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Sociodemographic, biological, and developmental characteristics of preschool children born full-term and preterm
Lisseth Barra C1, Soledad Coo1
1Facultad de Psicología, Universidad del Desarrollo, Santiago, Chile.
Insights
Preterm birth in Chile impacts preschooler development, with preterm infants showing higher risks and lower developmental scores. Further research is needed on prematurity and social risk interactions.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Public Health
Background:
- Preterm birth is a leading cause of infant mortality and morbidity in Chile.
- Limited data exists on the characteristics of preschool-aged children born preterm.
Purpose of the Study:
- To describe sociodemographic, biological, and developmental characteristics of Chilean preschool children.
- To compare characteristics between full-term and preterm-born children.
Main Methods:
- Secondary analysis of the 2010 Early Childhood Longitudinal Survey (ELPI) database.
- Included 8,571 children aged 2-4 years, with 9.78% born preterm.
- Analyzed sociodemographic data, biological risk factors, and psychomotor development using descriptive and Chi-square analyses.
Main Results:
- No significant differences in sex, geographic residence, or health prognosis between groups.
- Preterm infants more frequently reside in urban areas and exhibit higher biological risk factors.
- Preterm children scored lower, on average, in all developmental areas compared to full-term peers.
Conclusions:
- Preterm birth is associated with increased biological risks and developmental challenges in Chilean preschoolers.
- Highlights the need to investigate the interplay between prematurity and social risk factors.
- Suggests targeted interventions for preterm infants may be necessary to mitigate developmental disparities.
Abstract:
In Chile, preterm birth is the main cause of infant mortality and morbidity. However, there is little information on the particular characteristics of preterm-born preschool children.
Objective:
To describe the sociodemographic, biological, and developmental characteristics of Chilean preschool children born full-term and preterm.
Subjects And Method:
A secondary analysis of the databases of the 2010 Longitudinal Survey of Early Childhood (ELPI) was conducted. Children between 2 and 4 years of age with information on gestational age at birth were selected. Late-term infants were excluded. The sample included 8,571 children, of whom 9.78% were preterm newborns. Variables related to sociodemographic characteristics, biological risk factors, and psychomotor development were considered. A descriptive and association analysis (Chi-square) was performed to establish whether the differences between the compared groups were significant.
Results:
No differences were observed regarding the proportion of sex, geographic area of residence, and health prognosis. Most premature infants reside in urban areas and they have higher biological risk factors. In addition, they have lower average scores than those born at term in all development areas.
Conclusions:
The information presented raises the need to analyze the interaction of prematurity with social risk in the development of preterm infants of different gestational ages.
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