caa a22 4500 605476772 CHVBK 20210128100357.0 cr unu---uuuuu 210128e20150701xx s 000 0 eng 10.1007/s00787-014-0623-y doi (NATIONALLICENCE)springer-10.1007/s00787-014-0623-y Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study [Elektronische Daten] [Marieke Potijk, Andrea de Winter, Arend Bos, Jorien Kerstjens, Sijmen Reijneveld] 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. Springer-Verlag Berlin Heidelberg, 2014 Socioeconomic status nationallicence Preterm birth nationallicence Preschool age nationallicence Gender nationallicence Child Behavior Checklist nationallicence Potijk Marieke Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut de Winter Andrea Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut Bos Arend Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut Kerstjens Jorien Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut Reijneveld Sijmen Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/7(2015-07-01), 787-795 1018-8827 24:7<787 2015 24 787 https://doi.org/10.1007/s00787-014-0623-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0623-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Potijk Marieke Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut NATIONALLICENCE 700 1- de Winter Andrea Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Bos Arend Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Kerstjens Jorien Division of Neonatology, Department of Pediatrics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut NATIONALLICENCE 700 1- Reijneveld Sijmen Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/7(2015-07-01), 787-795 1018-8827 24:7<787 2015 24 787