School grades and educational attainments of adolescents and young adults born preterm.
School grades and educational attainments of adolescents and young adults born preterm.
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DOI：
10.1038/s41598-022-27295-4
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发表时间：
2023-01-05
影响因子：
4.6
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中科院分区：
文献类型：
--
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早产儿接受特殊教育 (SE) 的比例高于足月出生者。人们对主流教育（ME）中早产儿的学校成绩以及这些成绩如何预测以后的教育程度知之甚少。这项基于人口的登记关联研究评估了 (1) SE 的出勤率，然后通过评估 (2) 16 岁时的学校成绩、(3) 25 岁时的完成教育水平和 (4) 以足月出生（39-41 完整周）作为参考，将学校成绩作为按胎龄 (GA) 完成教育的预测因子。样本包括 223,744 名出生于芬兰 (1/1987-9/1990) 的个体（10,521 名早产者，4.7%）。在样本中，4.9% 就读于 SE。早产儿的 SE 发生率高达 5.5 倍。在 ME 中，与足月出生的人相比，极早产 (EPT) 出生的人的数学成绩略低，而早产晚期或足月早期出生的人的数学成绩稍高。那些出生于 EPT 或非常早产的人在 ME 中的体育成绩较低。然而，根据 GA 的学校成绩的微小差异似乎并没有转化为青年时期的教育差异。 16 年级的学校成绩与 25 年级完成学业之间的关联并没有因 GA 的不同而有所不同。
Attendance in special education (SE) is more common among individuals born preterm than among those born at term. Less is known about school grades of those born preterm in mainstream education (ME), and how these grades predict later educational attainment. This population-based register-linkage study assessed (1) attendance in SE, and then focused on those in ME by assessing (2) school grades at 16 year, (3) completed educational level at 25 year, and (4) school grades as predictors for completed education by gestational age (GA) with full-term birth (39–41 completed weeks) as reference. The sample comprised 223,744 individuals (10,521 preterm, 4.7%) born in Finland (1/1987–9/1990). Of the sample, 4.9% attended SE. Those born preterm had up to 5.5-fold rates for SE. In ME, those born extremely preterm (EPT) had marginally lower mathematics grades compared with full-term counterparts, whilst those born late preterm or early term had slightly higher grades. Those born EPT or very preterm had lower physical education grades in ME. However, the minor differences in school grades according to GA appear not to translate into educational differences in young adulthood. The associations between school grades at 16 year and completed education at 25 year did not vary by GA.
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