ArticleEuropean child & adolescent psychiatry2015
Behavioural and emotional problems in moderately preterm children with low socioeconomic status: a population-based study.
Article in European child & adolescent psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- How do socioeconomic inequalities and preterm birth interact to modify health and education outcomes? A narrative systematic review.BMJ open · 2025Pooled it
- Sex differences in the effects of prematurity and/or low birthweight on neurodevelopmental outcomes: systematic review and meta-analyses.Biology of sex differences · 2023Pooled it
- Trial
- Unveiling gender disparities in mental health among Chinese preschoolers: partial statistical mediation by parental overreactivity.Frontiers in psychiatry · 2026Article
- Does Infant Temperament Moderate the Relationship between Very Low Birth Weight and Behavioral Problems Over Six years?Child psychiatry and human development · 2025Article
- Early onset and increasing disparities in neurodevelopmental delays from birth to age 6 in children from low socioeconomic backgrounds.Journal of neurodevelopmental disorders · 2024Article
- Assessing Behavioral Disorders with SDQ in Very Preterm Children at 5 Years of Age in LIFT Cohort.Children (Basel, Switzerland) · 2023Article
- Financial stress during COVID-19: implications for parenting behaviour and child well-being.BMJ paediatrics open · 2022Article
- An innovative postnatal risk assessment and corresponding care pathways in Preventive Child Healthcare.Journal of advanced nursing · 2022Article
- Overview of Perinatal Practices with Potential Neurodevelopmental Impact for Children Affected by Preterm Birth.The Journal of pediatrics · 2022Article
- Is maternal negative affectivity related to psychosocial behavior of preterm and term-born toddlers through mother-child interaction?Frontiers in psychology · 2022Article
- The Impact of Formal School Entry on Children's Social Relationships with Parents, Siblings, and Friends.Children (Basel, Switzerland) · 2021Article
- Caregiver-reported health-related quality of life of New Zealand children born very and extremely preterm.PloS one · 2021Article
- Sociodemographic and medical influences on neurobehavioral patterns in preterm infants: A multi-center study.Early human development · 2020Observational
- Risk for Behavioral Problems Independent of Cognitive Functioning in Children Born at Low Gestational Ages.Frontiers in pediatrics · 2020Article
- International and Spanish Findings in Scientific Literature about Minors' Mental Health: Predictive Factors Using the Strengths and Difficulties Questionnaire.International journal of environmental research and public health · 2019Article
- Reducing growth and developmental problems in children: Development of an innovative postnatal risk assessment.PloS one · 2019Article
- Longitudinal growth and emotional and behavioral problems at age 7 in moderate and late preterms.PloS one · 2019Article
- Impact of the Familiar Environment in 11⁻14-Year-Old Minors' Mental Health.International journal of environmental research and public health · 2018Article
- Analysis of Predictive Factors on Minors' Mental Health According to the Spanish National Health Survey.Brain sciences · 2017Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Moderately preterm (MP) birth is associated with higher rates of behavioural and emotional problems. To determine the extent to which low socioeconomic status (SES) contributes to these higher rates, we assessed independent and joint effects of MP birth and low SES, overall and by gender. Dutch preventive child health care centres provided a population-based sample of 915 MP children (32-36 weeks gestation) and 543 term-born children, born in 2002/2003. In multivariable logistic regression analyses, we determined the risk of behavioural and emotional problems per standard deviation (SD) decrease in gestational age and SES, using standardized measures for both. We also assessed three SES categories, being low (1SD or more below mean of standardized SES), intermediate (mean ± 1SD), and high (greater than mean + 1SD). The Child Behavior Checklist for 1.5-5 years was used to assess behavioural (externalizing), emotional (internalizing), and total problems at age 4 years. MP children with low SES had significantly higher total problem scores than those with high SES (11.3 vs. 5.1%, respectively). Each SD decrease in SES was associated with a 42% higher odds of elevated total problem scores (OR 1.42, 95% CI 1.14-1.77). No joint effects were found, meaning that lower gestational age independently added to the risk of behaviour problems (OR 1.24, 95% CI 1.00-1.56). Effects of MP birth and low SES were more pronounced in girls. In conclusion, MP birth and low SES multiply the risk of behavioural and emotional problems. The combination of risk factors identifies children who could benefit greatly from early intervention.
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