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Socio-familial environment influence on cognitive and language development in very preterm children.
De Leeuw, Stéphanie; Delens, Gilda; Vanden Brande, Laura; Henrion, Elisabeth; Legros, Ludovic.
Afiliación
  • De Leeuw S; Department of Neonatal Intensive Care, CHR Sambre et Meuse, Namur, Belgium.
  • Delens G; Department of Neonatal Intensive Care, CHR Sambre et Meuse, Namur, Belgium.
  • Vanden Brande L; Follow-up Center for Preterm Infants, CHR Sambre et Meuse, Namur, Belgium.
  • Henrion E; Follow-up Center for Preterm Infants, CHR Sambre et Meuse, Namur, Belgium.
  • Legros L; Department of Pediatric Neurology, Centre Hospitalier Universitaire de Liège, Liège, Belgium.
Child Care Health Dev ; 50(2): e13239, 2024 03.
Article en 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recien Nacido Extremadamente Prematuro / Trastornos del Desarrollo del Lenguaje Límite: Child / Female / Humans / Infant / Newborn / Pregnancy Idioma: En Revista: Child Care Health Dev Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recien Nacido Extremadamente Prematuro / Trastornos del Desarrollo del Lenguaje Límite: Child / Female / Humans / Infant / Newborn / Pregnancy Idioma: En Revista: Child Care Health Dev Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido