Cognitive Developmenta | Expressive Languagea | Externalisingb | Internalisingb | |||||||||
Mean | 95 % CI | P value | Mean | 95 % CI | P value | Mean | 95 % CI | P value | Mean | 95 % CI | P value | |
Difference | Difference | Difference | Difference | |||||||||
Socio-economic and demographic factors | ||||||||||||
Maternal age: | ||||||||||||
<25 years | −1.7 | −2.8, –0.52 | 0.005 | −1.7 | −3.5, –0.020 | 0.05 | 6.5 | 3.3, 9.7 | <0.001 | 4.6 | 1.4, 7.9 | 0.005 |
25–40 years | Reference | Reference | Reference | Reference | ||||||||
>40 years | −1.4 | −2.9, 0.15 | 0.08 | −0.63 | −2.8, 1.6 | 0.57 | −4.3 | −8.1, –0.42 | 0.03 | -3.0 | −6.9, 0.83 | 0.12 |
Median parental education categoryc | 0.84 | 0.55, 1.1 | <0.001 | 1.0 | 0.62, 1.5 | <0.001 | −0.66 | −1.4, 0.077 | 0.08 | −0.43 | −1.2, 0.30 | 0.25 |
Mean annual household income antenatal & first year (10 000 AUD units) | 0.19 | 0.051, 0.33 | 0.008 | 0.24 | 0.042, 0.45 | 0.02 | −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, 0.71 | 0.87 | −1.3 | −2.1, –0.57 | 0.001 |
Total number of siblings at birth | −0.61 | −0.94, –0.29 | <0.001 | −1.1 | −1.6, –0.69 | <0.001 | 0.063 | −0.77, 0.89 | 0.88 | −1.5 | −2.4, –0.73 | <0.001 |
Lone parent household | −0.57 | −2.2, 1.0 | 0.49 | −0.58 | −2.8, 1.7 | 0.61 | 1.8 | −2.5, 6.2 | 0.40 | 4.7 | 0.37, 9.0 | 0.03 |
Cultural-linguistic factors | ||||||||||||
Number of grandparents identifying as Aboriginal or Torres Strait Islander | −1.1 | −2.7, 0.45 | 0.16 | −0.96 | −3.1, 1.2 | 0.37 | 0.76 | −3.4, 4.9 | 0.72 | 0.36 | −3.8, 4.5 | 0.86 |
Maternal country of birth: | ||||||||||||
Australia | Reference | Reference | Reference | Reference | ||||||||
Majority English-speaking country | −0.39 | −1.6, 0.81 | 0.52 | −1.7 | 3.5, 0.0030 | 0.05 | 4.4 | 1.5, 7.3 | 0.003 | 2.1 | −0.84, 5.0 | 0.16 |
Other country | −1.1 | −2.5, 0.30 | 0.13 | −0.94 | −3.0, 1.1 | 0.36 | −1.1 | −4.7, 2.6 | 0.56 | 1.8 | −1.8, 5.5 | 0.33 |
Antenatal health, diet & exposures | ||||||||||||
Maternal diet – total fish (g/day) | 0.0013 | −0.0094, 0.012 | 0.81 | 0.0041 | −0.010, 0.020 | 0.58 | 0.0022 | −0.025, 0.029 | 0.87 | 0.017 | −0.010, 0.043 | 0.22 |
Any fish oil supplements in pregnancy | 0.63 | 0.074, 1.2 | 0.03 | 0.74 | −0.046, 1.5 | 0.06 | 0.49 | −0.91, 1.9 | 0.49 | −0.55 | −2.0, 0.87 | 0.45 |
Average alcohol intake trimester 1 (standard drinks): | ||||||||||||
Nil | Reference | Reference | Reference | Reference | ||||||||
<1 a week | 0.099 | −0.54, 0.74 | 0.76 | −0.68 | −1.6, 0.22 | 0.14 | 0.48 | −1.1, 2.1 | 0.56 | 0.19 | −1.4, 1.8 | 0.82 |
1–6 a week | 0.13 | −0.91, 1.2 | 0.81 | −1.8 | −3.2, –0.29 | 0.02 | 0.78 | −1.9, 3.5 | 0.57 | 1.5 | −1.2, 4.2 | 0.27 |
1–3 a day | −1.9 | −6.1, 2.3 | 0.37 | −2.6 | −9.2, 4.0 | 0.44 | −0.45 | −11, 10 | 0.93 | 3.2 | −7.3, 14 | 0.55 |
(test of trend) | 0.92 | 0.008 | 0.49 | 0.29 | ||||||||
Number of occasions>5 standard drinks at a time over trimester 1 | 0.097 | −0.31, 0.51 | 0.64 | −0.55 | −1.2, 0.08 | 0.09 | 0.59 | −0.49, 1.7 | 0.29 | 1.1 | 0.019, 2.2 | 0.05 |
