Population impact of preterm birth and low birth weight on developmental disabilities in US children

Laura A Schieve1, Lin H Tian1, Kristin Rankin2

  • 1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.

Annals of Epidemiology
|April 18, 2016
PubMed

Insights

Preterm birth significantly impacts child neurodevelopment, with varying effects across different developmental disabilities (DDs). Understanding these population impacts is crucial for public health initiatives.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Public Health

Background:

  • Previous research indicates links between adverse perinatal outcomes and developmental disabilities (DDs).
  • However, the population-level impact of these associations remains understudied.
  • Understanding these impacts is vital for effective public health strategies and interventions.

Purpose of the Study:

  • To quantify the population attributable fractions (PAFs) for associations between birth weight categories and neurodevelopmental outcomes.
  • To assess the adjusted relative risks (aRRs) for various developmental disabilities in children aged 3-17 years.
  • To determine the population impact of preterm birth and/or low birth weight on specific neurodevelopmental conditions.

Main Methods:

  • Utilized data from the 2011-2012 National Survey of Children's Health.
  • Calculated adjusted relative risks (aRRs) for associations between birth weight (VLBW, MLBW, NBW) and preterm status with seven DDs.
  • Computed population attributable fractions (PAFs) to estimate the population-level impact of these risk factors.

Main Results:

  • Strong associations were found between preterm birth and cerebral palsy (CP), intellectual disability (ID), and autism spectrum disorder (ASD).
  • Population attributable fractions were highest for CP (55%), followed by ID, ASD, and learning disability (LD) (10%-20%).
  • Attention-deficit-hyperactivity disorder (ADHD) and behavioral-conduct disorders had a lower population impact (<5%).

Conclusions:

  • Preterm birth significantly influences child neurodevelopment across various conditions.
  • The relative associations and population impacts differ substantially depending on the specific developmental disability.
  • These findings underscore the importance of addressing perinatal factors to mitigate the burden of neurodevelopmental disorders.
Abstract

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