Mathematical performance in childhood and early adult outcomes after very preterm birth: an individual participant data meta-analysis

Research output: Contribution to journalReviewResearchpeer-review

  • Jäkel, Julia
  • Peter J. Anderson
  • Peter Bartmann
  • Jeanie L.Y. Cheong
  • Lex W. Doyle
  • Maureen Hack
  • Samantha Johnson
  • Neil Marlow
  • Saroj Saigal
  • Louis Schmidt
  • Mary C. Sullivan
  • Dieter Wolke

Aim: To investigate the strength of the independent associations of mathematics performance in children born very preterm (<32wks' gestation or <1500g birthweight) with attending postsecondary education and their current employment status in young adulthood. Method: We harmonized data from six very preterm birth cohorts from five different countries and carried out one-stage individual participant data meta-analyses (n=954, 52% female) using mixed effects logistic regression models. Mathematics scores at 8 to 11 years of age were z-standardized using contemporary cohort-specific controls. Outcomes included any postsecondary education, and employment/education status in young adulthood. All models were adjusted for year of birth, gestational age, sex, maternal education, and IQ in childhood. Results: Higher mathematics performance in childhood was independently associated with having attended any postsecondary education (odds ratio [OR] per SD increase in mathematics z-score: 1.36 [95% confidence interval {CI}: 1.03, 1.79]) but not with current employment/education status (OR 1.14 per SD increase [95% CI: 0.87, 1.48]). Interpretation: Among populations born very preterm, childhood mathematics performance is important for adult educational attainment, but not for employment status.

Original languageEnglish
JournalDevelopmental Medicine and Child Neurology
Volume64
Issue number4
Pages (from-to)421-428
Number of pages8
ISSN0012-1622
DOIs
Publication statusPublished - Apr 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press.

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