Maternal smoking (timing over this pregnancy): | ||||||||||||
Nil | Reference | Reference | Reference | Reference | ||||||||
Early but stopped | 0.61 | −0.44, 1.7 | 0.26 | 0.064 | −1.4, 1.5 | 0.93 | 2.9 | 0.26, 5.5 | 0.03 | 4.1 | 1.5, 6.7 | 0.002 |
Early and late | −0.64 | −2.2, 0.87 | 0.40 | −2.7 | −5.0, –0.35 | 0.02 | 2.8 | −0.89, 6.4 | 0.14 | 2.2 | −1.4, 5.9 | 0.23 |
Any maternal recreational drug use in this pregnancy (marijuana) | 1.4 | −1.4, 4.1 | 0.33 | 0.24 | −3.6, 4.1 | 0.90 | 7.5 | 1.8, 13 | 0.01 | 3.9 | −1.8, 9.6 | 0.18 |
Birth outcomes | ||||||||||||
Prematurityd: | ||||||||||||
Term | Reference | Reference | Reference | Reference | ||||||||
Late preterm | −0.39 | −2.0, 1.2 | 0.63 | 0.82 | −1.7, 3.4 | 0.53 | −0.18 | −4.1, 3.7 | 0.93 | 1.2 | −2.8, 5.1 | 0.56 |
Moderate preterm | −2.9 | −6.5, 0.77 | 0.12 | −7.1 | −14, –0.51 | 0.03 | 1.5 | −7.6, 11 | 0.75 | 5.4 | −3.6, 14 | 0.24 |
Mode of delivery: | ||||||||||||
Unassisted vaginal | Reference | Reference | Reference | Reference | ||||||||
Assisted vaginal | −0.20 | −0.94, 0.53 | 0.59 | 0.029 | −1.0, 1.1 | 0.96 | 0.12 | −1.7, 1.9 | 0.90 | 1.6 | −0.22, 3.4 | 0.09 |
Unscheduled caesarean | 0.31 | −0.53, 1.1 | 0.47 | 0.87 | −0.33, 2.1 | 0.15 | −0.26 | −2.4, 1.8 | 0.81 | 1.6 | −0.52, 3.6 | 0.14 |
Elective caesarean | −0.17 | −0.99, 0.65 | 0.68 | −0.22 | −1.3, 0.91 | 0.70 | −1.4 | −3.4, 0.61 | 0.17 | −2.2 | −4.1, –0.20 | 0.03 |
Apgar score at 5 min | −0.011 | −0.38, 0.36 | 0.95 | 0.25 | −0.31, 0.81 | 0.38 | −1.2 | −2.1, –0.42 | 0.003 | −0.23 | −1.0, 0.59 | 0.59 |
Postnatal | ||||||||||||
Breastmilk feeding (duration): | ||||||||||||
Nil or <1 week | -1.0 | −2.7, 0.60 | 0.21 | −3.4 | −5.6, –1.2 | 0.003 | 2.6 | −1.0, 6.3 | 0.16 | 1.1 | −2.5, 4.7 | 0.56 |
>=1 week but <6 months | −0.85 | −1.5, –0.25 | 0.006 | −1.3 | −2.1, –0.41 | 0.004 | 0.025 | −1.5, 1.6 | 0.98 | −0.9 | −2.4, 0.64 | 0.25 |
>=6 months | Reference | Reference | Reference | Reference | ||||||||
Maternal stress & mental health | ||||||||||||
Edinburgh Depression Scale (pregnancy): | ||||||||||||
Low Risk (<10) | Reference | Reference | Reference | Reference | ||||||||
Moderate Risk | −0.52 | −1.5, 0.49 | 0.31 | 0.029 | −1.5, 1.5 | 0.97 | 4.1 | 1.3, 7.0 | 0.005 | 5.8 | 3.1, 8.6 | <0.001 |
High Risk (>12) | −0.34 | −1.8, 1.1 | 0.64 | −0.93 | −2.8, 1.0 | 0.34 | 0.66 | −3.4, 4.7 | 0.75 | 4.5 | 0.56, 8.4 | 0.03 |
Mean Perceived Stress Scale score (pregnancy, 4 weeks, 6 months) | −0.013 | −0.059, 0.033 | 0.57 | −0.02 | −0.084, 0.043 | 0.53 | 0.35 | 0.24, 0.47 | <0.001 | 0.42 | 0.31, 0.53 | <0.001 |
Parenting practices | ||||||||||||
HOME-SF Emotional Support subscale (9 months, n=275–334) | 0.024 | −0.42, 0.47 | 0.92 | 0.3 | −0.36, 0.97 | 0.37 | 0.54 | −0.65, 1.7 | 0.37 | 0.59 | −0.52, 1.7 | 0.30 |
HOME-SF Cognitive Stimulation subscale (9 months, n=275–334) | 0.18 | −0.12, 0.48 | 0.23 | 0.33 | −0.090, 0.76 | 0.13 | 0.12 | −0.68, 0.92 | 0.77 | −0.18 | −0.93, 0.56 | 0.63 |
*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.