Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study

Verfasser / Beitragende:
[Marieke Potijk, Andrea de Winter, Arend Bos, Jorien Kerstjens, Sijmen Reijneveld]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Child & Adolescent Psychiatry, 24/7(2015-07-01), 787-795
Format:
Artikel (online)
ID: 605476772
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024 7 0 |a 10.1007/s00787-014-0623-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00787-014-0623-y 
245 0 0 |a Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study  |h [Elektronische Daten]  |c [Marieke Potijk, Andrea de Winter, Arend Bos, Jorien Kerstjens, Sijmen Reijneveld] 
520 3 |a Moderately preterm (MP) birth is associated with higher rates of behavioural and emotional problems. To determine the extent to which low socioeconomic status (SES) contributes to these higher rates, we assessed independent and joint effects of MP birth and low SES, overall and by gender. Dutch preventive child health care centres provided a population-based sample of 915 MP children (32-36weeks gestation) and 543 term-born children, born in 2002/2003. In multivariable logistic regression analyses, we determined the risk of behavioural and emotional problems per standard deviation (SD) decrease in gestational age and SES, using standardized measures for both. We also assessed three SES categories, being low (1SD or more below mean of standardized SES), intermediate (mean±1SD), and high (greater than mean+1SD). The Child Behavior Checklist for 1.5-5years was used to assess behavioural (externalizing), emotional (internalizing), and total problems at age 4years. MP children with low SES had significantly higher total problem scores than those with high SES (11.3 vs. 5.1%, respectively). Each SD decrease in SES was associated with a 42% higher odds of elevated total problem scores (OR 1.42, 95% CI 1.14-1.77). No joint effects were found, meaning that lower gestational age independently added to the risk of behaviour problems (OR 1.24, 95% CI 1.00-1.56). Effects of MP birth and low SES were more pronounced in girls. In conclusion,MP birth and low SES multiply the risk of behavioural and emotional problems. The combination of risk factors identifies children who could benefit greatly from early intervention. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Socioeconomic status  |2 nationallicence 
690 7 |a Preterm birth  |2 nationallicence 
690 7 |a Preschool age  |2 nationallicence 
690 7 |a Gender  |2 nationallicence 
690 7 |a Child Behavior Checklist  |2 nationallicence 
700 1 |a Potijk  |D Marieke  |u Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
700 1 |a de Winter  |D Andrea  |u Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
700 1 |a Bos  |D Arend  |u Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
700 1 |a Kerstjens  |D Jorien  |u Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
700 1 |a Reijneveld  |D Sijmen  |u Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
773 0 |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/7(2015-07-01), 787-795  |x 1018-8827  |q 24:7<787  |1 2015  |2 24  |o 787 
856 4 0 |u https://doi.org/10.1007/s00787-014-0623-y  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00787-014-0623-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Potijk  |D Marieke  |u Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a de Winter  |D Andrea  |u Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bos  |D Arend  |u Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kerstjens  |D Jorien  |u Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Reijneveld  |D Sijmen  |u Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/7(2015-07-01), 787-795  |x 1018-8827  |q 24:7<787  |1 2015  |2 24  |o 787