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Birth factors and laterality: effects of birth order, parental age, and birth stress on four indices of lateral preference.

As an alternative to genetic theories of handedness, some theorists have offered an environmental mechanism, associated with birth stress, for the appearance of left-handedness. They suggest that brain damage as a result of birth difficulties can lead to a switch in hand preference from the right side to the left side. Consequently, one should find more left-handers in groups where the probability of the occurrence of birth stress is greater. Three studies are presented which explore the laterality of not only hand but also foot, eye, and ear, in a total of 5161 individuals, in an attempt to assess any relationship to birth stress. Maternal age seems to predict deviations from dextrality, dependent on the sex of the offspring, while paternal age and birth order do not. The use of a direct measure of conditions predisposing toward birth stress suggests that these results depend on prenatal or perinatal environmental trauma rather than chromosomal factors.

Adolescent↗

New assessment of the effects of birth order and socioeconomic status on birth weight.

A survey of the 20 698 singleton births occurring in one year to women resident in the Greater Dublin area provided information on birth weight, birth order, and social class. Low (less than or equal to 2500 g), suboptimal (less than or equal to 3000 g), and optimal (3001-4499 g) birth weights all showed a linear relation with social class. The incidence of low and suboptimal birth weight was highest in first, fifth, and subsequent births, and conversely optimal weight was commonest in second, third, and fourth births. Analysis indicated that a major part of the birth-order effect was attributable to social class. Birthweight categories give information which may be distorted when using mean weight alone. The ue of suboptimal and optimal weight offers the possibility of more accurate assessment of trends in performance, particularly in small samples, than does the conventional sole use of low birth weight. Low and suboptimal birth weights are uncommon in Dublin.

Birth Order↗

Multiple sclerosis and birth order.

The relation between birth order and risk of multiple sclerosis (MS) was studied among MS patients in Israel. The evaluation was both by case-control study and comparison of expected and observed birth order in Israel-born patients. Results showed an excess of first-born and a low birth order among MS patients. Conversely, in MS patients born abroad but who developed the disease in Israel, MS was connected with an excess of last-born and high birth order. These contradictory results could not be explained by bias of case selection, difference in age, or changes in family size with time, and could indicate that different etiological factors are responsible for MS in distinct populations.

Birth Order↗

Birth order and intelligence: an immunological interpretation.

The literature indicates that the IQs and school performance of children tend to decline with increasing order of birth. A hypothesis is here presented that the effect of birth order upon intellectual performance may result from an increasing probability of maternal immune attack upon the fetal brain in utero with order of parity. In support of this hypothesis, evidence is adduced from the literature that the fetal brain is antigenic, that fetal antigens may reach the immune system of the mother, that the incidence of maternal sensitization to fetal antigens increases with parity, that antibodies may readily cross the placenta and reach the fetal brain, that antibodies can be highly teratogenic, and that certain antibodies may damage, in a lasting way, the structure, function, and learning capacity of brains in experimental animals and human infants.

Animals↗

Birth Order and health: major issues.

Birth Order has been described as a variable with a complex relationship to child and adult outcomes. A review of the medical literature over the past 5 years identified 20 studies that investigated the relationship between Birth Order and a health outcome. Only one of the studies established a relationship between Birth Order and a health outcome: third and fourth-born children have a higher incidence of accidents that result in hospitalization. The other demonstrated relationships are each explained by intervening variables or methodological limitations. Although Birth Order is not a strongly independent explanatory factor in understanding health outcomes, it is an important marker variable. Statistically significant relationships between Birth Order and health outcomes yield insights into the ways a family influences an individual's health.

Birth Order↗

The influence of birth order, maternal age on sex ratio at birth in Greater Bombay.

"The present paper aims to find out the influence of birth order and maternal age on sex ratio at birth in Greater Bombay [India] by considering 1.5 million births during the period 1970-78. The relationship sex ratio at birth has [with] birth order and maternal age follows a quadratic model." The percentage variation explained by a linear model is less than that explained by the quadratic model.

