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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/112024


    Title: Sequential risk of depression in children born prematurely: A nationwide population- based analysis.
    Authors: Chiu, Ting-Fa;Chiu, Ting-Fang;Yu, Tung-Min;Yu, Tung-Min;Chuang, Ya-We;Chuang, Ya-Wen;Sun, Kuo-Ting;Sun, Kuo-Ting;Li, Chi-Yuan;Li, Chi-Yuan;Su, Yuan-Chih;Su, Yuan-Chih;高嘉鴻;Kao, Chia-Hung
    Contributors: 生物資訊與醫學工程學系
    Date: 2019-01
    Issue Date: 2019-09-10 14:56:13 (UTC+8)
    Abstract: Background
    Whether children born prematurely are at a high risk of depression is still unknown. The present study examined the risk of depression in children who were born prematurely, by analyzing a national cohort in Taiwan.

    Methods
    All premature births between January 1, 2000, and December 31, 2010, by using the Taiwan National Health Insurance Research Database. A total of 21,478 preterm children and 85,903 full-term children were enrolled in this study. Sex, level of urbanization of residential area, and parental occupation were considered. We included participants who received a diagnosis of depression in more than two clinical visits or were hospitalized due to depression.

    Results
    Preterm children had a 2.75-fold higher risk of depression than full-term children (95% confidence interval [CI] = 1.58–4.79, p < 0.001). Sex was not likely to be associated with depression in this study (p = 0.95). The lowest level of urbanization significantly contributed to the risk of depression in preterm children (adjusted hazard ratio = 6.8, 95% CI = 1.63–28.46, p < 0.01). Regarding parental occupation, preterm children whose parents had blue-collar and other occupations had a 3.4- and 6.06-fold higher risk of depression, respectively, compared with other children (blue-collar occupations: 95% CI = 1.04–11.15, p < 0.05; other occupations: 95% CI = 1.71–21.49, p < 0.01).

    Conclusions
    Preterm children had a 2.7-fold higher risk of depression than children born full-term. Early identification, timely psychiatric care, intervention strategies, and support for their families may reduce the complications of mental illness in preterm children.
    Relation: JOURNAL OF AFFECTIVE DISORDERS
    Appears in Collections:[生物資訊與醫學工程學系 ] 期刊論文

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