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Terrie E. Moffitt, PhD

JAMA. 1997;278(8):680-681.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

This issue of JAMA contains 2 reports of randomized clinical trials showing that a nurse home-visit program has bettered the situations of disadvantaged mothers and their children. The trials are remarkable for demonstrating that the program improved not just poor mothers' infant care, but an array of health and social outcomes, as long as 15 years following childbirth. Olds et al¹ report that their program in Elmira, NY, reduced poor white women's subsequent pregnancies, child abuse and neglect, use of welfare, substance abuse problems, and crime and increased their labor force participation. Kitzman et al² report that the Elmira experiment, replicated in Memphis, Tenn, reduced poor black women's hypertension and subsequent pregnancies, improved home rearing environments for their children, and reduced the children's injuries. Such impressive findings from rigorous experiments suggest that a nationwide policy favoring nurse home visits based on models that have been tested and found . . . [Full Text PDF of this Article]

Author Affiliations
From the Centre for Social, Genetic and Developmental Psychiatry Research, Institute of Psychiatry, London, England.

Footnotes
Corresponding author: Terrie E. Moffitt, PhD, Centre for Social, Genetic and Developmental Psychiatry Research, Institute of Psychiatry, 111 Denmark Hill, London SE5 8AF, United Kingdom.

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