Table 2

Selected participant characteristics and associations with neurodevelopmental outcome in four key domains

Cognitive DevelopmentaExpressive LanguageaExternalisingbInternalisingb
Mean95 % CIP valueMean95 % CIP valueMean95 % CIP valueMean95 % CIP value
DifferenceDifferenceDifferenceDifference
Socio-economic and demographic factors
Maternal age:
 <25 years−1.7−2.8, –0.520.005−1.7−3.5, –0.0200.056.53.3, 9.7<0.0014.61.4, 7.90.005
 25–40 yearsReferenceReferenceReferenceReference
 >40 years−1.4−2.9, 0.150.08−0.63−2.8, 1.60.57−4.3−8.1, –0.420.03-3.0−6.9, 0.830.12
Median parental education categoryc0.840.55, 1.1<0.0011.00.62, 1.5<0.001−0.66−1.4, 0.0770.08−0.43−1.2, 0.300.25
Mean annual household income antenatal & first year (10 000 AUD units)0.190.051, 0.330.0080.240.042, 0.450.02−0.91−1.3, –0.55<0.001−0.84−1.2, –0.48<0.001
Household composition factors
Total household size at birth−0.66−0.96, –0.36<0.001-1.0−1.4, –0.61<0.001−0.063−0.83, 0.710.87−1.3−2.1, –0.570.001
Total number of siblings at birth−0.61−0.94, –0.29<0.001−1.1−1.6, –0.69<0.0010.063−0.77, 0.890.88−1.5−2.4, –0.73<0.001
Lone parent household−0.57−2.2, 1.00.49−0.58−2.8, 1.70.611.8−2.5, 6.20.404.70.37, 9.00.03
Cultural-linguistic factors
Number of grandparents identifying as Aboriginal or Torres Strait Islander−1.1−2.7, 0.450.16−0.96−3.1, 1.20.370.76−3.4, 4.90.720.36−3.8, 4.50.86
Maternal country of birth:
 AustraliaReferenceReferenceReferenceReference
 Majority English-speaking country−0.39−1.6, 0.810.52−1.73.5, 0.00300.054.41.5, 7.30.0032.1−0.84, 5.00.16
 Other country−1.1−2.5, 0.300.13−0.94−3.0, 1.10.36−1.1−4.7, 2.60.561.8−1.8, 5.50.33
Antenatal health, diet & exposures
Maternal diet – total fish (g/day)0.0013−0.0094, 0.0120.810.0041−0.010, 0.0200.580.0022−0.025, 0.0290.870.017−0.010, 0.0430.22
Any fish oil supplements in pregnancy0.630.074, 1.20.030.74−0.046, 1.50.060.49−0.91, 1.90.49−0.55−2.0, 0.870.45
Average alcohol intake trimester 1 (standard drinks):
 NilReferenceReferenceReferenceReference
 <1 a week0.099−0.54, 0.740.76−0.68−1.6, 0.220.140.48−1.1, 2.10.560.19−1.4, 1.80.82
 1–6 a week0.13−0.91, 1.20.81−1.8−3.2, –0.290.020.78−1.9, 3.50.571.5−1.2, 4.20.27
 1–3 a day−1.9−6.1, 2.30.37−2.6−9.2, 4.00.44−0.45−11, 100.933.2−7.3, 140.55
 (test of trend)0.920.0080.490.29
Number of occasions>5 standard drinks at a time over trimester 10.097−0.31, 0.510.64−0.55−1.2, 0.080.090.59−0.49, 1.70.291.10.019, 2.20.05
Maternal smoking (timing over this pregnancy):
 NilReferenceReferenceReferenceReference
 Early but stopped0.61−0.44, 1.70.260.064−1.4, 1.50.932.90.26, 5.50.034.11.5, 6.70.002
 Early and late−0.64−2.2, 0.870.40−2.7−5.0, –0.350.022.8−0.89, 6.40.142.2−1.4, 5.90.23
Any maternal recreational drug use in this pregnancy (marijuana)1.4−1.4, 4.10.330.24−3.6, 4.10.907.51.8, 130.013.9−1.8, 9.60.18
