Health and educational implications of prematurity in the United States: National Survey of Children's Health 2011/ 2012 data.

Background and purpose: Preterm birth is a significant public health issue, with children born prematurely experiencing educational and health difficulties throughout childhood. The aim of the descriptive secondary data analysis was to compare health implications and educational experiences in child...

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Publicado en:Journal of the American Association of Nurse Practitioners Vol. 30; no. 3; pp. 131 - 140
Autor principal: Kelly, Michelle M.
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2018
      vid: 30
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Health and educational implications of prematurity in the United States: National Survey of Children's Health 2011/ 2012 data.
      aug:
        au: Kelly, Michelle M.
        affil: Assistant Professor, M. Louise Fitzpatrick College of Nursing, Villanova University, College of Nursing, Villanova, Pennsylvania
      sug:
        subj:
          Childbirth, Premature Epidemiology
          Outcomes of Prematurity Evaluation
          Chronic Disease In Infancy and Childhood
          Human
          United States
          Surveys
          Descriptive Research
          Descriptive Statistics
          Chi Square Test
          Odds Ratio
          Attention Deficit Hyperactivity Disorder
          Anxiety
          Asthma
          Learning Disorders
          Academic Achievement
          Infant
          Child, Preschool
          Child
          Gestational Age
          Secondary Analysis
          Adolescence
          Male
          Female
          Age Factors
          Funding Source
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Background and purpose: Preterm birth is a significant public health issue, with children born prematurely experiencing educational and health difficulties throughout childhood. The aim of the descriptive secondary data analysis was to compare health implications and educational experiences in children born prematurely compared with children born at term. Methods: The 2011/2012 National Survey of Children's Health data set was explored using separate chi-square tests of homogeneity to investigate differences in the occurrence of chronic health conditions and educationally relevant outcomes: individualized family services plan/individualized education plan (IFSP/IEP), and grade repetition between children born prematurely compared with those born at term. Conclusions: The six most frequently occurring chronic health conditions that disproportionally affected children born prematurely include the following: attention deficit disorder/attention deficit hyperactive disorder (odds ratio [OR], 1.59), anxiety (OR, 1.63), asthma (OR, 1.7), learning disability (OR, 2.07), speech problems (OR, 2.27), and developmental delay (OR, 3.17). Preterm birth negatively affects the educational experience of CBP as measured by increased report of IFSP/IEP and repeated grades across all age categories. Implications for practice: All health care providers have an important role in preventing preterm birth and in supporting the children and families affected by preterm birth. Appreciation of the incidence and prevalence of the health conditions and educational difficulties associated with preterm birth is essential for facilitating access to appropriate resources. Beyond patient interactions, these modifiable yet additive factors should inform health policy and planning.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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