TY - JOUR
T1 - Developmental outcomes of very preterm children with high parental education level
AU - van Houdt, Carolien A.
AU - van Wassenaer-Leemhuis, Aleid G.
AU - Oosterlaan, Jaap
AU - van Kaam, Anton H.
AU - Aarnoudse-Moens, Cornelieke S.H.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - Background: Compared to their term-born peers, children born very preterm are at risk for poorer cognitive, academic and behavioral outcomes, however this finding may have been confounded by lower parental education level in the very preterm children. Studies that compare very preterm and term-born children with comparable (high)parental education level are needed to assess the true effect of very preterm birth on outcomes. Aims: To compare cognitive, academic and behavioral functioning in very preterm and term-born children of highly educated parents. To examine whether outcomes differ for children of whom one or both parents are highly educated. Study design: Cross-sectional study with a term-born comparison group. Subjects: 113 very preterm children and 38 term-born children aged 8–12 years old, with highly educated parents. Measures: Cognitive functioning (Intelligence Quotient), academic functioning (arithmetic facts and reading)and parent and teacher rated behavioral functioning (attention, executive function, hyperactivity, and emotional, conduct and peer problems). Parental education was considered high when children had two highly educated parents or one highly- and one middle educated parent. Results: Very preterm children had significantly poorer cognitive (difference of 10 IQ points)and behavioral functioning than their term-born peers, but did not differ on academic functioning. Children with one highly educated parent performed poorer than children with two highly educated parents on most outcome measures. Conclusions: Performance of very preterm children should be compared to term-born peers with parents having comparable educational levels for accurate assessment of outcomes. The number of highly educated parents also impacts outcomes.
AB - Background: Compared to their term-born peers, children born very preterm are at risk for poorer cognitive, academic and behavioral outcomes, however this finding may have been confounded by lower parental education level in the very preterm children. Studies that compare very preterm and term-born children with comparable (high)parental education level are needed to assess the true effect of very preterm birth on outcomes. Aims: To compare cognitive, academic and behavioral functioning in very preterm and term-born children of highly educated parents. To examine whether outcomes differ for children of whom one or both parents are highly educated. Study design: Cross-sectional study with a term-born comparison group. Subjects: 113 very preterm children and 38 term-born children aged 8–12 years old, with highly educated parents. Measures: Cognitive functioning (Intelligence Quotient), academic functioning (arithmetic facts and reading)and parent and teacher rated behavioral functioning (attention, executive function, hyperactivity, and emotional, conduct and peer problems). Parental education was considered high when children had two highly educated parents or one highly- and one middle educated parent. Results: Very preterm children had significantly poorer cognitive (difference of 10 IQ points)and behavioral functioning than their term-born peers, but did not differ on academic functioning. Children with one highly educated parent performed poorer than children with two highly educated parents on most outcome measures. Conclusions: Performance of very preterm children should be compared to term-born peers with parents having comparable educational levels for accurate assessment of outcomes. The number of highly educated parents also impacts outcomes.
KW - Academic achievement
KW - Behavioral functioning
KW - Cognitive development
KW - Follow-up studies
KW - Prematurity
KW - Socio-economic status
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UR - https://www.ncbi.nlm.nih.gov/pubmed/31035105
U2 - https://doi.org/10.1016/j.earlhumdev.2019.04.010
DO - https://doi.org/10.1016/j.earlhumdev.2019.04.010
M3 - Article
C2 - 31035105
SN - 0378-3782
VL - 133
SP - 11
EP - 17
JO - Early Human Development
JF - Early Human Development
ER -