Infants born large for gestational age and developmental attainment in early childhood

Birth weight is a strong predictor of neonatal health outcomes. The majority of literature has focused on those infants born SGA. Infants born LGA have been shown to be at higher risk of immediate obstetrical complications and metabolic deficits, yet less research has focused on subsequent development. This study aims to investigate whether LGA is associated with developmental attainment and to examine the attribution of upstream factors and variables along the causal pathway. Data from the NLSCY was used. LGA was defined as a BW \u3e90th percentile. Outcomes were poor verbal ability (scoring \u3c15th percentile on the PPVT-R) and externalizing behaviour problems (scoring \u3e90th percentile on any externalizing behavioural scale). A DAG guided analyses. Multivariable logistic regression was used, mediation and interaction was assessed and all analyses were stratified by sex. LGA was not associated with developmental attainment for males or females. There was no evidence supporting mediation or an interaction

Infants Born Large for Gestational Age and Developmental Attainment in Early Childhood

Objectives To investigate if an association exists between being born large for gestational age (LGA) and verbal ability or externalizing behaviour problems at ages 4-5 years. Method A secondary analysis was conducted using the National Longitudinal Survey of Children and Youth, including singleton births in 2004-2005 followed till 4-5 years ( Results Infants born LGA were not found to be at increased risk for poor verbal ability (aOR: 1.16 [0.49,2.72] and aOR: 0.83 [0.37,1.87] for girls and boys, resp.) or externalizing behaviour problems (aOR: 1.24 [0.52,2.93] and aOR: 1.24 [0.66,2.36] for girls and boys, resp.). Social factors were found to impact developmental attainment. Maternal smoking led to an increased risk for externalizing behaviour problems (aOR: 3.33 [1.60,6.94] and aOR: 2.12 [1.09,4.13] for girls and boys, resp.). Conclusion There is no evidence to suggest that infants born LGA are at increased risk for poor verbal ability or externalizing behaviour problems

Using Graphs to Improve Violence Risk Communication

We examined the use of graphs as an aid to communicating statistical risk among forensic clinicians. We first tested four graphs previously used or recommended for forensic risk assessment among 442 undergraduate students who made security recommendations about two offenders whose risk differed by one actuarial category of risk for violent recidivism (Study 1). Effective decision making was defined as actuarially higher risk offenders being assigned to greater security than lower risk offenders. The graph resulting in the largest distinction among less numerate students was a probability bar graph. We then tested this graph among 54 forensic clinicians (Study 2). The graph had no overall effect. Among more experienced staff, however, decisions were insensitive to actuarial risk in the absence of the graph and in the desirable direction with the addition of the graph. Further research into the benefit of graphs in violence risk communication appears viable