Social functioning in adults born very preterm : individual participant meta-analysis
Ni, Yanyan; Mendonça, Marina; Baumann, Nicole; Eves, Robert; Kajantie, Eero; Hovi, Petteri; Tikanmäki, Marjaana; Räikkönen, Katri; Heinonen, Kati; Indredavik, Marit S.; Evensen, Kari-Anne I.; Johnson, Samantha; Marlow, Neil; Wolke, Dieter (2021-11-01)
Yanyan Ni, Marina Mendonça, Nicole Baumann, Robert Eves, Eero Kajantie, Petteri Hovi, Marjaana Tikanmäki, Katri Räikkönen, Kati Heinonen, Marit S. Indredavik, Kari-Anne I. Evensen, Samantha Johnson, Neil Marlow, Dieter Wolke; Social Functioning in Adults Born Very Preterm: Individual Participant Meta-analysis. Pediatrics November 2021; 148 (5): e2021051986. 10.1542/peds.2021-051986
Copyright © 2021 by the American Academy of Pediatrics.
https://rightsstatements.org/vocab/InC/1.0/
https://urn.fi/URN:NBN:fi-fe2022022320594
Tiivistelmä
Abstract
Context: There is a lack of research on individual perceptions of social experiences and social relationships among very preterm (VP) adults compared with term-born peers.
Objective: To investigate self-perceived social functioning in adults born VP (<32 weeks’ gestation) and/or with very low birth weight (VLBW) (<1500g) compared with term-born adults (≥37 weeks’ gestation) using an individual participant data (IPD) meta-analysis.
Data sources: Two international consortia: Research on European Children and Adults born Preterm and Adults Born Preterm International Collaboration.
Study selection: Cohorts with outcomes assessed by using the Adult Self-Report Adaptive Functioning scales (friends, spouse/partner, family, job, and education) in both groups.
Data extraction: IPD from 5 eligible cohorts were collected. Raw-sum scores for each scale were standardized as z scores by using mean and SD of controls for each cohort. Pooled effect size was measured by difference (Δ) in means between groups.
Results: One-stage analyses (1285 participants) revealed significantly lower scores for relationships with friends in VP/VLBW adults compared with controls (Δ −0.37, 95% confidence interval [CI]: −0.61 to −0.13). Differences were similar after adjusting for sex, age, and socioeconomic status (Δ −0.39, 95% CI: −0.63 to −0.15) and after excluding participants with neurosensory impairment (Δ −0.34, 95% CI: −0.61 to −0.07). No significant differences were found in other domains.
Limitations: Generalizability of research findings to VP survivors born in recent decades.
Conclusions: VP/VLBW adults scored their relationship with friends lower but perceived their family and partner relationships, as well as work and educational experiences, as comparable to those of controls.
Kokoelmat
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