Extremely Premature and Very Low Birthweight Infants: A Double Hazard Population?

This article evaluates the contributions of birth status (defined by gestational age and birthweight) and family adversity at birth and at age 7 to explaining behavior problems at age 7. The behaviors of 96 extremely preterm and very low birth‐weight children and 66 full‐term children were assessed in a school setting by peers, teachers and parents. The results show that a significant relationship exists between birth status and isolation and social withdrawal problems as well as between birth status and social immaturity and inattention problems. Family adversity at birth has a significant contribution to aggressive behaviors reported by the three sources whereas, at age 7, this index is associated only with aggressive behaviors and social immaturity problems reported by parents. In conclusion, the results of the present study qualify the findings of studies that suggest that at school age, the effect of prematurity decreases and that behavior problems are explained chiefly by family environment characteristics. Our results indicate that the findings must take into account the cohort studied, the environmental measures used, the type of behaviors assessed as well as the type of informants.