Independent Living and Romantic Relations Among Young Adults Born Preterm

Author:

Männistö Tuija12,Vääräsmäki Marja2,Sipola-Leppänen Marika134,Tikanmäki Marjaana14,Matinolli Hanna-Maria1,Pesonen Anu-Katriina5,Räikkönen Katri5,Järvelin Marjo-Riitta4678,Hovi Petteri19,Kajantie Eero129

Affiliation:

1. Diabetes Prevention Unit, Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland;

2. Department of Obstetrics and Gynecology and Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland;

3. Department of Pediatrics and Adolescence, Oulu University Hospital, Oulu, Finland;

4. Institute of Health Sciences and Biocenter Oulu, University of Oulu, Oulu, Finland;

5. Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland;

6. Department of Epidemiology and Biostatistics, MRC Health Protection Agency (HPA) Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom;

7. Department of Children, Young People and Families, National Institute for Health and Welfare, Oulu, Finland;

8. Unit of Primary Care, Oulu University Hospital, Oulu, Finland; and

9. Children’s Hospital, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland

Abstract

BACKGROUND: Young adults born preterm at very low birth weight start families later. Whether less severe immaturity affects adult social outcomes is poorly known. METHODS: The study “Preterm birth and early life programming of adult health and disease” (ESTER, 2009–2011) identified adults born early preterm (<34 weeks’ gestation, N = 149), late preterm (≥34 to <37 weeks’ gestation, N = 248), and at term (≥37 weeks’ gestation, N = 356) from the Northern Finland Birth Cohort 1986 and the Finnish Medical Birth Register (1987–1989), with perinatal data, medical and family history, socioeconomic status, and lifestyle from routine visits or questionnaires. Cox, logistic, and ordinal regressions estimated the hazard and odds ratios (HR and OR) with 95% confidence intervals of outcomes related to preterm birth. RESULTS: Compared with term-born subjects, those born early and late preterm were less likely to have cohabited with a romantic partner (HR, 0.79; [0.61–1.03] and HR, 0.80; [0.65–0.99], respectively) or experienced sexual intercourse (HR, 0.83; [0.66–1.05] and HR, 0.76; [0.63–0.92], respectively) by young adulthood. They also had higher odds of obtaining a 1-point lower score in a visual analog scale of self-perceived sexual attractiveness (OR, 1.45; [1.09–1.98] and OR, 1.44; [1.06–1.97] for early and late preterm birth, respectively). No difference was observed in the likelihood of departing from childhood home and number of individuals having their own families. CONCLUSIONS: Young adults born preterm experience more social challenges, which may affect their romantic relationships and future family planning.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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