| Titre : | Birthweight and behavioural problems in children : a modifiable effect ? Commentaries : Fetal origins of health and disease. (2001) |
| Auteurs : | Yvonne-J KELLY ; Richard BOREHAM ; David-A LEON ; Michael Marmot ; Anne MCMUNN ; James-Y NAZROO ; Ezra Susser ; Mary-Beth TERRY ; Division of Epidemiology. Joseph L Mailman School of Public Health at Columbia University. New York. NY. USA ; International Centre for Health and Society. Department of Epidemiology and Public Health. University College London. London. GBR ; National Centre for Social Research. London. GBR |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 30, n° 1, 2001) |
| Pagination : | 88-98 |
| Langues: | Anglais |
| Mots-clés : | Trouble personnalité ; Europe sociale ; Facteur socioéconomique ; Epidémiologie ; Facteur risque ; Nouveau né ; Homme ; Angleterre ; Grande Bretagne ; Royaume Uni ; Europe ; Gestation [pathologie] ; Prématurité |
| Résumé : | [BDSP. Notice produite par INIST JR0xygRP. Diffusion soumise à autorisation]. Background Low birthweight has been shown to predict behavioural problems in children. Less is known about the effect of birthweight, and how this may interact with the social environment in determining behaviour in a general population sample. We have examined the relationship between birthweight and social factors on childhood psychological well-being. Methods Cross-sectional analysis of data on 5181 children aged 4-15 years from a randomly selected household population, the 1997 Health Survey for England. The main outcome measures were behavioural problems as defined by the Strengths and Difficulties Questionnaire (SDQ) in relation to birthweight and social environmental factors. Results Birthweight was a significant predictor of total difficulties score (odds ratio [OR]=1.27,95% CI : 1.07,1.49), hyperactivity in boys (OR=1.25,95% CI : 1.05,1.51), and peer problems in girls (OR=1.24,95% CI : 0.99,1.53). There was a strong social class gradient in the prevalence of behavioural problems for all birthweight tertiles. Bivariate analysis showed that high total difficulties score was significantly more common in lower birthweight tertiles for social classes III non-manual and III manual (P-value for trend 0.05 and 0.03, respectively). There were smaller, non-significant effects of birthweight on the prevalence of behavioural problems in social class I and II, and IV and V. Statistical tests for an interaction between birthweight and social class were not significant. (...) |
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