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Gestational age, parent education, and education in adulthood

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Bilsteen, Josephine Funck, Alenius, Suvi, Bråthen, Magne, Børch, Klaus, Ekstrøm, Claus Thorn, Kajantie, Eero, Lashkariani, Mariam, Nurhonen, Markku, Risnes, Kari, Sandin, Sven, van der Wel, Kjetil A., Wolke, Dieter and Andersen, Anne-Marie Nybo (2022) Gestational age, parent education, and education in adulthood. Pediatrics, 149 (1). e2021051959. doi:10.1542/peds.2021-051959

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Official URL: http://dx.doi.org/10.1542/peds.2021-051959

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Abstract

BACKGROUND:
Adults born preterm (<37 weeks) have lower educational attainment than those born term. Whether this relationship is modified by family factors such as socioeconomic background is, however, less well known. We investigated whether the relationship between gestational age and educational attainment in adulthood differed according to parents’ educational level in 4 Nordic countries.

METHODS:
This register-based cohort study included singletons born alive from 1987 up to 1992 in Denmark, Finland, Norway, and Sweden. In each study population, we investigated effect modification by parents’ educational level (low, intermediate, high) on the association between gestational age at birth (25–44 completed weeks) and low educational attainment at 25 years (not having completed upper secondary education) using general estimation equations logistic regressions.

RESULTS:
A total of 4.3%, 4.0%, 4.8%, and 5.0% singletons were born preterm in the Danish (n = 331 448), Finnish (n = 220 095), Norwegian (n = 292 840), and Swedish (n = 513 975) populations, respectively. In all countries, both lower gestational age and lower parental educational level contributed additively to low educational attainment. For example, in Denmark, the relative risk of low educational attainment was 1.84 (95% confidence interval 1.44 to 2.26) in adults born at 28 to 31 weeks whose parents had high educational level and 5.25 (95% confidence interval 4.53 to 6.02) in adults born at 28 to 31 weeks whose parents had low educational level, compared with a reference group born at 39 to 41 weeks with high parental educational level.

CONCLUSIONS:
Although higher parental education level was associated with higher educational attainment for all gestational ages, parental education did not mitigate the educational disadvantages of shorter gestational age.

Item Type: Journal Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
P Language and Literature > P Philology. Linguistics
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science > Psychology
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Cognition in children, Child development, Gestational age , Learning disabilities, Children with disabilities -- Education, Learning disabled children -- Education, Language acquisition
Journal or Publication Title: Pediatrics
Publisher: American Academy of Pediatrics
ISSN: 0031-4005
Official Date: January 2022
Dates:
DateEvent
January 2022Published
8 December 2021Available
15 September 2021Accepted
Volume: 149
Number: 1
Article Number: e2021051959
DOI: 10.1542/peds.2021-051959
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
733280 (RECAP-Preterm)[ERC] Horizon 2020 Framework Programmehttp://dx.doi.org/10.13039/100010661
75970NordForskhttp://dx.doi.org/10.13039/501100004785
462-16-040 PREMLIFEPREMLIFE Norface DIAL ProgrammeUNSPECIFIED
315690Suomen Akatemiahttp://viaf.org/viaf/150026070

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