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Risk-taking behavior of adolescents and young adults born preterm
Tools
Alenius, Suvi, Kajantie, Eero, Sund, Reijo, Nurhonen, Markku, Haaramo, Peija, Näsänen-Gilmore, Pieta, Vääräsmäki, Marja, Lemola, Sakari, Räikkönen, Katri, Schnitzlein, Daniel D., Wolke, Dieter, Gissler, Mika and Hovi, Petteri (2023) Risk-taking behavior of adolescents and young adults born preterm. The Journal of Pediatrics, 253 . pp. 135-143. doi:10.1016/j.jpeds.2022.09.032 ISSN 0022-3476.
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Official URL: http://dx.doi.org/10.1016/j.jpeds.2022.09.032
Abstract
Objectives
To study sexually transmitted Chlamydia trachomatis infections (STCTs), teenage pregnancies, and payment defaults in individuals born preterm as proxies for engaging in risk-taking behavior.
Study design
Our population-based register-linkage study included all 191 705 children alive at 10yr (8492 preterm, 4.4%) born without malformations in Finland between 1/1987-9/1990 as each mother’s first child within the cohort. They were followed-up until young adulthood. We used Cox regression to assess the hazards of STCTs, teenage pregnancies, payment defaults, criminal offending, and substance abuse by gestational age (GA). GA was considered both as a continuous and categorical (extremely-, very-, moderately-, late preterm, early term, post-term, and full-term as reference) exposure.
Results
A linear dose-response relationship existed between GA and STCT and teenage pregnancy; adjusted hazard for STCT decreased by 1.6% (95% confidence interval [CI] 0.7%-2.6%), and for teenage pregnancy by 3.3% (CI 1.9%-4.8%) per each week decrease in GA. Those born extremely preterm (23-27 completed weeks) had a 51% (CI 31%-83%) lower risk for criminal offending than their full-term born counterparts, and those born very preterm (28-31 weeks) had a 28% (CI 7%-53%) higher hazard for payment defaults than those born full-term. GA was not associated with substance abuse.
Conclusions
The lower risk-taking that characterizes people born preterm seems to generalize to sexual and to some extent criminal behavior. Those born very preterm are, however, more likely to experience payment defaults.
Item Type: | Journal Article | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Subjects: | Q Science > QR Microbiology R Medicine > RG Gynecology and obstetrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Science > Psychology | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Library of Congress Subject Headings (LCSH): | Premature infants -- Development, Premature infants -- Growth , Behavior disorders in adolescence , Chlamydia trachomatis , Teenage pregnancy , Risk-taking (Psychology) in adolescence. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Journal or Publication Title: | The Journal of Pediatrics | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Publisher: | Elsevier | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
ISSN: | 0022-3476 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Official Date: | February 2023 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Volume: | 253 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Page Range: | pp. 135-143 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
DOI: | 10.1016/j.jpeds.2022.09.032 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Status: | Peer Reviewed | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Publication Status: | Published | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of first compliant deposit: | 5 October 2022 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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