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High school graduation among adolescents born preterm: A Canadian population-based cohort study

2025· article· en· W4414871840 on OpenAlexafffundabout
Deepak Louis, Ava Nykiforuk, Sapna Oberoi, Monica Sirski, Ruben Alvaro, Molly Seshia, Diane Moddemann, Lisa M. Lix, Chelsea Ruth, Allan Garland

Bibliographic record

VenueEarly Human Development · 2025
Typearticle
Languageen
FieldMedicine
TopicInfant Development and Preterm Care
Canadian institutionsManitoba HealthHealth Sciences CentreChildren's Hospital Research Institute of ManitobaUniversity of Manitoba
FundersResearch Manitoba
KeywordsGraduation (instrument)Cohort studyCohortLongitudinal studyAcademic achievementTerm (time)

Abstract

fetched live from OpenAlex

To evaluate the association between preterm birth (<37 weeks) and high school graduation. Population-based cohort of adolescents born in Manitoba, Canada between 1986 and 2002 whose graduation data were available in the administrative database. High school graduation (primary outcome) was defined as completion of 30 course credits in grades 9–12 without needing a modified (M) course or an individualized education plan (IEP) and finishing high school within 4 years of entering grade 9. Logistic regression model tested the association between preterm birth and primary outcome. Of 260,561 eligible adolescents, 9846 preterm (5.7 %; <28 wks = 238, 28–33 wks = 1997, 34–36 wks = 7611) and 162,660 term (≥37 weeks) adolescents were included. The median age at entering grade 9 was 14 years [13,14] among both preterm and term adolescents. The % of high school graduation was lowest among extremely preterm children (<28 wks-65 %, 28–33 wks-75 %, 34–36 wks-77 % and term-78 %). Only adolescents born <28 weeks and 28–33 wks, not 34–36 wks, had lower odds of high school graduation compared to term adolescents (<28 wks aOR: 0.49; 95 % CI: 0.37–0.66; 28–33 wks aOR: 0.78; 95 % CI: 0.69–0.88; 34–36 wks aOR: 0.96; 95 % CI: 0.90–1.02). Those needing a M course or IEP were 21 %, 7 %, 5 % and 4 % while the need for school assistance was 20 %, 5 %, 3 % and 2 % among <28 wks, 28–33 wks, 34–36 weeks and term respectively. Adolescents born extremely and very-moderate preterm had lower high school graduation rates compared to those born term in this population-based cohort. • There is limited data on high school performance of adolescents born preterm from North America. • This population-based retrospective study evaluated high school graduation among adolescents born preterm. • Extremely preterm and very-moderate preterm adolescents had lower odds of high school graduation. • Late preterm adolescents had odds similar to that of term born adolescents.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.041
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.011
GPT teacher head0.253
Teacher spread0.242 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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