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BMC Pediatrics
Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Health related quality of life of preterm born children at three years in a sub urban district in Sri Lanka: a retrospective cohort study

Authors: Hemali Jayakody, Upul Senarath, Deepika Attygalle

Published in: BMC Pediatrics | Issue 1/2018

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Abstract

Background

Preterm birth leads to multiple morbidities affecting the health of a child. Lack of information on the health impact of prematurity hinders the possibility of any effective public health interventions in this regard. Our aim was to determine the association between preterm birth and Health-Related Quality of Life (HRQOL) among 3 years old children in the Gampaha district, Sri Lanka.

Methods

A community-based retrospective cohort study was conducted among 790 preterm and term born children who were 03 years old. Multi-stage cluster sampling technique was used to identify children. The exposure status, a preterm birth, was established using the maternal pregnancy records. Outcome status was measured using a validated health related quality of life questionnaire (prepared in Sinhala) for preschool-aged children. Mothers of the children responded to an interviewer-administered questionnaire which had variables on the exposure status, outcome and additional variables such as child development status and birth related information. Quality of life was measured in twelve different domains of health (subscales). The impact was analyzed using the multiple linear regression.

Results

Response rate was 95.5% (n = 379) for preterm group and 95.2% (n = 378) for term-born group. Health-Related Quality of Life scores obtained by preterm children were lower than the term born children in eight subscales. Preterm birth showed statistically significant association with subscales on sleep wellbeing, general wellbeing and abdominal symptoms in the adjusted analysis (p < 0.05). Among preterm children prolonged illness, delayed development status, socio economic status and maternal perception on the health status of the child were common predictors of quality of life.

Conclusion

Preterm birth affected health related quality of life of preschool aged children.
Footnotes
1
Moderate preterm defined as between 32 weeks and 33 + 6 days of POA at birth
 
2
Late preterm defined as between 34 weeks and 36 + 6 days of POA at birth
 
3
Very preterm defined as < 31 + 6 days of POA
 
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Metadata
Title
Health related quality of life of preterm born children at three years in a sub urban district in Sri Lanka: a retrospective cohort study
Authors
Hemali Jayakody
Upul Senarath
Deepika Attygalle
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1162-3

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