Impact of family structure and stability on academic outcome in preterm children at 10 years of age
Impact of family structure and stability on academic outcome in preterm children at 10 years of age
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DOI：
10.1067/mpd.2001.111945
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发表时间：
2001-02-01
影响因子：
5.1
通讯作者：
Slagle, TA
中科院分区：
文献类型：
--
作者：
Gross, SJ;Mettelman, BB;Slagle, TA
目的：比较极早产儿和足月对照组10岁时的学习成绩，并研究家庭组成和稳定性对成绩的影响。研究设计：前瞻性、纵向随访出生于胎龄24 ~ 31周的儿童和社会人口学匹配的足月对照组，从出生到10岁。家庭组成，父母照顾的程度，和家庭的举动进行了跟踪。在10年，学习成绩和学校的表现被确定为118 125（94%）早产儿幸存者和119 125（95%）长期childhes.Results：长期儿童更有可能表现出最佳的学校成绩（适当的年级水平，没有额外的课堂援助）比早产儿（优势比3.4，95%CI 1.9-6.0）。与早产相关的医疗并发症对学校成绩的影响不大。在早产儿中，最佳的学校成绩与父母教育程度的提高、父母2人抚养子女（无论婚姻状况如何）、家庭组成的稳定性和10年以上的地理居住地显著相关。这些环境的影响是不太明显的长期控制subjects.Conclusion：虽然早产儿在学校表现不如长期儿童，家庭因素是更强的预测比围产期并发症的学校表现。
Objective: To compare school performance at age 10 years in a cohort of extremely preterm children and term control subjects and to examine the impact of family composition and stability on performance.Study design: Prospective, longitudinal 'follow-up from birth to 10 years of age of a regional cohort of children born at 24 to 31 weeks of gestational age and sociodemographically matched term control subjects. Family composition, extent of parental care giving, and family moves were tracked sequentially. At 10 years, academic achievement and school performance were ascertained for 118 of 125 (94%) preterm survivors and 119 of 125 (95%) term children.Results: Term children were more likely to demonstrate optimal school outcome (appropriate grade level without additional classroom assistance) than were preterm children (odds ratio 3.4, 95% CI 1.9-6.0). Medical complications related to prematurity had little impact on school outcome. Among preterm children, optimal school outcome was significantly associated with increased parental education, child rearing by 2 parents (regardless of marital status), and stability in family composition and geographic residence over 10 years. These environmental influences were less pronounced among term control subjects.Conclusion: Although preterm children performed less well in school than term children, family factors were stronger predictors of school performance than were perinatal complications.