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Published on: January 12, 2018
Romantic and sexual relationships of young adults born very preterm: An individual participant data meta-analysis
Marina Mendonça1, Yanyan Ni1,2, Nicole Baumann1,3,4
1Department of Psychology, University of Warwick, Coventry, UK.
Insights
Adults born very preterm (VP) or with very low birth weight (VLBW) have fewer romantic and sexual relationships. These outcomes may impact their long-term socioeconomic and health status.
Area of Science:
- Perinatal Epidemiology
- Developmental Psychology
- Reproductive Health
Background:
- Adults born very preterm (VP; <32 weeks gestation) or with very low birth weight (VLBW; <1500 g) may experience long-term challenges.
- Social functioning, including romantic and sexual relationships, is crucial for adult well-being.
Purpose of the Study:
- To compare romantic and sexual relationship experiences of adults born VP/VLBW with term-born controls.
- To identify biological and environmental factors influencing these relationships in VP/VLBW adults.
Main Methods:
- Individual participant data (IPD) meta-analysis of longitudinal studies.
- Included 1606 VP/VLBW adults and 1659 term-born controls (mean age ≥18 years).
- Utilized a one-stage IPD meta-analysis approach following PRISMA-IPD guidelines.
Main Results:
- VP/VLBW adults were less likely to be in romantic relationships (OR 0.49), married/cohabiting (OR 0.70), or sexually active (OR 0.21).
- VP/VLBW individuals were more likely to have first intercourse after 18 years (OR 1.93).
- VP/VLBW males and those with neurosensory impairment had the lowest likelihood of romantic relationships.
Conclusions:
- Adults born VP/VLBW exhibit less optimal social functioning regarding romantic and sexual relationships.
- Findings suggest potential implications for socioeconomic and health outcomes in this population.
Aim:
To compare romantic and sexual relationships between adults born very preterm (VP; <32 weeks of gestation) or with very low birth weight (VLBW; <1500 g) and at term, and to evaluate potential biological and environmental explanatory factors among VP/VLBW participants.
Methods:
This individual participant data (IPD) meta-analysis included longitudinal studies assessing romantic and sexual relationships in adults (mean sample age ≥ 18 years) born VP/VLBW compared with term-born controls. Following PRISMA-IPD guidelines, 11 of the 13 identified cohorts provided IPD from 1606 VP/VLBW adults and 1659 term-born controls. IPD meta-analyses were performed using one-stage approach.
Results:
Individuals born VP/VLBW were less likely to be in a romantic relationship (OR 0.49; 95% CI 0.31-0.76), to be married/cohabiting (OR 0.70, 95% CI 0.53-0.92), or to have had sexual intercourse (OR 0.21, 95% CI 0.09-0.36) than term-born adults. If sexually active, VP/VLBW participants were more likely to experience their first sexual intercourse after the age of 18 years (OR 1.93, 95% CI 1.24-3.01) than term-born adults. Among VP/VLBW adults, males, and those with neurosensory impairment were least likely to experience romantic relationships.
Conclusions:
These findings reflect less optimal social functioning and may have implications for socioeconomic and health outcomes of adults born VP/VLBW.
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