Research article summary (published 2 Sep 2007):

Self-perceived health, functioning and well-being of very low birth weight infants at age 20 years.

Full Abstract

OBJECTIVE: To examine the self-perceived health of very low birth weight (VLBW; <1.5 kg) infants during young adulthood. STUDY DESIGN: The population included 241 VLBW and 232 normal birth weight (NBW) controls who completed the Child Health and Illness Profile: Adolescent Edition (CHIP-AE) at 20 years of age. The CHIP-AE includes six domains: Satisfaction, Comfort, Resilience, Achievement, Risk Avoidance, and Disorders, and 13 profiles that characterize patterns of health. Results were compared between VLBW and NBW subjects adjusting for sex and sociodemographic status. RESULTS: VLBW subjects did not differ from NBW controls in the domains of Satisfaction or Comfort but reported less Resilience (effect size [ES] -0.19, P < .05), specifically in physical activity and family involvement. They reported better Achievement, specifically in work performance (ES 0.28, P < .05), more Risk Avoidance (ES 0.43, P < .001), and significantly more long-term medical, surgical, and psychosocial disorders. Similar proportions of VLBW and NBW subjects reported Excellent (15% vs 11%), Average (27% vs 34%), and Poor (12% vs 13%) profiles of health. CONCLUSIONS: VLBW subjects report similar health, well-being, and functioning compared with NBW controls and greater risk avoidance. However, we are concerned that their lesser resilience may prove detrimental to their future adult health.

Author information

Author/s: Hack, Maureen (M); Cartar, Lydia (L); Schluchter, Mark (M); Klein, Nancy (N); Forrest, Christopher B (CB);

Affiliation: Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio, USA. mxh7(-atsign-)case.edu

Grants: M01RR00080 (Agency:NCRR NIH HHS) ; R01 HD034177-03 (Agency:NICHD NIH HHS) ; R01 HD034177-04 (Agency:NICHD NIH HHS) ; R01 HD34177 (Agency:NICHD NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural

Journal: The Journal of pediatrics (J Pediatr), published in United States. (Language: eng)

Reference: 2007-Dec; vol 151 (issue 6) : pp 635-41, 641.e1-2

Dates: Created 2007/11/23; Completed 2007/12/06; Revised 2009/01/26;

PMID: 18035144, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult Analysis of Variance Case-Control Studies Female Follow-Up Studies Health Status Humans Infant, Newborn

Infant, Newborn Infant, Very Low Birth Weight - physiology; psychology Intelligence Male Questionnaires Risk-Taking Self Concept Socioeconomic Factors

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