{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:54:53Z","timestamp":1793346893625,"version":"4.5.0"},"reference-count":33,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n To compare transition into adulthood of survivors born extremely preterm (EP; &lt;28 weeks\u2019 gestation) or extremely low birth weight (ELBW; &lt;1000 g) in the postsurfactant era with term-born controls.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Prospective longitudinal cohort study of all EP\/ELBW survivors born in the State of Victoria, Australia between January 1, 1991 and December 31, 1992 and matched term-born controls. Outcomes include educational attainment, employment, financial status, romantic partnering, living arrangements, parenthood, physical health and mental health, risk-taking behaviors, life satisfaction, and interpersonal relationships at 25 years.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Data were available from 165 EP\/ELBW and 127 control participants. Overall, there was little evidence for differences between the EP\/ELBW and control groups on most comparisons after adjustment for social risk and multiple births. However, compared with controls, the EP\/ELBW group was more likely to have their main source of income from government (adjusted odds ratio [aOR] 2.49, 95% confidence interval [CI] 1.21\u20135.13; P = .01) and to have never moved out of the parental home (aOR 2.13, 95% CI 1.27\u20133.58; P = .01), and fewer had ever engaged in smoking (aOR 0.52, 95% CI 0.28\u20130.98; P = .04), binge drinking (aOR 0.41, 95% CI 0.18\u20130.93; P = .03), or street drugs (aOR 0.56, 95% CI 0.32\u20130.98; P = .04).<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Aside from clinically important differences in main income source, leaving the parental home, and reduced risk-taking behavior, survivors born EP\/ELBW in the era since surfactant was introduced are transitioning into adulthood similarly to term-born controls in some areas assessed but not all.<\/jats:p>\n 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