Social Functioning in Adults Born Very Preterm: Individual Participant Meta-analysis.
Pediatrics
; 148(5)2021 11.
Article
em En
| MEDLINE
| ID: mdl-34702720
ABSTRACT
CONTEXT There is a lack of research on individual perceptions of social experiences and social relationships among very preterm (VP) adults compared with term-born peers. OBJECTIVE:
To investigate self-perceived social functioning in adults born VP (<32 weeks' gestation) and/or with very low birth weight (VLBW) (<1500g) compared with term-born adults (≥37 weeks' gestation) using an individual participant data (IPD) meta-analysis. DATA SOURCES Two international consortia Research on European Children and Adults born Preterm and Adults Born Preterm International Collaboration. STUDY SELECTION Cohorts with outcomes assessed by using the Adult Self-Report Adaptive Functioning scales (friends, spouse/partner, family, job, and education) in both groups. DATA EXTRACTION IPD from 5 eligible cohorts were collected. Raw-sum scores for each scale were standardized as z scores by using mean and SD of controls for each cohort. Pooled effect size was measured by difference (Δ) in means between groups.RESULTS:
One-stage analyses (1285 participants) revealed significantly lower scores for relationships with friends in VP/VLBW adults compared with controls (Δ -0.37, 95% confidence interval [CI] -0.61 to -0.13). Differences were similar after adjusting for sex, age, and socioeconomic status (Δ -0.39, 95% CI -0.63 to -0.15) and after excluding participants with neurosensory impairment (Δ -0.34, 95% CI -0.61 to -0.07). No significant differences were found in other domains.LIMITATIONS:
Generalizability of research findings to VP survivors born in recent decades.CONCLUSIONS:
VP/VLBW adults scored their relationship with friends lower but perceived their family and partner relationships, as well as work and educational experiences, as comparable to those of controls.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Recém-Nascido de muito Baixo Peso
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Lactente Extremamente Prematuro
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Interação Social
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Relações Interpessoais
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Risk_factors_studies
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Systematic_reviews
Limite:
Adult
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Female
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Humans
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Male
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Newborn
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article