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Self-perceived health, functioning and well-being of very low birth weight infants at age 20 years
Maureen Hack1, Lydia Cartar, Mark Schluchter
1Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio, USA. mxh7@case.edu
Insights
Very low birth weight (VLBW) individuals report similar adult health but less resilience. Despite better achievement and risk avoidance, VLBW survivors face more long-term health issues.
Area of Science:
- Neonatal health outcomes
- Longitudinal studies in developmental pediatrics
- Adult health of preterm infants
Background:
- Very low birth weight (VLBW) infants (<1.5 kg) face unique developmental challenges.
- Understanding the long-term self-perceived health of VLBW survivors into adulthood is crucial for targeted interventions.
Purpose of the Study:
- To assess and compare the self-perceived health and well-being of very low birth weight (VLBW) individuals with normal birth weight (NBW) controls in young adulthood.
Main Methods:
- A cohort of 241 VLBW and 232 NBW individuals completed the Child Health and Illness Profile: Adolescent Edition (CHIP-AE) at age 20.
- The CHIP-AE assesses health across domains including Satisfaction, Comfort, Resilience, Achievement, Risk Avoidance, and Disorders.
- Statistical analyses compared VLBW and NBW groups, adjusting for sex and sociodemographic factors.
Main Results:
- VLBW subjects reported lower Resilience, particularly in physical activity and family involvement.
- Conversely, VLBW individuals demonstrated better Achievement in work performance and higher Risk Avoidance.
- VLBW survivors experienced significantly more long-term medical, surgical, and psychosocial disorders compared to NBW controls.
Conclusions:
- Very low birth weight (VLBW) survivors perceive their overall health and functioning similarly to normal birth weight (NBW) peers in young adulthood.
- While VLBW individuals exhibit enhanced risk avoidance and achievement, their diminished resilience raises concerns for future adult health.
- Longitudinal monitoring and support are essential for VLBW survivors to address potential long-term health detriments.
Objective:
To examine the self-perceived health of very low birth weight (VLBW; <1.5 kg) infants during young adulthood.
Study Design:
The population included 241 VLBW and 232 normal birth weight (NBW) controls who completed the Child Health and Illness Profile: Adolescent Edition (CHIP-AE) at 20 years of age. The CHIP-AE includes six domains: Satisfaction, Comfort, Resilience, Achievement, Risk Avoidance, and Disorders, and 13 profiles that characterize patterns of health. Results were compared between VLBW and NBW subjects adjusting for sex and sociodemographic status.
Results:
VLBW subjects did not differ from NBW controls in the domains of Satisfaction or Comfort but reported less Resilience (effect size [ES] -0.19, P < .05), specifically in physical activity and family involvement. They reported better Achievement, specifically in work performance (ES 0.28, P < .05), more Risk Avoidance (ES 0.43, P < .001), and significantly more long-term medical, surgical, and psychosocial disorders. Similar proportions of VLBW and NBW subjects reported Excellent (15% vs 11%), Average (27% vs 34%), and Poor (12% vs 13%) profiles of health.
Conclusions:
VLBW subjects report similar health, well-being, and functioning compared with NBW controls and greater risk avoidance. However, we are concerned that their lesser resilience may prove detrimental to their future adult health.
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