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SP3-61 Present and previous adolescent pregnancy: socioeconomic characteristics and the effect on newborn weight

Identifieur interne : 001D74 ( Istex/Corpus ); précédent : 001D73; suivant : 001D75

SP3-61 Present and previous adolescent pregnancy: socioeconomic characteristics and the effect on newborn weight

Auteurs : S. Gama ; A P Esteves-Pereira ; M Do Carmo Leal

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RBID : ISTEX:3CB902D7594D28252238F46639D2BC26813EACF0

English descriptors

Abstract

Introduction The negative effects of pregnancy in adolescence on maternal and child health have been described. However gaps in the literature examination the association between this exposure and outcome remain. The aim of this study was to examine the association between socioeconomic characteristics of three groups of mothers (adolescents (<20 years old), women ≥20 years old with a previous pregnancy during adolescence and women ≥20 years old without a pregnancy during adolescence) and low birth weight (<2500 g). Methods 1681 women in the first trimester of pregnancy were interviewed in two cities; follow-up at postpartum was available for 1540. To verify the hypothesis of homogeneity of proportions, χ2 tests were used. To verify the association with low birth weight we conducted crude and adjusted logistic regression analyses with a significance level of 0.05. Results Women ≥20 years old with a history of pregnancy in adolescence were more socioeconomically deprived than other groups. Compared to women ≥20 years old without a history of pregnancy in adolescence, women ≥20 years old with a history of pregnancy in adolescence had a lower level of educational attainment [OR 2.68], lower social status [OR 1.96] and lower income [OR 2.71]. Low birth weight was greater in the children of adolescent mothers [OR 1.36]. Conclusions These findings suggest that in Brazil adolescent pregnancy is a social problem and women with a pregnancy in adolescence are socioeconomically disadvantaged through their lives.

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DOI: 10.1136/jech.2011.142976o.61

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ISTEX:3CB902D7594D28252238F46639D2BC26813EACF0

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<title>Introduction</title>
<p>The negative effects of pregnancy in adolescence on maternal and child health have been described. However gaps in the literature examination the association between this exposure and outcome remain. The aim of this study was to examine the association between socioeconomic characteristics of three groups of mothers (adolescents (<20 years old), women ≥20 years old with a previous pregnancy during adolescence and women ≥20 years old without a pregnancy during adolescence) and low birth weight (<2500 g).</p>
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<title>Results</title>
<p>Women ≥20 years old with a history of pregnancy in adolescence were more socioeconomically deprived than other groups. Compared to women ≥20 years old without a history of pregnancy in adolescence, women ≥20 years old with a history of pregnancy in adolescence had a lower level of educational attainment [OR 2.68], lower social status [OR 1.96] and lower income [OR 2.71]. Low birth weight was greater in the children of adolescent mothers [OR 1.36].</p>
</sec>
<sec>
<title>Conclusions</title>
<p>These findings suggest that in Brazil adolescent pregnancy is a social problem and women with a pregnancy in adolescence are socioeconomically disadvantaged through their lives.</p>
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<title>SP3-61 Present and previous adolescent pregnancy: socioeconomic characteristics and the effect on newborn weight</title>
<partName>Epidemiology and policy</partName>
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<title>SP3-61 Present and previous adolescent pregnancy: socioeconomic characteristics and the effect on newborn weight</title>
<partName>Epidemiology and policy</partName>
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<name type="personal" displayLabel="corresp">
<namePart type="given">S</namePart>
<namePart type="family">Gama</namePart>
<affiliation>ENSP, FIOCRUZ, Rio de Janeiro, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">A P</namePart>
<namePart type="family">Esteves-Pereira</namePart>
<affiliation>ENSP, FIOCRUZ, Rio de Janeiro, Brazil</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">M do</namePart>
<namePart type="family">Carmo Leal</namePart>
<affiliation>ENSP, FIOCRUZ, Rio de Janeiro, Brazil</affiliation>
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<roleTerm type="text">author</roleTerm>
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<publisher>BMJ Publishing Group Ltd</publisher>
<dateIssued encoding="w3cdtf">2011-08</dateIssued>
<copyrightDate encoding="w3cdtf">2011</copyrightDate>
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<abstract>Introduction The negative effects of pregnancy in adolescence on maternal and child health have been described. However gaps in the literature examination the association between this exposure and outcome remain. The aim of this study was to examine the association between socioeconomic characteristics of three groups of mothers (adolescents (<20 years old), women ≥20 years old with a previous pregnancy during adolescence and women ≥20 years old without a pregnancy during adolescence) and low birth weight (<2500 g). Methods 1681 women in the first trimester of pregnancy were interviewed in two cities; follow-up at postpartum was available for 1540. To verify the hypothesis of homogeneity of proportions, χ2 tests were used. To verify the association with low birth weight we conducted crude and adjusted logistic regression analyses with a significance level of 0.05. Results Women ≥20 years old with a history of pregnancy in adolescence were more socioeconomically deprived than other groups. Compared to women ≥20 years old without a history of pregnancy in adolescence, women ≥20 years old with a history of pregnancy in adolescence had a lower level of educational attainment [OR 2.68], lower social status [OR 1.96] and lower income [OR 2.71]. Low birth weight was greater in the children of adolescent mothers [OR 1.36]. Conclusions These findings suggest that in Brazil adolescent pregnancy is a social problem and women with a pregnancy in adolescence are socioeconomically disadvantaged through their lives.</abstract>
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<title>Journal of Epidemiology and Community Health</title>
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<titleInfo type="abbreviated">
<title>J Epidemiol Community Health</title>
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<identifier type="ISSN">0143-005X</identifier>
<identifier type="eISSN">1470-2738</identifier>
<identifier type="PublisherID">jech</identifier>
<identifier type="PublisherID-hwp">jech</identifier>
<identifier type="PublisherID-nlm-ta">J Epidemiol Community Health</identifier>
<part>
<date>2011</date>
<detail type="title">
<title>IEA World Congress of Epidemiology, 7–11 August 2011, Edinburgh International Conference Centre, Edinburgh, Scotland Programme and abstracts</title>
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<detail type="volume">
<caption>vol.</caption>
<number>65</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>Suppl 1</number>
</detail>
<extent unit="pages">
<start>A425</start>
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<identifier type="ark">ark:/67375/NVC-L213J8XS-T</identifier>
<identifier type="DOI">10.1136/jech.2011.142976o.61</identifier>
<identifier type="href">jech-65-A425-1.pdf</identifier>
<identifier type="ArticleID">jech142976o.61</identifier>
<identifier type="local">jech;65/Suppl_1/A425-a</identifier>
<accessCondition type="use and reproduction" contentType="copyright">© 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</accessCondition>
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