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Preterm birth and unintentional injuries: risks to children, adolescents and young adults show no consistent pattern
Susanna Calling1, Karolina Palmér, Lena Jönsson
1Center for Primary Health Care Research, Department of Clinical Science, Lund University, Malmö, Sweden. susanna.calling@med.lu.se
Insights
This study found no consistent link between preterm birth and unintentional injuries in children and young adults. The risks were generally small and not statistically significant for most individuals born prematurely.
Area of Science:
- Perinatal Epidemiology
- Injury Prevention
- Child Health
Background:
- Preterm birth is linked to various physical and mental health issues.
- Understanding long-term risks associated with preterm birth is crucial for public health.
- The association between preterm birth and unintentional injuries requires further investigation.
Purpose of the Study:
- To investigate the association between preterm birth and the risk of unintentional injuries.
- To analyze injury risks across childhood, adolescence, and young adulthood.
- To examine injury patterns in a large Swedish cohort born between 1984 and 2006.
Main Methods:
- A large cohort study of 2,297,134 individuals (5.9% born preterm) in Sweden.
- Follow-up from 1985 to 2007, recording unintentional injuries leading to hospitalization or death.
- Calculation of hazard ratios for falls, transport injuries, and other injuries across four age groups.
Main Results:
- Adjusted analyses revealed mixed results, with some preterm subgroups showing slightly increased or decreased injury risks.
- Most risk estimates were borderline or non-significant for both males and females.
- Absolute risk differences between preterm and full-term individuals were minimal.
Conclusions:
- This study indicates no consistent pattern of risk for unintentional injuries in relation to preterm birth.
- The findings suggest that preterm birth is not consistently associated with increased risk of unintentional injuries in later life.
- Further research may explore specific injury types or contributing factors in preterm populations.
Aim:
Preterm birth is associated with a number of physical and mental health issues. The aim of this study was to find out whether there was also any association between individuals born preterm in Sweden between 1984 and 2006 and the risk of unintentional injuries during childhood, adolescence and young adulthood.
Methods:
The study followed 2 297 134 individuals, including 5.9% born preterm, from 1985 to 2007 for unintentional injuries leading to hospitalization or death (n = 244 021). The males and females were divided into four age groups: 1-5 years, 6-12 years, 13-18 years and 19-23 years. Hazard ratios were calculated for falls, transport injuries and other injuries.
Results:
After adjusting for a comprehensive set of covariates, some of the preterm subgroups demonstrated slightly increased risks of unintentional injuries, while others showed slightly decreased risks. However, most of the estimates were borderline or non-significant in both males and females. In addition, the absolute risk differences between individuals born preterm and full term were small.
Conclusion:
Despite the association between preterm birth and a variety of physical and mental health consequences, this study shows that there is no consistent risk pattern between preterm birth and unintentional injuries in childhood, adolescence and young adulthood.
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