Birth outcomes
Prematurityd:
 TermReferenceReferenceReferenceReference
 Late preterm−0.39−2.0, 1.20.630.82−1.7, 3.40.53−0.18−4.1, 3.70.931.2−2.8, 5.10.56
 Moderate preterm−2.9−6.5, 0.770.12−7.1−14, –0.510.031.5−7.6, 110.755.4−3.6, 140.24
Mode of delivery:
 Unassisted vaginalReferenceReferenceReferenceReference
 Assisted vaginal−0.20−0.94, 0.530.590.029−1.0, 1.10.960.12−1.7, 1.90.901.6−0.22, 3.40.09
 Unscheduled caesarean0.31−0.53, 1.10.470.87−0.33, 2.10.15−0.26−2.4, 1.80.811.6−0.52, 3.60.14
 Elective caesarean−0.17−0.99, 0.650.68−0.22−1.3, 0.910.70−1.4−3.4, 0.610.17−2.2−4.1, –0.200.03
Apgar score at 5 min−0.011−0.38, 0.360.950.25−0.31, 0.810.38−1.2−2.1, –0.420.003−0.23−1.0, 0.590.59
Postnatal
Breastmilk feeding (duration):
 Nil or <1 week-1.0−2.7, 0.600.21−3.4−5.6, –1.20.0032.6−1.0, 6.30.161.1−2.5, 4.70.56
 >=1 week but <6 months−0.85−1.5, –0.250.006−1.3−2.1, –0.410.0040.025−1.5, 1.60.98−0.9−2.4, 0.640.25
 >=6 monthsReferenceReferenceReferenceReference
Maternal stress & mental health
Edinburgh Depression Scale (pregnancy):
 Low Risk (<10)ReferenceReferenceReferenceReference
 Moderate Risk−0.52−1.5, 0.490.310.029−1.5, 1.50.974.11.3, 7.00.0055.83.1, 8.6<0.001
 High Risk (>12)−0.34−1.8, 1.10.64−0.93−2.8, 1.00.340.66−3.4, 4.70.754.50.56, 8.40.03
Mean Perceived Stress Scale score (pregnancy, 4 weeks, 6 months)−0.013−0.059, 0.0330.57−0.02−0.084, 0.0430.530.350.24, 0.47<0.0010.420.31, 0.53<0.001
Parenting practices
HOME-SF Emotional Support subscale (9 months, n=275–334)0.024−0.42, 0.470.920.3−0.36, 0.970.370.54−0.65, 1.70.370.59−0.52, 1.70.30
HOME-SF Cognitive Stimulation subscale (9 months, n=275–334)0.18−0.12, 0.480.230.33−0.090, 0.760.130.12−0.68, 0.920.77−0.18−0.93, 0.560.63
  • *Estimated change in raw score on the BAYLEY-III adjusting for sex, postconceptional age, researcher, researcher experience (number of prior assessments within study) and excluding twins, those with known acquired neurodevelopmental disorders, and those outside of age criteria of 2–3 years.

  • †Estimated change in T-score for problem behaviours reported on the Child Behaviour Checklist for Ages 1½−5 adjusting for sex and chronological age and excluding twins, known acquired neurodevelopmental disorders.

  • ‡Highest level of education attained (six categories: <10 years of school, 10–11 years of school, completed year 12, trade certificate/apprenticeship or diploma, undergraduate degree, postgraduate degree).

  • §Note that the associations reported here between prematurity and BAYLEY-III measures (cognitive development and expressive language) are after adjustment for postconceptional age.

  • BAYLEY-III, Bayley Scales of Infant and Toddler Development, Third Edition; HOME-SF, Home Observation for Measurement of the Environment-Short Form.