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

Marieke R Potijk1, Andrea F de Winter, Arend F Bos

  • 1Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands, m.r.potijk@umcg.nl.

European Child & Adolescent Psychiatry
|October 9, 2014
PubMed

Insights

Moderately preterm birth and low socioeconomic status (SES) significantly increase children's risk for behavioral and emotional problems. These combined factors, particularly in girls, highlight the need for early intervention strategies.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Moderately preterm (MP) birth (32-36 weeks gestation) is linked to increased behavioral and emotional issues.
  • The contribution of low socioeconomic status (SES) to these issues in MP children requires further investigation.

Purpose of the Study:

  • To assess the independent and joint effects of MP birth and low SES on behavioral and emotional problems.
  • To examine these effects overall and by gender in a population-based sample.

Main Methods:

  • Utilized a population-based sample of 915 MP and 543 term-born children.
  • Employed multivariable logistic regression to analyze risks associated with gestational age and SES.
  • Assessed behavioral and emotional problems using the Child Behavior Checklist at age 4.

Main Results:

  • MP children with low SES exhibited higher total problem scores compared to those with high SES (11.3% vs. 5.1%).
  • Each standard deviation decrease in SES increased the odds of elevated total problem scores by 42%.
  • MP birth independently increased the risk of behavioral problems, with effects more pronounced in girls.

Conclusions:

  • Moderately preterm birth and low SES act synergistically to elevate the risk of behavioral and emotional problems.
  • Identifying children with this combination of risk factors is crucial for targeted early intervention.
  • The findings underscore the importance of addressing both prematurity and socioeconomic factors in child development.

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