Preterm Birth and Adult Wealth: Mathematics Skills Count
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Updated: Apr 4, 2026

Multimedia Battery for Assessment of Cognitive and Basic Skills in Mathematics BM-PROMA
Published on: August 28, 2021
Maartje Basten1, Julia Jaekel2, Samantha Johnson3
1Department of Psychology, University of Warwick.
Insights
Preterm birth is linked to lower adult wealth. This occurs because preterm birth can negatively impact academic abilities and educational attainment, leading to reduced financial success later in life.
Area of Science:
- Neuroscience
- Developmental Psychology
- Socioeconomic Studies
Background:
- Preterm birth affects 15 million babies annually worldwide.
- Adverse neurodevelopmental outcomes are associated with preterm birth.
- Mechanisms linking preterm birth to decreased adult wealth are not well understood.
Purpose of the Study:
- To investigate if academic abilities and educational qualifications mediate the relationship between preterm birth and adult wealth.
- To examine the long-term socioeconomic consequences of preterm birth.
Main Methods:
- Utilized data from two British population-based birth cohorts (born 1958 and 1970).
- Analyzed associations between preterm birth, cognitive and academic abilities in childhood, educational qualifications in young adulthood, and wealth at age 42.
Main Results:
- Preterm birth was associated with significantly decreased wealth at 42 years of age.
- This association was mediated by lower intelligence, reading, and mathematics attainment in middle childhood.
- Reduced educational qualifications in young adulthood also mediated the link between preterm birth and adult wealth.
- Findings were consistent across both birth cohorts, suggesting time-invariant mechanisms.
Conclusions:
- Academic abilities and educational attainment are key mediators linking preterm birth to lower adult wealth.
- Early academic support for preterm children may mitigate long-term socioeconomic disadvantages.
- Understanding these mediating factors is crucial for developing interventions to improve life outcomes for individuals born preterm.
Abstract:
Each year, 15 million babies worldwide are born preterm. Preterm birth is associated with adverse neurodevelopmental outcomes across the life span. Recent registry-based studies suggest that preterm birth is associated with decreased wealth in adulthood, but the mediating mechanisms are unknown. This study investigated whether the relationship between preterm birth and low adult wealth is mediated by poor academic abilities and educational qualifications. Participants were members of two British population-based birth cohorts born in 1958 and 1970, respectively. Results showed that preterm birth was associated with decreased wealth at 42 years of age. This association was mediated by decreased intelligence, reading, and, in particular, mathematics attainment in middle childhood, as well as decreased educational qualifications in young adulthood. Findings were similar in both cohorts, which suggests that these mechanisms may be time invariant. Special educational support in childhood may prevent preterm children from becoming less wealthy as adults.
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