A directed acyclic graph of the relationship between siblings’ preterm birth (gestational age <37 weeks) and their score on the Phonological Awareness Literacy Assessment-Kindergarten test with overlaid estimates. Subscripts i and j denote family and sibling, respectively, where j = 1 is the younger sibling and j = 2 is the older sibling. PTBij is a preterm birth indicator, PALSKij the test score, Di is a gain-score, and Ui is an unobserved confounder. Greek letters denote effects, and θ and δ are estimated using gain-score regression.