Health perception by young adults born very preterm.

Abstract

This study assessed the self-reported health perception and use of health care by adults born very preterm before 30weeks of gestation. The participants were part of a cross-sectional observational study that assessed the global health of young adults aged 18-29years born very preterm in Quebec, Canada. Health perception was explored from 2011 to 2016 using the second Short-Form 36 Health Survey (SF-36v2), and objective health measures were obtained. Further in-depth open-ended questions were asked in 2018. The 101 preterm subjects had similar perceptions of their health to 105 term-born controls, according to the SF-36v2, despite significantly more adverse health conditions. Their healthcare use was similar. However, the later in-depth questionnaire showed that 23% of 45 preterm subjects and 3% of 34 term-born subjects perceived their health as poorer than the general population. Major factors that could improve their respective health were lifestyle habits (74% vs. 81%) and eliminating specific adverse symptoms (52% vs. 27%). Only 10% of preterm individuals had been asked about their perinatal history by physicians. Adults born very preterm said their health was poorer than the general population and identified specific factors that should be addressed during routine health monitoring.