Social Lifestyle, Risk-taking Behavior, and Psychopathology in Young Adults Born Very Preterm or with a Very Low Birthweight

Hille, E.T.M.; Dorrepaal, Caroline; Perenboom, R.J.M.; Gravenhorst, J. Bennebroek; Brand, Ronald; Verloove-Vanhorick, S.P.

doi:10.1016/j.jpeds.2007.11.041

Cited by 89 publications

(88 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 These previous studies have shown that adults born very preterm or with very or extremely low birth weight are less likely to leave their parental home, to establish relationships, cohabitation, or marriage, and to have had intercourse, 3,4,[12][13][14] although contradicting results are also reported. 11 Moster et al has previously shown that all subjects born preterm were less likely to be married, and the rates of marriage decreased with increasing immaturity.…”

Section: Discussionmentioning

confidence: 97%

“…[2][3][4] Individuals born very preterm (,32 weeks' gestation) or with very or extremely low birth weight (,1500 and ,1000 g, respectively) are at an increased risk for cognitive impairment, learning difficulties, disability, chronic and psychiatric diseases, and emotional and behavioral problems. [3][4][5][6][7][8][9][10][11] As young adults, these individuals are less likely to leave their parental home, 12 establish friendships, 8 relationships, marriage or cohabitation, 3,4,12,13 experience sexual intercourse for the first time, [12][13][14] and reproduce. 4,15,16 They also have lower self-perceived attractiveness or romantic confidence, 5,11 and lower educational attainment.…”

Section: What This Study Addsmentioning

confidence: 99%

“…3,4,11,17 Still, those born very preterm or with very low birth weight perceive themselves as healthy and functioning as their peers, 6,[18][19][20][21] and are less likely to drink alcohol or use illicit drugs. 4,11,13,14 However, very preterm or very low birth weight infants comprise only a small proportion of all preterm births, 22 and thus late preterm births (births $34 weeks' but ,37 weeks' gestation) have a high public health impact despite that the degree of immaturity and risks for morbidity are smaller among individuals born late preterm. 3,4,9,10,17 Similar to studies related to very preterm birth, some studies found lower rates of marriage, 3 cohabitation, 3 and reproduction 15 among adults born moderately to late preterm ($32 weeks' but ,37 weeks' gestation) compared with their termborn peers, but others could not confirm these findings.…”

Section: What This Study Addsmentioning

confidence: 99%

See 2 more Smart Citations

Independent Living and Romantic Relations Among Young Adults Born Preterm

et al. 2015

View full text Add to dashboard Cite

BACKGROUND: Young adults born preterm at very low birth weight start families later. Whether less severe immaturity affects adult social outcomes is poorly known. METHODS: The study “Preterm birth and early life programming of adult health and disease” (ESTER, 2009–2011) identified adults born early preterm (<34 weeks’ gestation, N = 149), late preterm (≥34 to <37 weeks’ gestation, N = 248), and at term (≥37 weeks’ gestation, N = 356) from the Northern Finland Birth Cohort 1986 and the Finnish Medical Birth Register (1987–1989), with perinatal data, medical and family history, socioeconomic status, and lifestyle from routine visits or questionnaires. Cox, logistic, and ordinal regressions estimated the hazard and odds ratios (HR and OR) with 95% confidence intervals of outcomes related to preterm birth. RESULTS: Compared with term-born subjects, those born early and late preterm were less likely to have cohabited with a romantic partner (HR, 0.79; [0.61–1.03] and HR, 0.80; [0.65–0.99], respectively) or experienced sexual intercourse (HR, 0.83; [0.66–1.05] and HR, 0.76; [0.63–0.92], respectively) by young adulthood. They also had higher odds of obtaining a 1-point lower score in a visual analog scale of self-perceived sexual attractiveness (OR, 1.45; [1.09–1.98] and OR, 1.44; [1.06–1.97] for early and late preterm birth, respectively). No difference was observed in the likelihood of departing from childhood home and number of individuals having their own families. CONCLUSIONS: Young adults born preterm experience more social challenges, which may affect their romantic relationships and future family planning.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: What This Study Addsmentioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

See 1 more Smart Citation

Independent Living and Romantic Relations Among Young Adults Born Preterm

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Children with CHD have concomitant brain abnormalities, particularly disorders of white matter, even before undergoing reparative interventions. 3 It is noteworthy that other groups of children with such disorders (e.g. extremely low birthweight or preterm children) also tend to exhibit behaviors associated with autism spectrum disorders.…”

