Journal of Pediatric Nursing
Volume 24, Issue 2 , Pages 101-114, April 2009

The Effects of Perinatal Morbidity and Environmental Factors on Health Status of Preterm Children at Age 12

University of Rhode Island, College of Nursing, Kingston, RI

Brown Center for the Study of Children at Risk, Women and Infants' Hospital, Providence, RI

Psychology Department, Suffolk University, Boston, MA

Center for the Study of Human Development, Brown University, Providence, RI

Received 16 January 2007; received in revised form 22 February 2008; accepted 23 February 2008. published online 05 September 2008.

Children born prematurely have later morbidity, yet little is known about their health in adolescence. This study examined multiple dimensions of health at age 12 and the predictors of biological, behavioral, social, and physical environmental factors. Analysis of variance and logistic regression models were tested. Perinatal morbidity predicted health at age 12. Preterm status increases the risk of later alterations in health. Bronchopulmonary dysplasia, necrotizing enterocolitis, intraventricular hemorrhage, small-for-gestational age, parental perception of child health, and parental psychological distress affect later health. Prematurity and perinatal morbidity continue to impact child health 12 years after birth.

Keywords: Health status, Preterm, Perinatal morbidity, Adolescence

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PII: S0882-5963(08)00148-6

doi:10.1016/j.pedn.2008.02.031

Journal of Pediatric Nursing
Volume 24, Issue 2 , Pages 101-114, April 2009