Influence of premature birth on the health conditions, receipt of special education and sport participation of children aged 6-17 years in the USA

Influence of premature birth on the health conditions, receipt of special education and sport participation of children aged 6-17 years in the USA
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DOI:
10.1093/pubmed/fdv098
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发表时间:
2016-06-01
影响因子:
4.4
通讯作者:
Sabo, Tina
Sabo, Tina
中科院分区:
医学4区
文献类型:
--
作者:
Kodjebacheva, Gergana D.;Sabo, Tina

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为了调查早产对6-17岁儿童状况的影响,美国儿童健康全国调查在2011-12年的调查中首次增加了一个关于早产的问题。在控制社会人口学因素的同时,使用logistic回归评估早产对不同条件的影响。62078人中,共有6882人6-17岁儿童早产率为11.1%,与非早产儿相比,早产儿更易患脑瘫[OR = 9.6,CI:7.4-12.4]、视力问题(OR = 2.3,CI:2.0-2.6)、听力问题(OR = 1.7,CI:1.6-2.0)和特殊医疗需求(OR = 1.7,CI:1.6-1.8)。早产儿在过去12个月内不参加运动队或放学后或周末不参加体育课的可能性比非早产儿高(OR = 1.2,CI:1.1-1.3)。需要从生命过程的角度进行干预,以减轻早产的长期后果。
To investigate the influence of premature birth on conditions among children aged 6-17 years.The National Survey of Children's Health in the USA added a question on premature birth for the first time in the 2011-12 wave. The influence of being born premature on different conditions while controlling for sociodemographic factors was assessed using logistic regression. A total of 6882 out of 62 078 (11.1%) of children aged 6-17 years were born premature.Compared with children who were not born premature, those who were born premature were more likely to have cerebral palsy [odds ratio (OR) = 9.6, confidence interval (CI): 7.4-12.4], vision problems (OR = 2.3, CI: 2.0-2.6), hearing problems (OR = 1.7, CI: 1.6-2.0) and a special healthcare need (OR = 1.7, CI: 1.6-1.8). Children who were born premature had an increased likelihood of not being on a sports team or not taking sports lessons after school or on weekends during the past 12 months than those who were not born premature (OR = 1.2, CI: 1.1-1.3).Prematurity may be associated with negative outcomes as infants transition into childhood and adolescence. Interventions within the life-course perspective are needed to alleviate the long-term consequences of prematurity.