Early Childhood Education: Health, Equity, and Economics

Annu Rev Public Health. 2023 Apr 3:44:75-92. doi: 10.1146/annurev-publhealth-071321-032337. Epub 2022 Nov 4.

Abstract

Many low-income and minority children in the United States and globally are at risk of poor educational trajectories and, consequently, diminished life courses, because their households and neighborhoods lack resources to adequately support learning and development prior to formal schooling. This review summarizes evidence on center-based early childhood education (ECE) for three- and four-year-olds as a means of assuring school readiness in cognitive and socioemotional skills. While the details of ECE programs merit further research, it is clear that ECE can benefit children, especially those most disadvantaged, with additional societal benefits and positive long-run economic returns. Universal ECE is not a cure-all, and its success requires ongoing alignment with subsequent education and attention to child household and community conditions. Because resource deprivation is concentrated in low-income and minority communities, publicly funded universal ECE can also be a powerful instrument for the promotion of social equity.

Keywords: early childhood education; education; education and health; education economics.

Publication types

  • Review

MeSH terms

  • Child
  • Child, Preschool
  • Educational Status
  • Humans
  • Minority Groups*
  • Poverty*
  • United States