Gestational age at birth and child special educational needs: a UK representative birth cohort study.
Gestational age at birth and child special educational needs: a UK representative birth cohort study.
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DOI：
10.1136/archdischild-2020-320213
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发表时间：
2021-09
影响因子：
5.2
通讯作者：
Quigley MA
中科院分区：
文献类型：
--
作者：
Alterman N;Johnson S;Carson C;Petrou S;Rivero-Arias O;Kurinczuk JJ;Macfarlane A;Boyle E;Quigley MA
研究英国11岁儿童出生时胎龄与特殊教育需求(SEN)之间的关系。千禧年队列研究是对2000-2002年间在英国出生的儿童进行的具有全国代表性的纵向样本。有关孩子出生、健康和社会人口因素的信息是在孩子9个月大的时候收集的。在11岁时从父母那里收集有关SEN的存在和原因的信息。调整后的相对风险(ARR)使用改进的泊松回归进行估计，以考虑混杂因素。样本包括12,081名在两个时间点都有数据的儿童。SEN的总患病率为11.2%，且与胎龄呈负相关。孕32周出生的儿童SEN患病率为27.4%，是40周出生儿童的3倍(ARR=2.89；95%可信区间2.02，4.13)。早产儿(37-38周)患SEN的风险也增加(ARR=1.33；95%可信区间1.11，1.59)；当分析仅限于自然发病的产后出生时，这一点也是相同的。足月未足月出生与有无特殊需要或因多种原因而有特殊需要的正式陈述有更强的相关性。胎龄较早的儿童更有可能经历特殊需要，有更复杂的特殊需要，需要在学习的多个方面提供支持。甚至在早产和自然分娩的儿童中也观察到了这种联系。
To examine the association between gestational age at birth across the entire gestational age spectrum and special education needs (SEN) in UK children at 11 years of age. The Millennium Cohort Study is a nationally representative longitudinal sample of children born in the UK during 2000-2002. Information about the child’s birth, health and sociodemographic factors was collected when children were 9 months old. Information about presence and reasons for SEN was collected from parents at age 11. Adjusted relative risks (aRR) were estimated using modified Poisson regression, accounting for confounders. The sample included 12,081 children with data at both time points. The overall prevalence of SEN was 11.2%, and it was inversely associated with gestational age. Among children born <32 weeks of gestation, the prevalence of SEN was 27.4%, three times higher than among those born at 40 weeks (aRR=2.89; 95% CI 2.02, 4.13). Children born early term (37-38 weeks) were also at increased risk for SEN (aRR=1.33; 95% CI 1.11, 1.59); this was the same when the analysis was restricted to births after labour with spontaneous onset. Birth before full term was more strongly associated with having a formal statement of SEN or SEN for multiple reasons. Children born at earlier gestational ages are more likely to experience SEN, have more complex SEN and require support in multiple facets of learning. This association was observed even among children born early-term and when labour began spontaneously.
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10.1136/archdischild-2014-306124
发表时间：
2014-11-01
影响因子：
4.4
作者：
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发表时间：
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发表时间：
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影响因子：
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作者：
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影响因子：
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作者：
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