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| Título: Gestational age and adolescent mental health: evidence from Hong Kong's ‘Children of 1997’ birth cohort | |
| Enlace: https://doi.org/10.1136/archdischild-2015-308385 | |
| Autores: Wang, Hui; Leung, Gabriel M.; Lam, HS; Schooling, C Mary; | |
| Tipo de documento: Articulo de revista | |
| Idioma: Inglés | |
| Resumen: Background Preterm, and more recently early term, birth has been identified as a risk factor for poor health. Whether the sequelae of late preterm or early term birth extends to poor mental health and well-being in adolescence is unclear and has not been systematically assessed. Method Linear regression was used to assess the adjusted associations of gestational age (very/moderate preterm (<34 weeks, n=85), late preterm (34–36 weeks, n=305), early term (37–38 weeks, n=2228), full term (39–40 weeks, n=4018), late term (41 weeks, n=809), post-term (≥42 weeks, n=213)) with self-reported self-esteem at ∼11 years (n=6935), parent-reported Rutter score assessing the common emotional and behavioural problems at ∼7 years (n=6292) and ∼11 years (n=5596) and self-reported depressive symptoms at ∼13 years (n=5795) in a population-representative Hong Kong Chinese birth cohort ‘Children of 1997’ where gestational age has little social patterning. Results Very/moderate preterm birth was associated with higher Rutter subscore for hyperactivity (ß coefficients 0.5, 95% CI 0.01 to 1.00) at ∼7 years but not at ∼11 years, adjusted for sex, age, socio-economic position, parents’ age at birth, birth order and secondhand smoke exposure. Similarly adjusted, late preterm, early term, late term and post-term birth were not associated with self-esteem or depressive symptoms. Conclusions In a population-representative birth cohort from a non-Western-developed setting, gestational age had few associations with mental health and well-being in adolescence, whereas very preterm birth was specifically associated with hyperactivity in childhood. Inconsistencies with studies from Western settings suggest setting specific unmeasured confounding may underlie any observed associations. |
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| Descriptores: gestational age; mental health; late preterm; prematuro tardío; dsm-iv disorders; preterm birth; self-esteem; early term; emotional problems; maternal smoking; born preterm; depressionn; prevalence; childhood; | |
| Soporte: --No definido-- | |
| Ilustraciones: Sí | |
| Tipo documento: Revista | |
| Nombre revista: Archives of Disease in Childhood | |
| ISSN: 0003-9888 | |
| Periodicidad: | |
| Volumen: 100 | |
| Número: 9 | |
| Páginas: 856-862 | |
| Año: 2015 |
Afiliada a WAIMHWorld Association
for Infant Mental Health
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