Gestational age at birth, chronic conditions and school outcomes: a population-based data linkage study of children born in England.
Gestational age at birth, chronic conditions and school outcomes: a population-based data linkage study of children born in England.
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DOI：
10.1093/ije/dyac105
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发表时间：
2023-02-08
影响因子：
7.7
通讯作者：
中科院分区：
文献类型：
--
作者：
我们的目的是通过学校成绩和提供特殊教育需求（SEN）来衡量儿童发育的证据，包括早产儿和妊娠>41周的儿童，有和没有慢性健康状况。我们使用了2004年9月1日至2005年8月31日期间在英格兰出生的儿童的医院和教育记录的国家关联数据集。我们在关键阶段1（KS 1; 7岁）和关键阶段2（KS 2; 11岁）以及11岁时的任何特殊教育需要评估学校成绩。我们分层分析的慢性健康状况，直到2岁，和大小为妊娠，并计算人口归因分数（PAF）。在306717名儿童中，5.8%出生时妊娠期小于37周，7.0%患有慢性疾病。在KS 1时未达到预期水平的儿童百分比从妊娠41周时的7.6%增加到妊娠24周时的50.0%。在KS 2中也看到了类似的模式。SEN范围为41周时的29.0%至24周时的82.6%。早产儿（妊娠37-38周）的结局比40周出生的儿童差; 3.2%的SEN儿童归因于慢性疾病，而2.0%归因于早产。出生时患有早期发现的慢性疾病的儿童比早产更容易造成学业成绩差的负担。需要评估如何利用早期健康特征来改善入学前和入学时的教育准备。
We aimed to generate evidence about child development measured through school attainment and provision of special educational needs (SEN) across the spectrum of gestational age, including for children born early term and >41 weeks of gestation, with and without chronic health conditions. We used a national linked dataset of hospital and education records of children born in England between 1 September 2004 and 31 August 2005. We evaluated school attainment at Key Stage 1 (KS1; age 7) and Key Stage 2 (KS2; age 11) and any SEN by age 11. We stratified analyses by chronic health conditions up to age 2, and size-for-gestation, and calculated population attributable fractions (PAF). Of 306 717 children, 5.8% were born <37 weeks gestation and 7.0% had a chronic condition. The percentage of children not achieving the expected level at KS1 increased from 7.6% at 41 weeks, to 50.0% at 24 weeks of gestation. A similar pattern was seen at KS2. SEN ranged from 29.0% at 41 weeks to 82.6% at 24 weeks. Children born early term (37–38 weeks of gestation) had poorer outcomes than those born at 40 weeks; 3.2% of children with SEN were attributable to having a chronic condition compared with 2.0% attributable to preterm birth. Children born with early identified chronic conditions contribute more to the burden of poor school outcomes than preterm birth. Evaluation is needed of how early health characteristics can be used to improve preparation for education, before and at entry to school.
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DOI：
10.1136/archdischild-2012-303536
发表时间：
2014-01
期刊：
Archives of disease in childhood. Fetal and neonatal edition
影响因子：
--
作者：
Cole TJ;Statnikov Y;Santhakumaran S;Pan H;Modi N;Neonatal Data Analysis Unit and the Preterm Growth Investigator Group
通讯作者：
Neonatal Data Analysis Unit and the Preterm Growth Investigator Group
影响因子：
5.1
作者：
Chyi, Lisa J.;Lee, Henry C.;Sutcliffe, Trenna L.
通讯作者：
Sutcliffe, Trenna L.
影响因子：
120.7
作者：
Hack, M;Taylor, HG;Klein, N
通讯作者：
Klein, N
影响因子：
5.2
作者：
Jay, Matthew A.;Gilbert, Ruth
通讯作者：
Gilbert, Ruth
影响因子：
8
作者：
Bentley, Jason P.;Roberts, Christine L.;Nassar, Natasha
通讯作者：
Nassar, Natasha