Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Reviews on Environmental Health

Editor-in-Chief: Carpenter, David O. / Sly, Peter

Editorial Board: Brugge, Doug / Edwards, John W. / Field, R.William / Garbisu, Carlos / Hales, Simon / Horowitz, Michal / Lawrence, Roderick / Maibach, H.I. / Shaw, Susan / Tao, Shu / Tchounwou, Paul B.


IMPACT FACTOR 2017: 1.284

CiteScore 2017: 1.29

SCImago Journal Rank (SJR) 2017: 0.438
Source Normalized Impact per Paper (SNIP) 2017: 0.603

Online
ISSN
2191-0308
See all formats and pricing
More options …
Volume 26, Issue 3

Issues

Socioeconomic differences and the impact of being small for gestational age on neurodevelopment among preschool-aged children

Carolyn Drews-Botsch / Laura A. Schieve
  • National Center for Birth Defects and Developmental Disabilities, Department of Health and Human Services, Atlanta, GA 30333, USA
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Julie Kable / Claire Coles
Published Online: 2011-07-18 | DOI: https://doi.org/10.1515/reveh.2011.030

Abstract

Background: Studies of small for gestational age (SGA) birth and subsequent childhood cognitive outcomes are inconsistent. Few studies have assessed whether effects varied by socioeconomic status (SES).

Objective: To assess child cognitive and behavioral outcomes according to SGA and severe SGA (<10th and <5th percentiles) and SES.

Methods: We followed 474 infants initially selected for a case-control study assessing SGA vs. appropriate-for-gestational age (AGA). The infants were born at two hospitals: a public hospital serving a low-income, African-American population and a private hospital serving a predominantly white, middle-class population. At age 54 months, a psychologist administered the Differential Abilities Scales (DAS), and Vineland Adaptive Behavior Scales (VABS). The mother completed the Child Behavior Checklist (CBCL). Associations were analyzed using multiple linear regression.

Results: Among AGA children, the mean DAS score was >1 standard deviation lower for children born at the public vs. the private hospital (75.2 vs. 95.7 among boys; 76.3 vs. 101.8 among girls). Being SGA had a weaker effect on DAS scores, overall. Severe SGA had a significant effect on DAS scores of children born at the private hospital (average reduction 8.0±2.5 points), but not on children born at the public hospital (average reduction 1.1±2.2 points). In the latter group, severe SGA was associated with a lower VABS score (average reduction 9.2±2.5 points).

Conclusions: Poor fetal growth influences neurodevelopment, but this influence is modified by postnatal environment. Adverse effects associated with low SES might mask or attenuate associations between prenatal exposures and developmental outcomes in some populations.

Keywords: birth weight; cognitive manifestations; health status disparities; infant; neurobehavioral manifestations; small for gestational age; social class

About the article

Corresponding author: Carolyn Drews-Botsch, PhD, Department of Epidemiology, Rollins School of Public Health, Emory University, Room 436, 1518 Clifton Rd., NE, Atlanta, GA 30322, USA Phone: +1-404-727-5725, Fax: +1-404-727-8737


Received: 2011-02-03

Accepted: 2011-03-18

Published Online: 2011-07-18

Published Online: 2011-07-15

Published in Print: 2011-09-01


Citation Information: Reviews on Environmental Health, Volume 26, Issue 3, Pages 221–229, ISSN (Online) 2191-0308, ISSN (Print) 0048-7554, DOI: https://doi.org/10.1515/reveh.2011.030.

Export Citation

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[1]
Catherine Aiken
Obstetrics, Gynaecology & Reproductive Medicine, 2017, Volume 27, Number 8, Page 235
[2]
Rajendra Prasad Parajuli, Takeo Fujiwara, Masahiro Umezaki, and Chiho Watanabe
BMC Pediatrics, 2014, Volume 14, Number 1
[3]
Tatiana Toro-Ramos, Rosely Sichieri, and Daniel J. Hoffman
Annals of Human Biology, 2016, Volume 43, Number 3, Page 212
[4]
Laura A. Schieve, Heather B. Clayton, Maureen S. Durkin, Martha S. Wingate, and Carolyn Drews-Botsch
Journal of Autism and Developmental Disorders, 2015, Volume 45, Number 8, Page 2361
[5]
Deborah L. Christensen, Laura A. Schieve, Owen Devine, and Carolyn Drews-Botsch
Research in Developmental Disabilities, 2014, Volume 35, Number 7, Page 1789
[6]
Christina R. Tyler and Andrea M. Allan
Current Environmental Health Reports, 2014, Volume 1, Number 2, Page 132
[7]
Giuseppe Saggese, Margherita Fanos, and Francesca Simi
The Journal of Maternal-Fetal & Neonatal Medicine, 2013, Volume 26, Number sup2, Page 64

Comments (0)

Please log in or register to comment.
Log in