Age Factors↗

Birth order, schooling, and earnings.

"Birth-order effects are posited by many to affect earnings and schooling. We show how such effects can be interpreted to shift either the earnings possibility frontier for siblings or parental preferences. We find empirical evidence for birth-order effects on (age-adjusted) schooling and on earnings for young U.S. adults, though the latter is not robust for all specifications. The examination of intrahousehold allocations suggests that these birth-order differences occur despite parental preferences or prices by birth order favoring later borns, apparently because of stronger endowment effects that favor first borns."

Americas↗

Associations of scores on the White-Campbell Psychological Birth Order Inventory and the Kern Lifestyle Scale.

This study investigated the relations among psychological birth order, actual birth order, and lifestyle. The study also further examined the convergent validity of the White-Campbell Psychological Birth Order Inventory. This inventory and Kern's Lifestyle Scale were administered to 126 individuals in a southeastern urban university. The several analyses of variance and canonical correlation analysis (1) supported a stronger relationship between psychological birth order and lifestyle than between actual birth order and lifestyle, (2) identified differential relationships between particular birth-order positions and lifestyle scales that were predicted and in accord with Adlerian theory, and (3) further supported the validity of the inventory. The results reaffirmed the lifestyle pattern and birth-order characterizations of Adlerian theory.

Adult↗

Correlation between prenatal and neonatal birth order in twin pregnancy.

Little data is available correlating the in utero order of presentation and the birth order of twins. Our objective was to determine whether birth order in twin pregnancies corresponds to the order of presentation early in pregnancy. All twin pregnancies in which amniocentesis was performed from 1996 to 1998 were identified. Those with discordant genders that delivered at our hospital were included. Order of presentation was documented by ultrasound at the time of amniocentesis. Delivery data were obtained from review of medical records. Statistical comparison was done using two-tailed Fisher's exact test, Student's t-test, and Mann-Whitney U test. Sixty patients met inclusion criteria. Birth order corresponded to the order at the time of amniocentesis in 55 of 60 cases (91.7%). There was no difference in the rate of concordance of prenatal and neonatal birth order in twins delivered vaginally compared with those delivered abdominally (90.9 vs. 91.8%, p = 1.0). Cases with discordant prenatal and neonatal birth order had similar maternal ages, gestational ages at amniocentesis and delivery, and fetal presentation at delivery as cases with concordant birth orders. In dichorionic twin pregnancies, birth order is established early in gestation in >90% of cases regardless of route of delivery.

Birth Order↗

Effect of birth order on intraventricular hemorrhage in very low birth weight twins.

We evaluated the effect of birth order on the incidence and severity of intraventricular hemorrhage in 29 sets of very low birth weight twins (1500 g or less). Intraventricular hemorrhage occurred in 55% of first-presenting twins and 62% of second-presenting twins. The incidence of minor intraventricular hemorrhage (grades I and II) was 41% for first twins and 52% for second twins, whereas the incidence of major intraventricular hemorrhage (grades III and IV) was 14 and 10%, respectively. None of these differences reached statistical significance. We conclude that birth order does not appear to have a major effect on the incidence or severity of intraventricular hemorrhage in very low birth weight twins.

Birth Order↗

Pedophilia, sexual orientation, and birth order.

This study extended research on birth order and erotic preferences by examining birth order in a sample of pedophiles. Charts of 338 pedophiles, assessed from 1980-1994 in the Behavioural Sexology Department of the Clarke Institute of Psychiatry in Toronto, were reviewed for family-demographic information. In total, 170 (57 heterosexual pedophiles, 68 homosexual pedophiles, and 45 bisexual pedophiles) of these men had sufficient sibling information to be included in the analyses. The results indicated that homosexual-bisexual pedophiles had a later birth order than heterosexual pedophiles and that this effect was primarily the result of the homosexual-bisexual group being born later among their brothers. The results extend previous findings that homosexual men, regardless of sample composition, have a later birth order than comparable groups of heterosexual men. The results also challenge some existing theories on the nature and origins of pedophilia.

