Table 1.
Preterm Birth (<37 wk); Ref = Term (37–41 wk) |
Degree of Prematurity; Ref = Full Term (39–41 wk) |
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---|---|---|---|---|---|---|---|---|---|---|---|---|
Early Preterm (22–31 wk) |
Late Preterm (32–36 wk) |
Early Term (37–38 wk) |
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AOR | 95% CI | P Value | AOR | 95% CI | P Value | AOR | 95% CI | P Value | AOR | 95% CI | P Value | |
Outcome at ages 0–5 yr (N = 2,540) | ||||||||||||
Diagnosis | ||||||||||||
Ever asthma (≥1) | 2.45 | (1.98–3.04) | <0.001 | 5.90 | (4.19–8.31) | <0.001 | 1.70 | (1.30–2.23) | <0.001 | 1.05 | (0.80–1.38) | 0.718 |
Recurrent asthma (≥2) | 2.28 | (1.81–2.88) | <0.001 | 4.13 | (2.88–5.93) | <0.001 | 1.70 | (1.27–2.28) | <0.001 | 0.95 | (0.70–1.29) | 0.763 |
Recurrent asthma (≥4) | 2.00 | (1.52–2.61) | <0.001 | 4.09 | (2.72–6.13) | <0.001 | 1.54 | (1.09–2.19) | 0.015 | 1.17 | (0.83–1.66) | 0.364 |
Ever wheezing (≥1) | 1.85 | (1.48–2.31) | <0.001 | 3.15 | (2.21–4.49) | <0.001 | 1.67 | (1.26–2.20) | <0.001 | 1.27 | (0.97–1.66) | 0.084 |
Recurrent wheezing (≥2) | 2.29 | (1.71–3.09) | <0.001 | 4.16 | (2.66–6.51) | <0.001 | 1.92 | (1.31–2.82) | <0.001 | 1.21 | (0.82–1.79) | 0.339 |
Recurrent wheezing (≥4) | 2.85 | (1.83–4.43) | <0.001 | 6.17 | (3.30–11.55) | <0.001 | 2.12 | (1.17–3.82) | 0.013 | 1.20 | (0.64–2.26) | 0.567 |
Ever asthma exacerbation | 2.48 | (1.94–3.17) | <0.001 | 4.49 | (3.08–6.55) | <0.001 | 2.05 | (1.50–2.79) | <0.001 | 1.14 | (0.82–1.57) | 0.435 |
Medication | ||||||||||||
Any asthma medication | 2.22 | (1.83–2.68) | <0.001 | 5.74 | (4.14–7.96) | <0.001 | 1.68 | (1.33–2.12) | <0.001 | 1.22 | (0.97–1.52) | 0.088 |
Long-term controller | 2.42 | (1.89–3.09) | <0.001 | 5.82 | (4.03–8.39) | <0.001 | 1.54 | (1.12–2.12) | 0.008 | 1.00 | (0.72–1.39) | 0.988 |
SABAs/long-term controller | 2.26 | (1.87–2.74) | <0.001 | 5.60 | (4.03–7.76) | <0.001 | 1.73 | (1.36–2.19) | <0.001 | 1.21 | (0.96–1.52) | 0.109 |
Any oral steroid use | 2.45 | (1.95–3.08) | <0.001 | 5.35 | (3.76–7.60) | <0.001 | 1.87 | (1.39–2.51) | <0.001 | 1.18 | (0.87–1.59) | 0.292 |
Outcome at ages 6–9 yr (N = 1,072)† | ||||||||||||
Diagnosis | ||||||||||||
Ever asthma (≥1) | 2.28 | (1.66–3.12) | <0.001 | 4.92 | (2.91–8.31) | <0.001 | 2.04 | (1.38–3.01) | <0.001 | 1.46 | (0.98–2.16) | 0.062 |
Recurrent asthma (≥2) | 2.94 | (2.08–4.15) | <0.001 | 5.68 | (3.27–9.86) | <0.001 | 2.46 | (1.60–3.80) | <0.001 | 1.22 | (0.76–1.95) | 0.409 |
Recurrent asthma (≥4) | 2.40 | (1.57–3.67) | <0.001 | 3.92 | (2.05–7.47) | <0.001 | 1.97 | (1.16–3.36) | 0.013 | 1.10 | (0.61–1.98) | 0.744 |
Ever asthma exacerbation | 2.05 | (1.35–3.12) | <0.001 | 3.91 | (2.04–7.50) | <0.001 | 2.09 | (1.21–3.60) | 0.008 | 1.83 | (1.07–3.15) | 0.029 |
Medication | ||||||||||||
Any asthma medication | 2.05 | (1.51–2.77) | <0.001 | 3.82 | (2.28–6.41) | <0.001 | 1.87 | (1.29–2.71) | <0.001 | 1.31 | (0.90–1.90) | 0.163 |
Long-term controller | 2.64 | (1.84–3.77) | <0.001 | 3.57 | (2.03–6.28) | <0.001 | 2.26 | (1.47–3.49) | <0.001 | 0.99 | (0.61–1.61) | 0.972 |
SABAs/long-term controller | 2.17 | (1.59–2.96) | <0.001 | 4.00 | (2.37–6.73) | <0.001 | 2.02 | (1.38–2.96) | <0.001 | 1.35 | (0.91–1.99) | 0.133 |
Any oral steroid use | 2.16 | (1.39–3.36) | <0.001 | 3.21 | (1.68–6.15) | <0.001 | 1.60 | (0.93–2.75) | 0.092 | 0.90 | (0.50–1.65) | 0.743 |
Definition of abbreviations: AOR = adjusted odds ratio; CI = confidence interval; Ref = reference; SABAs = short-acting β-agonists.
See Table E1 for description of asthma measures.
Adjusted for maternal age, race/ethnicity, marital status, education, history of asthma, maternal persistent smoking during the index pregnancy; child sex and age, followed years, and family member smoking.
Wheezing measures were excluded because of low prevalence during ages 6–9 years.