Section: David C Bellingermentioning

confidence: 99%

“…Studies examining functional outcomes in young adults with VLBW confirm lower or delayed educational attainment and difficulties in establishing social relationships. 3,4 A Norwegian national study of adult outcomes found that lower gestational age predicted lower income and a decreased likelihood of finding a life partner and having children, suggesting functional limitations for that portion of the VLBW population with more extreme prematurity. 5 Outcomes are nevertheless highly variable and many if not most VLBW survivors appear to lead normal adult lives.…”

mentioning

confidence: 99%

Persisting cognitive deficits in survivors of very low birthweight and their implications for adult functioning

Taylor

2010

Develop Med Child Neuro

View full text Add to dashboard Cite

Survival rates among very-low-birthweight (VLBW, <1500g) infants increased dramatically during the 1980s and 1990s, especially among those born with more extreme preterm birth. 1 The survivors are now entering young adulthood and are facing challenges not encountered in their school-age years. They are enrolled in post-secondary education or vocational training programs, or are working or seeking employment. With varying degrees of success, they are also gaining independence from their parents in decision-making and selfcare, and are establishing adult relationships or even beginning families of their own.Review of outcomes of VLBW in young adulthood suggests that many survivors may encounter more problems in facing these challenges than their term-born, normal birthweight peers. As a group, young adults with VLBW perform less well on tests of cognition and achievement than age-matched controls. 2 Despite inconsistencies across studies, they also may be prone to inattention and internalizing symptoms. Studies examining functional outcomes in young adults with VLBW confirm lower or delayed educational attainment and difficulties in establishing social relationships. 3,4 A Norwegian national study of adult outcomes found that lower gestational age predicted lower income and a decreased likelihood of finding a life partner and having children, suggesting functional limitations for that portion of the VLBW population with more extreme prematurity. 5 Outcomes are nevertheless highly variable and many if not most VLBW survivors appear to lead normal adult lives. 2,6 Long-term follow-up studies such as that by Løhaugen et al. 7 provide information that is useful in identifying affected individuals with VLBW and in characterizing their cognitive deficits. A major strength of the study is the administration of the full form of the Wechsler Intelligence Test, which provides a broader and more reliable index of global cognitive ability. Use of the full form also sheds new light on the magnitude of group differences across subtests and ability indices. The observation of pronounced weaknesses on the Wechsler Adult Intelligence Scale Perceptual Organization Index in the VLBW group compared with controls is consistent with previous literature. 8 However, the fact that there were group differences on all ability indices and on multiple verbal as well as performance subtests suggests that cognitive impairment in early adulthood is more pervasive than suggested by past studies using shortened versions of IQ testing batteries. Another important finding is the much higher rate of low IQ scores (>1SD below the mean of the controls) in the VLBW group, indicating that reduced IQ is a relatively common finding among survivors. A higher rate of participation in vocational programs in the VLBW group also adds to other evidence for effects of VLBW on employment. 5 More research is needed to better understand factors related to variability in cognitive outcomes of VLBW, the pattern of cognitive strengths and weaknesses evident in adulthoo...

show abstract

Association of Preterm Birth and Low Birth Weight With Romantic Partnership, Sexual Intercourse, and Parenthood in Adulthood

2019

View full text Add to dashboard Cite

Key Points Question Are adults who were born preterm or with low birth weight less likely to experience social transitions normative of adulthood, such as romantic partnerships, sexual intercourse, or parenthood? Findings In this systematic review and meta-analysis of 21 studies describing up to 4.4 million participants, adults who were born preterm or with low birth weight were less likely to experience a romantic partnership, sexual intercourse, or parenthood than their peers who were born full-term. The likelihood of experiencing these social transitions decreased with lower gestational age and birth weight, and was similar in both young and middle adulthood. Meaning The findings suggest that adults who were born preterm or with low birth weight are less likely to have sexual or partner relationships than adults born full-term, which might put them at increased risk of decreased well-being and poorer physical and mental health.

show abstract

Social Lifestyle, Risk-taking Behavior, and Psychopathology in Young Adults Born Very Preterm or with a Very Low Birthweight

Cited by 89 publications

References 19 publications

Independent Living and Romantic Relations Among Young Adults Born Preterm

Independent Living and Romantic Relations Among Young Adults Born Preterm

Persisting cognitive deficits in survivors of very low birthweight and their implications for adult functioning

Association of Preterm Birth and Low Birth Weight With Romantic Partnership, Sexual Intercourse, and Parenthood in Adulthood

Contact Info

Product

Resources

About