High school graduation among adolescents born preterm: A Canadian population-based cohort study

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Early human development Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI:10.1016/j.earlhumdev.2025.106404

Deepak Louis , Ava Nykiforuk , Sapna Oberoi , Monica Sirski , Ruben Alvaro , Mary Seshia M , Diane Moddemann , Lisa M. Lix , Chelsea Ruth , Allan Garland

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引用次数: 0

Abstract

Objective

To evaluate the association between preterm birth (<37 weeks) and high school graduation.

Methods

Population-based cohort of adolescents born in Manitoba, Canada between 1986 and 2002 whose graduation data were available in the administrative database. High school graduation (primary outcome) was defined as completion of 30 course credits in grades 9–12 without needing a modified (M) course or an individualized education plan (IEP) and finishing high school within 4 years of entering grade 9. Logistic regression model tested the association between preterm birth and primary outcome.

Results

Of 260,561 eligible adolescents, 9846 preterm (5.7 %; <28 wks = 238, 28–33 wks = 1997, 34–36 wks = 7611) and 162,660 term (≥37 weeks) adolescents were included. The median age at entering grade 9 was 14 years [13,14] among both preterm and term adolescents. The % of high school graduation was lowest among extremely preterm children (<28 wks-65 %, 28–33 wks-75 %, 34–36 wks-77 % and term-78 %). Only adolescents born <28 weeks and 28–33 wks, not 34–36 wks, had lower odds of high school graduation compared to term adolescents (<28 wks aOR: 0.49; 95 % CI: 0.37–0.66; 28–33 wks aOR: 0.78; 95 % CI: 0.69–0.88; 34–36 wks aOR: 0.96; 95 % CI: 0.90–1.02). Those needing a M course or IEP were 21 %, 7 %, 5 % and 4 % while the need for school assistance was 20 %, 5 %, 3 % and 2 % among <28 wks, 28–33 wks, 34–36 weeks and term respectively.

Conclusions

Adolescents born extremely and very-moderate preterm had lower high school graduation rates compared to those born term in this population-based cohort.

查看原文本刊更多论文

早产青少年高中毕业率：一项基于加拿大人群的队列研究。

目的：评价早产的相关性(方法：以人口为基础的队列研究1986年至2002年出生在加拿大马尼托巴省的青少年，其毕业数据可在行政数据库中获得。高中毕业（主要结果）被定义为在不需要修改(M)课程或个性化教育计划（IEP）的情况下完成9-12年级30个课程学分，并在进入9年级的4年内完成高中学业。Logistic回归模型检验早产与主要结局的相关性。结果：260,561名符合条件的青少年中，9846名早产（5.7%）；结论：在这个以人群为基础的队列中，极度早产和极中度早产的青少年的高中毕业率低于足月出生的青少年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early human development 医学-妇产科学

CiteScore

4.40

自引率

4.00%

发文量

100

审稿时长

46 days

期刊介绍： Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival. The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas: Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.