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The lingering academic deficits of low birth weight children
Naomi Breslau1, Nigel S Paneth, Victoria C Lucia
1Department of Epidemiology, Michigan State University, College of Human Medicine, B645 West Fee Hall, East Lansing, MI 48824, USA. breslau@epi.msu.edu
Insights
Low birth weight (LBW) children showed persistent academic deficits in reading and math by age 17. These learning challenges were linked to early cognitive abilities and require early intervention for LBW infants.
Area of Science:
- Developmental Psychology
- Educational Psychology
- Public Health
Background:
- Low birth weight (LBW; < or =2500 g) is a significant concern impacting child development.
- Academic achievement disparities exist across socioeconomic and racial lines.
- Longitudinal studies are crucial for understanding the long-term effects of birth weight on educational outcomes.
Purpose of the Study:
- To determine the impact of low birth weight on 12th-grade academic performance in reading and mathematics.
- To compare these effects in two distinct socioeconomic and racial communities.
- To identify the persistence of LBW effects from childhood to adolescence.
Main Methods:
- Longitudinal assessment of children born in 1983-1985 from urban Detroit and suburban communities.
- Utilized the Woodcock-Johnson Psycho-Educational Battery-Revised for reading and mathematics at ages 11 and 17 (n=773).
- Employed multiple regression analysis with generalized estimating equations to isolate LBW effects.
Main Results:
- LBW children exhibited 3-5 point deficits in academic achievement at age 17, consistent from age 11.
- These deficits were comparable in urban and suburban settings and independent of family factors.
- At age 17, LBW children were 50% more likely to score below the population mean in reading and mathematics.
- LBW-related academic deficits were primarily explained by cognitive deficits identified at age 6.
Conclusions:
- Early interventions are necessary to mitigate the lasting effects of LBW on academic skills.
- Interventions should target preschool-aged children identified with low birth weight.
- Focus should be placed on both inner-city and suburban communities to address these disparities.
Objective:
To estimate the influence of low birth weight (LBW; < or =2500 g) on academic achievement in reading and mathematics in 12th grade in 2 socioeconomically and racially disparate, geographically defined communities.
Methods:
Representative samples of LBW and normal birth weight (NBW) children who were born in 1983-1985 and were from the inner city of Detroit and nearby middle class suburbs were assessed longitudinally. Woodcock-Johnson Psycho-Educational Battery-Revised standardized tests of reading and mathematics were used at ages 11 and 17 (n = 773). Multiple regression analysis applying generalized estimating equations was used to assess the independent effects of LBW on test scores.
Results:
Compared with NBW children, LBW children manifested deficits of 3 to 5 points in age-standardized tests of academic achievement at age 17 that had persisted with little change from age 11. LBW-related deficits were similar in urban and suburban communities and were independent of family factors. At age 17, LBW children were approximately 50% more likely than NBW children to score below the standardized population mean in both reading and mathematics. The LBW-related deficits in academic achievement in adolescence were largely accounted for by LBW-related deficits in general cognitive abilities, measured by IQ tests at age 6.
Conclusions:
Interventions to address the lingering effects of LBW on the acquisition of core academic skills during the school years should focus on preschool LBW children in both inner city and suburban communities.
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