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Avchen, R.N., Scott, K.G., & Mason, C.A. (2001). A population based study of birthweight and school-age disabilities. American Journal of Epidemiology, 154, 895-901.Mortality rates have declined for low
birth weight and extremely low birth weight infants. Yet, the
consequences of survival for these children may be adverse developmental
outcomes. Few studies to date have examined school-age outcomes for
these children. The participants in this study represented a
population-based cohort of Florida children who were born between 1982 and
1984 and who were receiving a public school education in 1996-1997.
Linkage methodology was used to establish a cohort of 267,213 children
aged 12-15 years with both birth certificate and school records.
Birth weights were stratified into 500-g increments beginning with <=999
g; 17% of the population had some school-identified disability. Risk
ratios for specified school-identified disabilities increased as birth
weight decreased for all birth weight strata of <=3499 g. Narrow
increments of birth weights may better portray a more accurate estimate of
risk for infants born at extremes than the conventional definition of
<2500 g.
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