极低出生体重婴儿从青春期过渡到年轻成年期:与正常出生体重对照的比较
Saroj Saigal1, Barbara Stoskopf, David Streiner
1Department of Pediatrics, and School of Nursing, McMaster University, Hamilton, Ontario, Canada. saigal@mcmaster.ca
JAMA
|February 10, 2006
概括
极低出生体重 (ELBW) 的年轻人达到成人里程碑与正常出生体重 (NBW) 的同龄人相似. 大多数ELBW幸存者成功过渡到成年,表现出可比的教育和生活成果.
科学领域:
- 发育儿科 发育儿科
- 公共卫生 公共卫生
- 成年人的社会学
背景情况:
- 成功成年的传统标志包括教育,就业,独立生活,婚姻和父母身份.
- 极低出生体重 (ELBW) 的幸存者在过渡到成年时可能面临挑战.
- 将ELBW和正常出生体重 (NBW) 个体进行比较,可以了解长期发育轨迹.
研究的目的:
- 为了比较ELBW和NBW年轻成年人之间的成年转型标记的实现.
- 为了确定这些标记在两组中都达到的年龄.
- 评估出生于ELBW的个体的长期结果.
主要方法:
- 一项基于人口的前性纵向研究在加拿大安大略省进行.
- 评估了166名ELBW (501-1000g出生体重) 和145名社会人口统计学匹配的NBW参与者.
- 经过验证的问卷通过面对面的采访在22-25岁的年龄进行了管理.
主要成果:
- 高中毕业率相似 (82%的ELBW与87%的NBW).
- 在总体教育程度,就业,独立生活,婚姻或育儿率方面没有发现显著差异.
- 虽然较高比例的ELBW个人既没有工作,也没有上学,但当排除残疾人时,这种差异会减少.
结论:
- 大多数前ELBW婴儿成功过渡到成年.
- 在年轻成年期,ELBW幸存者表现出与他们的NBW同龄人相似的功能结果.
- 与ELBW相关的早期生活挑战似乎不会显著阻碍长期成年人的发展.
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