Adolescent↗

Etiological implication of maternal age and birth order in infantile autism.

Birth orders and maternal ages of the 113 autistic patients were compared with those of the general population. An excess of mothers aged 35 or older was observed in the autistic group, though the mean maternal age for the whole group was very similar to those of the general population. A deviation from average in birth order was observed in autistics. Significantly more autistics were products of at-risk pregnancies (defined as either first, fourth, or later born, or born to mothers aged 30 or older) than the base population. The results suggest that at least some environmental factors are involved in the causation of autism. The findings support the idea that a multifactorial mechanism is responsible for some or all of the cases.

Adolescent↗

The analysis of the influence of birth order and other factors in multiple birth data.

We compare three methods which can be used to analyse the influence of birth order and other factors on health outcomes in multiple birth data. We consider marginal models based on generalized estimating equations (GEE) and two kinds of conditional models; conditional logistic regression (CLR) and mixed effects models (MEM). Although the models may be written similarly, there are differences in both the interpretation and the numerical values assigned to the parameters. Our main conclusion is that GEE and MEM are preferable to CLR since they provide more flexibility in dealing with missing values and covariates. The choice between GEE and MEM is less obvious and depends on the data, the parameter of interest and statistical power.

Birth Order↗

Prevalence of allergy symptoms and total IgE in a New York City cohort and their association with birth order.

BACKGROUND: An inverse association between birth order and allergic disease has been widely observed, but has not been examined in the high asthma prevalence, inner-city populations of the United States. As part of an ongoing prospective birth cohort study, the prevalence of early phenotypes of asthma and/or allergy was compared with those reported in other studies, and the association with birth order was evaluated. METHODS: Children of Dominican and African-American mothers living in Northern Manhattan underwent detailed periodic questionnaires. Total IgE from the mothers (n = 321) and the children at birth (n = 291) and at ages 24 (n = 244) and 36 (n = 155) months was measured. The association between birth order and allergy symptoms was evaluated at 12 (n = 350), 24 (n = 290) and 36 (n = 247) months. RESULTS: Total serum IgE was detectable (>0.5 IU/ml) in 35% of the children's cord blood and averaged 15 and 21 IU/ml at ages 24 and 36 months, respectively. They were not significantly different at any age between children with and without older siblings. Additionally, at these ages, there were no consistent associations between birth order and either wheeze, itchy eyes or eczema. CONCLUSIONS: Despite a substantially higher prevalence of asthma in the Northern Manhattan community compared with other areas, total IgE levels at ages 24 and 36 months, but not cord blood, are similar to those reported in other areas of the world. In this community, results at this age do not support a protective effect of higher birth order.

Adolescent↗

A study of birth order and multiple sclerosis in multiplex families.

Birth order position for affected siblings was examined for 88 sibships having 2 or more cases of multiple sclerosis (MS). The data show that MS patients are randomly ordered by birth within these multiplex sibships. The data therefore do not support the hypothesis that MS occurs in siblings because of a common environmental exposure as defined by proximity in birth order position.

Birth Order↗

Effects of birth order and maternal age on infant and child mortality in rural Nepal.

"The present study examines the effects of woman's age at childbirth (maternal age) and birth order on infant and child mortality in rural Nepal." Data are from the Nepal Fertility Survey of 1976, carried out as part of the World Fertility Survey. The results show that the risk of infant death is higher for extreme birth orders. "The higher risk of infant death to first order births is mainly due to the fact that such births occur predominantly to young women. The importance of the synergistic effect of maternal age and birth order is also demonstrated: for example, fifth order births to women aged 20-24 and third order births to women under 20 have a risk of about one infant death in every four live births."

Age Factors↗