title: Association between Primary Caregiver Education and Cognitive and Language Development of Preterm Neonates.
abstract: ObjectiveThis study aims to explore the association between primary caregiver education and cognitive and language composite scores of the Bayley Scales of Infant and Toddler Development, 3rd ed. (Bayley-III) in preterm infants at 18 to 21 months corrected age.DesignAn observational study was performed on preterm infants born before 29 weeks' gestation between 2010 and 2011. Primary caregivers were categorized by their highest education level and cognitive and language composite scores of the Bayley-III were compared among infants between these groups with adjustment for perinatal and neonatal factors.ResultsIn total, 1,525 infants/caregivers were included in the multivariate analysis. Compared with those with less than a high school education, infants with primary caregivers who received partial college/specialized training displayed higher cognitive (adjusted difference [AD]: 4.6, 95% confidence interval [CI]: 1.8-7.4) and language scores (AD: 4.0, 95% CI: 0.8-7.1); infants with primary caregivers with university graduate education or above also demonstrated higher cognitive (AD: 6.4, 95% CI: 2.6-10.1) and language scores (AD: 9.9, 95% CI: 5.7-14.1).ConclusionHigher levels of education of the primary caregiver were associated with increased cognitive and language composite scores at 18 to 21 months corrected age in preterm infants.
authors: Department of Newborn and Developmental Paediatrics, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
authors: Elizabeth V
authors: EV
authors: Asztalos
authors: Department of Newborn and Developmental Paediatrics, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
authors: Paige T
authors: PT
authors: Church
authors: Department of Pediatrics, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
authors: Patricia
authors: P
authors: Riley
authors: Department of Pediatrics, Alberta Children's Hospital, Calgary, Alberta, Canada.
authors: Carlos
authors: C
authors: Fajardo
authors: Maternal-Infant Care Research Center, Department of Pediatrics, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
authors: Prakesh S
authors: PS
authors: Shah
mesh_terms: D017028:Caregivers / Q000193:education*; D003071:Cognition; D004522:Educational Status; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development* / Q000523:psychology; D007804:Language Development; D009035:Mothers / Q000193:education*