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[Preterm birth and low socioeconomic status: more psychosocial problems at age 5-6?]

Sanne A A de Laat1, Marie-Louise Essink-Bot, Aleid G van Wassenaer-Leemhuis

  • 1*Dit onderzoek werd eerder gepubliceerd in European Child & Adolescent Psychiatry (2015;epub: 12 november) met als titel 'Effect of socioeconomic status on psychosocial problems in 5-to 6-year-old preterm- and term-born children: the ABCD study'. Afgedrukt met toestemming.

Nederlands Tijdschrift Voor Geneeskunde
|February 25, 2016
PubMed

Insights

Socioeconomic status (SES) significantly impacts child psychosocial development. Preterm birth did not worsen psychosocial problems for children from low SES backgrounds, highlighting SES as a primary factor.

Area of Science:

  • Developmental Psychology
  • Pediatric Health
  • Social Epidemiology

Context:

  • The Amsterdam Born Children and their Development (ABCD) cohort study investigated psychosocial development in children.
  • Previous research suggests a link between socioeconomic status (SES) and behavioral outcomes.
  • Preterm birth is a known risk factor for developmental challenges.

Purpose:

  • To compare the association between SES and psychosocial problems in preterm-born versus term-born children.
  • To examine how maternal education and perceived income adequacy relate to psychosocial difficulties.
  • To identify if preterm birth exacerbates SES-related psychosocial issues.

Summary:

  • A cohort study compared 217 preterm-born and 4336 term-born children at ages 5-6 using the Strengths and Difficulties Questionnaire (SDQ).
  • Preterm-born children had higher mean SDQ scores, and lower maternal education/income adequacy were linked to more problems.
  • However, the impact of preterm birth on psychosocial problems was not amplified in children from lower SES backgrounds.

Impact:

  • Findings underscore the significant, independent role of low SES in children's psychosocial development.
  • This research suggests that interventions targeting SES may be crucial for supporting children born preterm.
  • The study highlights that socioeconomic disadvantage, not preterm birth itself, is the primary driver of increased psychosocial problems in this context.
Abstract

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