Details:

Alternative Title:
Pediatrics
Personal Author:
Fill, Mary-Margaret A. ; Miller, Angela M. ; Wilkinson, Rachel H. ; Warren, Michael D. ; Dunn, John R. ; ... More +
Fill, Mary-Margaret A. ; Miller, Angela M. ; Wilkinson, Rachel H. ; Warren, Michael D. ; Dunn, John R. ; Schaffner, William ; Jones, Timothy F. Less -
Description:
BACKGROUND:

Neonatal abstinence syndrome (NAS) is a postnatal drug withdrawal syndrome that can occur after intrauterine opioid exposure. Adverse neurobehavioral outcomes have been documented in infants with NAS; however, educational outcomes have not been thoroughly examined. We analyzed Tennessee data to understand the need for special educational services among infants who are born with NAS.

METHODS:

By using Tennessee Medicaid and birth certificate data, infants who were born in Tennessee between 2008 and 2011 with a history of NAS were matched (1:3) to infants who were born during the same period without a history of NAS. Groups were matched on the basis of sex, race and/or ethnicity, age, birth region of residence, and Medicaid enrollment status. Data were linked to Tennessee Department of Education special education data during early childhood (3–8 years of age). Conditional multivariable logistic regression was used to assess associations between NAS and selected special education outcomes.

RESULTS:

A total of 1815 children with a history of NAS and 5441 children without NAS were assessed. Children with NAS were significantly more likely to be referred for a disability evaluation (351 of 1815 [19.3%] vs 745 of 5441 [13.7%]; P < .0001), to meet criteria for a disability (284 of 1815 [15.6%] vs 634 of 5441 [11.7%]; P < .0001), and to require classroom therapies or services (278 of 1815 [15.3%] vs 620 of 5441 [11.4%]; P < .0001). These findings were sustained in a multivariable analysis, with multiple models controlling for maternal tobacco use, maternal education status, birth weight, gestational age, and/or NICU admission.

CONCLUSIONS:

Results of this novel analysis linking health and education data revealed that children with a history of NAS were significantly more likely to have a subsequent educational disability.


Subject:
[+]
Child
Child, Preschool
Education, Special
Female
Humans
Infant, Newborn
Learning Disabilities
Male
Medicaid
Neonatal Abstinence Syndrome

Source:
Pediatrics. 142(3)
Pubmed ID:
30166364
Pubmed Central ID:
PMC6947655
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHS/United States
Place as Subject:
Tennessee
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:3b7596e11a165306b673faec590ba69541d9b0c1cc0f4ff8e714cc84465f8d8d
File Type:

Supporting Files

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