The impact of prematurity and maternal socioeconomic status and education level on achievement-test scores up to 8th grade

PloS One
Nahed O ElhassanJeffrey R Kaiser

Abstract

The relative influence of prematurity vs. maternal social factors (socioeconomic status and education level) on academic performance has rarely been examined. To examine the impact of prematurity and maternal social factors on academic performance from 3rd through 8th grade. We conducted a retrospective cohort study of infants born in 1998 at the University of Arkansas for Medical Sciences. The study sample included 58 extremely low gestational age newborns (ELGANs, 23‒<28 weeks), 171 preterm (≥28‒<34 weeks), 228 late preterm (≥34‒<37 weeks), and 967 term ((≥37‒<42 weeks) infants. Neonatal and maternal variables were collected including maternal insurance status (proxy measure for socioeconomic status) and education level. The primary outcomes were literacy and mathematics achievement-test scores from 3rd through 8th grade. Linear mixed models were used to identify significant predictors of academic performance. All two-way interactions between grade level, gestational-age (GA) groups, and social factors were tested for statistical significance. Prematurity, social factors, gender, race, gravidity, and Apgar score at one minute were critical determinants of academic performance. Favorable social factors were associated with a s...Continue Reading

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Citations

Sep 11, 2019·Paediatric and Perinatal Epidemiology·David C MallinsonDeborah B Ehrenthal
Mar 5, 2020·American Journal of Speech-language Pathology·Diane Frome LoebSteven M Barlow
May 13, 2020·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Julia Anna AdrianFrank Haist
Jun 4, 2021·Paediatric and Perinatal Epidemiology·Josephine Funck BilsteenAnne-Marie Nybo Andersen
Aug 1, 2021·American Journal of Perinatology·Nahed O ElHassanJeffrey R Kaiser

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