A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Completed secondary education among youth with prenatal substance exposure: A longitudinal register-based matched cohort study
Tekijät: Nissinen Niina-Maria, Gissler Mika, Sarkola Taisto, Kahila Hanna, Autti-Rämö Ilona, Koponen Anne M
Kustantaja: ACADEMIC PRESS LTD- ELSEVIER SCIENCE LTD
Julkaisuvuosi: 2021
Lehti:: Journal of Adolescence
Tietokannassa oleva lehden nimi: JOURNAL OF ADOLESCENCE
Lehden akronyymi: J ADOLESCENCE
Vuosikerta: 86
Aloitussivu: 15
Lopetussivu: 27
Sivujen määrä: 13
ISSN: 0140-1971
eISSN: 1095-9254
DOI: https://doi.org/10.1016/j.adolescence.2020.11.006
Verkko-osoite: https://www.sciencedirect.com/science/article/pii/S0140197120301706?via=ihub
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/Publication/53001490
Introduction: The dual impact of prenatal substance exposure (i.e. alcohol/drugs) and adverse postnatal caregiving environment on offspring secondary education completion is an understudied research area. The aim was to investigate the influence of childhood adversities, out-of home care, and offspring's mental and/or behavioural disorders on secondary education completion among prenatally exposed offspring in comparison to matched unexposed offspring.
Methods: This is a longitudinal register-based matched cohort study in Finland including offspring with a history of prenatal substance exposure and a matched unexposed cohort. The study sample included 283 exposed and 820 unexposed offspring aged 18-23 years.
Results: The results showed a time lag in secondary education completion and lower educational attainment overall among exposed compared with unexposed (37.8% vs. 51.0%, respectively). The results from the multivariate logistic regression models showed that the differences in the secondary education completion between exposed and unexposed were diminished in the presence of covariates. A cumulative childhood adversity score and out-of-home care were not associated with secondary education completion in the multivariate models, whereas the different domains of offspring's mental and/or behavioural disorders including psychiatric disorders (AOR 0.65, 95% CI 0.45-0.96), neuropsychological disorders (AOR 0.35, 95% CI 0.23-0.54) and dual psychiatric and neuropsychological disorder (AOR 0.29, 95% CI 0.18-0.48) showed an independent negative effect on secondary education completion.
Conclusions: Inferior educational outcomes may not be directly linked with prenatal substance exposure but may rather reflect the extent of evolving offspring's mental and/or behavioural disorders over time influenced by childhood adversities.
Ladattava julkaisu This is an electronic reprint of the original article. |  |
