Socio-familial environment influence on cognitive and language development in very preterm children.
Child Care Health Dev
; 50(2): e13239, 2024 03.
Article
em En
| MEDLINE
| ID: mdl-38413377
ABSTRACT
BACKGROUND:
Preterm children are at increased risk of cognitive and language delay compared with term-born children. While many perinatal factors associated with prematurity are well established, there is limited research concerning the influence of the socio-familial environment on the development of preterm children. This study aims to assess the relative impact of perinatal and socio-familial risk factors on cognitive and language development at 2 years corrected age (CA).METHOD:
This retrospective cross-sectional study included preterm infants with a gestational age <32 weeks and/or a birth weight <1500 g, who underwent neurodevelopmental assessment at 2 years CA. Cognitive and language scores were assessed using the Bayley Scales of Infant-Toddler Development, third edition. Adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were calculated using a multivariable model to examine the relationship between developmental delays and perinatal and socio-familial factors.RESULT:
The prevalence of language delay was negatively associated with daycare attendance (aOR 0.25, 95% CI 0.07-0.85, p < 0.05) and high maternal educational levels (aOR 0.24, 95% CI 0.05-0.93, p < 0.05) and positively associated with bilingual environments (aOR 5.62, 95% CI 1.46-24.3, p < 0.05). Perinatal and postnatal risk factors did not show a significant impact on cognitive or language development.CONCLUSION:
The development of language appears to be more influenced by the socio-familial environment than by early perinatal and postnatal factors associated with prematurity. These findings highlight the importance of considering socio-familial factors in the early identification and intervention of language delay among preterm children.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Lactente Extremamente Prematuro
/
Transtornos do Desenvolvimento da Linguagem
Limite:
Child
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Female
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Humans
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Infant
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Newborn
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Pregnancy
Idioma:
En
Revista:
Child Care Health Dev
Ano de publicação:
2024
Tipo de documento:
Article