[article]
Titre : |
Prenatal maternal infections and early childhood developmental outcomes: analysis of linked administrative health data for Greater Glasgow & Clyde, Scotland |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
Iain HARDIE, Auteur ; Aja MURRAY, Auteur ; Josiah KING, Auteur ; Hildigunnur Anna HALL, Auteur ; Emily LUEDECKE, Auteur ; Louise MARRYAT, Auteur ; Lucy THOMPSON, Auteur ; Helen MINNIS, Auteur ; Philip WILSON, Auteur ; Bonnie AUYEUNG, Auteur |
Article en page(s) : |
p.30-40 |
Langues : |
Anglais (eng) |
Mots-clés : |
Child development maternal factors prenatal infection CNS |
Index. décimale : |
PER Périodiques |
Résumé : |
Background Previous research has linked prenatal maternal infections to later childhood developmental outcomes and socioemotional difficulties. However, existing studies have relied on retrospectively self-reported survey data, or data on hospital-recorded infections only, resulting in gaps in data collection. Methods This study used a large linked administrative health dataset, bringing together data from birth records, hospital records, prescriptions and routine child health reviews for 55,856 children born in Greater Glasgow 95% CI: 1.19?1.42). This was broadly consistent across all developmental outcome types and appeared to be specifically linked to infections occurring in pregnancy trimesters 2 (OR: 1.34; 95% CI: 1.07?1.67) and 3 (OR: 1.33; 95% CI: 1.21?1.47), that is the trimesters in which foetal brain myelination occurs. Infection-related prescriptions were not associated with any clear increase in odds of having at least one developmental concern after confounder/covariate adjustment (OR: 1.03; 95% CI: 0.98?1.08), but were associated with slightly increased odds of concerns specifically related to personal-social (OR: 1.12; 95% CI: 1.03?1.22) and emotional-behavioural-attention (OR: 1.15; 95% CI: 1.08?1.22) development. Conclusions Prenatal infections, particularly those which are hospital-diagnosed (and likely more severe), are associated with early childhood developmental outcomes. Prevention of prenatal infections, and monitoring of support needs of affected children, may improve childhood development, but causality remains to be established. |
En ligne : |
https://dx.doi.org/10.1111/jcpp.14028 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 |
in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.30-40
[article] Prenatal maternal infections and early childhood developmental outcomes: analysis of linked administrative health data for Greater Glasgow & Clyde, Scotland [Texte imprimé et/ou numérique] / Iain HARDIE, Auteur ; Aja MURRAY, Auteur ; Josiah KING, Auteur ; Hildigunnur Anna HALL, Auteur ; Emily LUEDECKE, Auteur ; Louise MARRYAT, Auteur ; Lucy THOMPSON, Auteur ; Helen MINNIS, Auteur ; Philip WILSON, Auteur ; Bonnie AUYEUNG, Auteur . - p.30-40. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 66-1 (January 2025) . - p.30-40
Mots-clés : |
Child development maternal factors prenatal infection CNS |
Index. décimale : |
PER Périodiques |
Résumé : |
Background Previous research has linked prenatal maternal infections to later childhood developmental outcomes and socioemotional difficulties. However, existing studies have relied on retrospectively self-reported survey data, or data on hospital-recorded infections only, resulting in gaps in data collection. Methods This study used a large linked administrative health dataset, bringing together data from birth records, hospital records, prescriptions and routine child health reviews for 55,856 children born in Greater Glasgow 95% CI: 1.19?1.42). This was broadly consistent across all developmental outcome types and appeared to be specifically linked to infections occurring in pregnancy trimesters 2 (OR: 1.34; 95% CI: 1.07?1.67) and 3 (OR: 1.33; 95% CI: 1.21?1.47), that is the trimesters in which foetal brain myelination occurs. Infection-related prescriptions were not associated with any clear increase in odds of having at least one developmental concern after confounder/covariate adjustment (OR: 1.03; 95% CI: 0.98?1.08), but were associated with slightly increased odds of concerns specifically related to personal-social (OR: 1.12; 95% CI: 1.03?1.22) and emotional-behavioural-attention (OR: 1.15; 95% CI: 1.08?1.22) development. Conclusions Prenatal infections, particularly those which are hospital-diagnosed (and likely more severe), are associated with early childhood developmental outcomes. Prevention of prenatal infections, and monitoring of support needs of affected children, may improve childhood development, but causality remains to be established. |
En ligne : |
https://dx.doi.org/10.1111/jcpp.14028 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 |
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