Article ; Online: Socio-familial environment influence on cognitive and language development in very preterm children.
Child: care, health and development
2024 Volume 50, Issue 2, Page(s) e13239
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 ...
| 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. |
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| MeSH term(s) | Infant ; Pregnancy ; Female ; Child ; Infant, Newborn ; Humans ; Infant, Extremely Premature/psychology ; Developmental Disabilities/epidemiology ; Retrospective Studies ; Cross-Sectional Studies ; Language Development ; Child Development ; Gestational Age ; Language Development Disorders/etiology ; Language Development Disorders/complications ; Cognition ; Infant, Very Low Birth Weight |
| Language | English |
| Publishing date | 2024-02-27 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 223039-2 |
| ISSN | 1365-2214 ; 0305-1862 |
| ISSN (online) | 1365-2214 |
| ISSN | 0305-1862 |
| DOI | 10.1111/cch.13239 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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