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BMJ 2006;332 (24 June), doi:10.1136/bmj.332.7556.0-c
The UK government's Sure Start local programmes to improve the health and development of socially deprived children < 4 years and their families seem to have only limited effects, varying with degree of social deprivation. In a cross sectional study, Belsky and collegues (p 1476), interviewed mothers and cognitively assessed children from English socially deprived communities with and without Sure Start programmes. The programmes benefited less socially deprived parents and their children, but they seemed to have an adverse effect on the most disadvantaged children.
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