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Health perception by young adults born very preterm.

Camille Girard-Bock^1,2, Adrien Flahault^1,2, Élisabeth Bernard^1,2

¹Department of Pediatrics, Sainte-Justine University Hospital Research Center, Montreal, Quebec, Canada.

Acta Paediatrica (Oslo, Norway : 1992)

|August 4, 2021

Summary

Adults born very preterm reported poorer health perception than the general population, despite similar healthcare use and initial survey results. Lifestyle and symptom management were key improvement factors. Physicians rarely inquired about perinatal history.

Keywords:

health-related quality of life healthcare use outcome research patient perspectives prematurity

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Published on: August 25, 2014

Area of Science:

Neonatal Medicine
Public Health
Psychology

Background:

Very preterm birth (before 30 weeks gestation) can impact long-term health outcomes.
Understanding the self-perceived health and healthcare utilization of adults born very preterm is crucial for targeted interventions.
Previous research indicates potential disparities in health perception among this population.

Purpose of the Study:

To assess self-reported health perception and healthcare use in adults born very preterm.
To compare health perceptions between very preterm-born adults and term-born controls.
To identify factors influencing health perception and healthcare needs in this cohort.

Main Methods:

Cross-sectional observational study of young adults (18-29 years) born very preterm in Quebec, Canada.
Health perception assessed using the Short-Form 36 Health Survey (SF-36v2) and in-depth questionnaires.
Objective health measures and healthcare utilization data were collected.

Main Results:

Preterm-born adults reported similar overall health perception to controls via SF-36v2, despite more adverse health conditions.
In-depth questioning revealed 23% of preterm adults perceived their health as poorer than the general population.
Lifestyle habits and symptom elimination were identified as key factors for health improvement; physician inquiry into perinatal history was low.

Conclusions:

Adults born very preterm perceive their health as poorer than the general population, highlighting a discrepancy with initial objective measures.
Specific factors like lifestyle and symptom management should be addressed in routine health monitoring for this group.
Healthcare providers should consider inquiring about perinatal history during patient assessments.