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Preterm birth/low birth weight and markers reflective of wealth in adulthood : a meta-analysis
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Bilgin, Ayten, Mendonça, Marina and Wolke, Dieter (2018) Preterm birth/low birth weight and markers reflective of wealth in adulthood : a meta-analysis. Pediatrics, 142 (1). e20173625. doi:10.1542/peds.2017-3625
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Official URL: http://dx.doi.org/10.1542/peds.2017-3625
Abstract
Context
Preterm birth/low birth weight (PT/LBW) increases the risk of cognitive deficits which suggests an association between PT/LBW and lower wealth in adulthood. Nevertheless, studies have revealed inconsistent findings so far.
Objective
To systematically investigate whether PT/LBW is associated with markers of adulthood wealth.
Data Sources
We searched MEDLINE, PubMed, PsycINFO, Web of Science, and Embase.
Study Selection
Prospective longitudinal and registry studies that reported on selected wealth related outcomes in PT/LBW born adults compared to full-term born controls.
Data Extraction
Two independent reviewers extracted data on educational qualifications, employment rates, social benefits, and independent living.
Results
Of 1347 articles screened, 23 studies met the inclusion criteria. PT/LBW was associated with decreased likelihood of attainment of higher education qualifications (OR= 0.74; 95% CI= 0.69-0.80), lower employment rate (OR = 0.83; 95% CI= 0.74-0.92), and increased likelihood of receiving social benefits (OR= 1.25; 95% CI= 1.09-1.42). A dose-response relationship according to gestation was only found for education qualifications. PT/LBW born adults did not differ significantly from those born full-term in independent living.
Limitations
There was high heterogeneity between studies. There were unequal numbers of studies from different regions in the world.
Conclusions
PT/LBW is associated with lower educational qualifications, decreased rate of employment and an increased rate of receipt of social benefits in adulthood. Low educational qualifications were most prevalent in those born very preterm and consistent across geographic regions. However, the findings are less clear for independent living.
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HB Economic Theory R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Premature infants -- Psychological aspects , Birth weight, Low -- Psychological aspects, Wealth | ||||||||
| Journal or Publication Title: | Pediatrics | ||||||||
| Publisher: | American Academy of Pediatrics | ||||||||
| ISSN: | 0031-4005 | ||||||||
| Official Date: | July 2018 | ||||||||
| Dates: |
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| Volume: | 142 | ||||||||
| Number: | 1 | ||||||||
| Article Number: | e20173625 | ||||||||
| DOI: | 10.1542/peds.2017-3625 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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