Socioeconomic outcomes beyond 30 years of age in a cohort born with very low birth weight.

Acta Paediatr

Department of Neonatology, Juliane Marie Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Published: January 2023

AI Article Synopsis

  • The study aimed to explore the long-term socioeconomic impacts of very low birth weight (VLBW) on individuals born between 1980 and 1982 in Denmark.
  • The findings showed that individuals born with VLBW had lower IQ scores and faced more significant educational challenges at ages 4 and 18, which translated into lower educational attainment and financial independence by their 30s compared to those with normal birth weight.
  • Despite these trends indicating poorer outcomes for the VLBW cohort, the disadvantages were found to be less severe than those seen during childhood.

Article Abstract

Aim: As survival of infants born prematurely has increased dramatically, questions on long-term consequences have emerged. Our aim was to investigate long-term effects of very low birth weight on socioeconomic outcomes.

Methods: One hundred and fifty very low birth weight infants (VLBW) born from 1980 to 1982 at Rigshospitalet, Denmark, who had previously been followed up at age 2, 4 and 18 years, were compared to cohorts of low birth weight, normal birth weight (NBW) and a national population-based reference cohort. From the Danish national registers we obtained data regarding educational level, financial independence and living arrangements. In addition, we used the previously published results from the three cohorts.

Results: The VLBW cohort had lower intelligence quotient and higher risk of significant school difficulties evaluated at age 4 and 18 years. When compared to the NBW cohort, at 30-36 years of age the VLBW cohort tended to have lower educational level, OR 1.7, 95% CI 0.8-3.9, were not financially independent OR 1.5, 95% CI 0.6-3.7, lived alone OR 2.0, 95% CI 1.0-3.8 and had higher rates of the combination of all three outcomes, OR 3.2, 95% CI 0.7-15.8.

Conclusions: We found trends towards poor socioeconomic outcomes in young adults born with VLBW. The relative disadvantages appeared smaller than that in childhood.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091976PMC
http://dx.doi.org/10.1111/apa.16557DOI Listing

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