The early educational environment at five years of age in a European cohort of children born very preterm: challenges and opportunities for research.
BMC Pediatr
; 24(1): 369, 2024 May 29.
Article
em En
| MEDLINE
| ID: mdl-38807056
ABSTRACT
BACKGROUND:
Early childhood education offers opportunities for stimulation in multiple developmental domains and its positive impact on long-term outcomes and wellbeing for children is well documented. Few studies have explored early education in children born very preterm (VPT; <32 weeks of gestation) who are at higher risk of neurodevelopmental disorders and poor educational outcomes than their term-born peers. The purpose of the study is to describe and compare the educational environment of children born VPT in European countries at 5 years of age according to the degree of perinatal risk.METHODS:
Data originated from the population-based Screening to Improve Health In very Preterm infants (SHIPS) cohort of children born VPT in 2011/2012 in 19 regions from 11 European countries. Perinatal data were collected from medical records and the 5-year follow-up was conducted using parental questionnaires. Outcomes at 5 years were participation in early education (any, type, intensity of participation) and receipt of special educational support, which were harmonized across countries.RESULTS:
Out of 6,759 eligible children, 3,687 (54.6%) were followed up at 5 years (mean gestational age 29.3 weeks). At 5 years, almost all children (98.6%) were in an educational program, but type (preschool/primary), attendance (full-time/part-time) and use and type of school support/services differed by country. In some countries, children with high perinatal risk were more likely to be in full-time education than those with low risk (e.g. Estonia 97.9% vs. 87.1%), while the inverse pattern was observed elsewhere (e.g. Poland 78.5% vs. 92.8%). Overall, 22.8% of children received special educational support (country range 12.4-34.4%) with more support received by children with higher perinatal risk. Large variations between countries remained after adjustment for socio-demographic characteristics.CONCLUSIONS:
There are marked variations in approaches to early education for children born VPT in Europe, raising opportunities to explore its impact on their neurodevelopment and well-being.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Lactente Extremamente Prematuro
Limite:
Child, preschool
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Female
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Humans
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Male
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Newborn
País/Região como assunto:
Europa
Idioma:
En
Revista:
BMC Pediatr
Assunto da revista:
PEDIATRIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
França