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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

A Child Development Fund Program, Emotional Development, and Poverty Reduction

Ko Ling Chan, Camilla Kin-ming Lo, Lu Yu, Frederick K. Ho, Elsie Yan and Patrick Ip
Pediatrics January 2021, 147 (1) e2020007534; DOI: https://doi.org/10.1542/peds.2020-007534
Ko Ling Chan
aDepartment of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong;
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Camilla Kin-ming Lo
aDepartment of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong;
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Lu Yu
aDepartment of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong;
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Frederick K. Ho
bInstitute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom; and
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Elsie Yan
aDepartment of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong;
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Patrick Ip
cDepartment of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong
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Abstract

OBJECTIVES: We aim to examine the effects of the Child Development Fund (CDF) program on the long-term psychological, health, social, and financial development of children in poverty.

METHODS: The current study was a 4-year follow-up survey study (the follow-up study) of a nonrandomized controlled trial (the first study), conducted in 2019 and 2015, respectively, in Hong Kong. Subjects were 902 young adults who were from families living in poverty and receiving financial assistance from the government and who had completed the first study. Approximately 61% of the subjects (N = 546) completed the current follow-up study.

RESULTS: Of the 546 subjects (46% male), 335 (61%; CDF participants) completed the CDF program between 2011 and 2015, and 211 (39%; CDF nonparticipants) were matched controls in the first study. The mean age was 20.64 years (SD = 2.72). After adjustments of covariates, the CDF participants reported fewer behavioral problems, higher levels of study motivation, higher levels of hope, and more positive attitudes toward their future education. The CDF participants also perceived greater social support from significant others and reported greater amounts of money saved every month. After further adjustments, CDF participants showed greater improvements in health-related quality of life related to emotional functioning. A considerable number of families of the CDF participants who were working for a living were no longer reliant on financial assistance from the government.

CONCLUSIONS: The positive effects of the CDF program on children in poverty could be sustained throughout adolescence to young adulthood. Findings warrant the promotion of the program to reach more children.

  • Accepted October 6, 2020.
  • Copyright © 2021 by the American Academy of Pediatrics

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Pediatrics
Vol. 147, Issue 1
1 Jan 2021
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A Child Development Fund Program, Emotional Development, and Poverty Reduction
Ko Ling Chan, Camilla Kin-ming Lo, Lu Yu, Frederick K. Ho, Elsie Yan, Patrick Ip
Pediatrics Jan 2021, 147 (1) e2020007534; DOI: 10.1542/peds.2020-007534

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A Child Development Fund Program, Emotional Development, and Poverty Reduction
Ko Ling Chan, Camilla Kin-ming Lo, Lu Yu, Frederick K. Ho, Elsie Yan, Patrick Ip
Pediatrics Jan 2021, 147 (1) e2020007534; DOI: 10.1542/peds.2020-007534
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