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Shared unmeasured characteristics among siblings confound the association of Apgar score with stress resilience in adolescence
Örebro universitet, Institutionen för hälsovetenskaper. (Clinical Epidemiology and Biostatistics)
Örebro universitet, Institutionen för medicinska vetenskaper. Department of Public Health Sciences, Stockholm University, Stockholm, Sweden. (Clinical Epidemiology and Biostatistics)ORCID-id: 0000-0002-2088-0530
Örebro universitet, Institutionen för hälsovetenskaper.ORCID-id: 0000-0002-5996-2584
Örebro universitet, Institutionen för medicinska vetenskaper.ORCID-id: 0000-0002-3649-2639
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2019 (Engelska)Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, nr 11, s. 2001-2007Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: We investigated the association between low Apgar score, other perinatal characteristics and low stress resilience in adolescence. A within-siblings analysis was used to tackle unmeasured shared familial confounding.

METHODS: We used a national cohort of 527,763 males born in Sweden between 1973 and 1992 who undertook military conscription assessments at mean age 18 years (17-20). Conscription examinations included a measure of stress resilience. Information on Apgar score and other perinatal characteristics was obtained through linkage with the Medical Birth Register. Analyses were conducted using ordinary least squares and fixed-effects linear regression models adjusted for potential confounding factors.

RESULTS: Infants with a prolonged low Apgar score at five minutes had an increased risk of low stress resilience in adolescence compared to those with highest scores at one minute, with an adjusted coefficient and 95% confidence interval of -0.26 (-0.39, -0.13). The associations were no longer statistically significant when using within-siblings models. However, the associations with stress resilience and birthweight remained statistically significant in all analyses.

CONCLUSION: The association with low Apgar score seems to be explained by confounding due to shared childhood circumstances among siblings from the same family, while low birthweight is independently associated with low stress resilience.

Ort, förlag, år, upplaga, sidor
Wiley-Blackwell Publishing Inc., 2019. Vol. 108, nr 11, s. 2001-2007
Nyckelord [en]
Apgar score, adolescence, low birth weight, psychological stress, resilience
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Pediatrik
Identifikatorer
URN: urn:nbn:se:oru:diva-74554DOI: 10.1111/apa.14881ISI: 000489595000011PubMedID: 31140196Scopus ID: 2-s2.0-85067475196OAI: oai:DiVA.org:oru-74554DiVA, id: diva2:1320590
Anmärkning

Funding Agencies:

Nyckelfonden  OLL-507161

Grants to the International Centre for Life Course Studies  RES-596-28-0001, ES/JO19119/1

ALF research funding from Region Örebro County 

Tillgänglig från: 2019-06-05 Skapad: 2019-06-05 Senast uppdaterad: 2019-11-13Bibliografiskt granskad

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Bergh, CeciliaHiyoshi, AyakoEriksson, MatsFall, KatjaMontgomery, Scott

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Bergh, CeciliaHiyoshi, AyakoEriksson, MatsFall, KatjaMontgomery, Scott
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Institutionen för hälsovetenskaperInstitutionen för medicinska vetenskaper
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Acta Paediatrica
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiPediatrik

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