _aHogan, Sean
_95654
700 _aRamrakha, Sandhya
_95653
700 _91937
_aPoulton, Richie
700 _aMoffitt, Terrie E.
_91743
773 0 _tNature Human Behaviour, 2016, Advance online publication, 12 December 2016 (Open access)
830 _aNature Human Behaviour
_96318
856 _uhttp://dx.doi.org/10.1038/s41562-016-0005
942 _2ddc
_cARTICLE