Patterns of risk exposure in first 1,000 days of life and health, behavior, and education-related problems at age 4.5: evidence from Growing Up in New Zealand, a longitudinal cohort study
| Autor: | Polly Atatoa Carr, Susan M. B. Morton, Sarah D. Berry, Stephanie D’Souza, Emma Marks, Karen E. Waldie, Elizabeth R. Peterson, Jan L. Wallander |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Longitudinal study Ethnic group 050109 social psychology Injury Pediatrics Cohort Studies 0302 clinical medicine Risk Factors Pregnancy Behavior problems Early childhood Longitudinal Studies Prospective Studies Aetiology Prospective cohort study Child Pediatric 05 social sciences risk exposure Health Child Preschool Female social and economic factors Cohort study Research Article Child Behavior Disorders Basic Behavioral and Social Science RJ1-570 Paediatrics and Reproductive Medicine 03 medical and health sciences Clinical Research 2.3 Psychological 030225 pediatrics Behavioral and Social Science medicine Humans School start 0501 psychology and cognitive sciences Obesity Risk factor Preschool development business.industry Prevention medicine.disease Quality Education Good Health and Well Being Pediatrics Perinatology and Child Health business Demography New Zealand |
| Zdroj: | BMC pediatrics, vol 21, iss 1 BMC Pediatrics BMC Pediatrics, Vol 21, Iss 1, Pp 1-14 (2021) |
| Popis: | BackgroundChildren who are high priority candidates for early intervention need to be identified to reduce their risk for experiencing problems in development. Those exposed to multiple risk factors are more likely to exhibit problems in development than those exposed to a single or no risk factor. We examined the longitudinal associations between persistence and timing of exposure to cumulative risk (CR) on three occasions by age 2 and problems in development at age 4.5 in health, behavior, and education-related domains.MethodsData are fromGrowing Up in New Zealand(NZ), a prospective longitudinal study of a birth cohort first assessed during their last trimester in 2009–10 and followed at ages 9 months and 2 and 4.5 years. All women with an expected delivery date in a 12-month period who resided within a defined region were invited to participate, with no additional eligibility criteria. Exposure was measured for 12 sociodemographic and maternal health risk factors at third trimester and ages 9 months and 2 years, from which developmental trajectories were constructed capturing persistence and timing of CR exposure. Ten developmental outcomes were measured at age 4.5 to classify problems in overall health status, obesity, and injuries; internalizing and externalizing behavior problems; and letter naming, counting forward and backward, and expectations for starting school and completing education.ResultsAnalyses of data from 6156 children (49% female, 33% Non-European ethnicity) who participated in the 4.5-age assessment uniformly showed associations between exposure to more than consistently zero CR across early development and higher prevalence of being classified with problems for 9 of 10 outcomes. Persistent exposure to a CR ≥ 4 was generally associated with a higher prevalence of problems for 7 of 10 outcomes, whereas the timing of first exposure to CR ≥ 4 showed a less consistent association with problem outcomes.ConclusionsThese findings are concerning because over 50% of NZ children are exposed to at least one of these risk factors at some point in early development. Routine screening of most of these risk factors during pregnancy is feasible and can identify priority candidates for intervention. |
| Databáze: | OpenAIRE |
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