Out-of-Home Care and Subsequent Preterm Delivery: An Intergenerational Cohort Study

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Liu, CanStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS),Karolinska Institutet, Sweden (author)

Out-of-Home Care and Subsequent Preterm Delivery : An Intergenerational Cohort Study

Article/chapterEnglish2018

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2018-08-01
American Academy of Pediatrics (AAP),2018
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LIBRIS-ID:oai:DiVA.org:su-159003
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-159003URI
https://doi.org/10.1542/peds.2017-2729DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:138850460URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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OBJECTIVES: Adverse early-life experience may affect preterm delivery later in life through priming of stress response. We aim to investigate the links between out-of-home care (OHC) experience in childhood, as a proxy of severe adversities, on subsequent risk of preterm delivery. METHODS: A register-based national cohort of all women born in Sweden between 1973 and 1977 (N = 175 821) was crosslinked with information on these women's subsequent deliveries as recorded in the Swedish medical birth register. During 1986-2012, 343 828 livebirths of these women were identified. The associations between women's OHC experience and her risk of preterm delivery were analyzed through logistic regression models, adjusting for women's own preterm birth, intrauterine growth, and childhood socioeconomic situation. RESULTS: Compared with women that never entered OHC, women with OHC experience up to and after age 10 were both associated with increased risks of preterm delivery (adjusted odds ratio [aOR] = 1.23 [95% confidence interval 1.08-1.40] and aOR = 1.29 [1.13-1.48], respectively). Women who experienced OHC before or at 10 years of age had increased risk of both spontaneous and medically indicated preterm delivery (aOR = 1.19 [1.03-1.38] and aOR = 1.27 [1.02-1.59], respectively). Women who experienced OHC after age 10 had a more pronounced risk of medically indicated preterm delivery (aOR = 1.76 [1.44-2.16]) than for spontaneous preterm delivery (aOR = 1.08 [0.92-1.27]). CONCLUSIONS: Women who were placed in OHC in childhood had increased risk of preterm delivery independent from their own perinatal history. Stress response, as 1 consequence of early life adversities, may take its toll on women's reproductive health and their offspring, calling for integrative efforts in preventing early life adversity.

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Vinnerljung, BoStockholms universitet,Institutionen för socialt arbete - Socialhögskolan(Swepub:su)bvinn (author)
Östberg, VivecaStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)(Swepub:su)vostberg (author)
Gauffin, KarlStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)(Swepub:su)kgauf (author)
Juarez, SolStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS)(Swepub:su)sjuar (author)
Cnattingius, SvenKarolinska Institutet (author)
Hjern, AndersStockholms universitet,Centrum för forskning om ojämlikhet i hälsa (CHESS),Karolinska Institutet, Sweden(Swepub:su)ahjer (author)
Stockholms universitetCentrum för forskning om ojämlikhet i hälsa (CHESS) (creator_code:org_t)

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In:Pediatrics: American Academy of Pediatrics (AAP)142:20031-40051098-4275

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By the author/editor: Liu, Can; Vinnerljung, Bo; Östberg, Viveca; Gauffin, Karl; Juarez, Sol; Cnattingius, Sve ...; show more...; Hjern, Anders; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

Articles in the publication: Pediatrics

By the university: Stockholm University; Karolinska Institutet

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