SP3-63 From pre-natal to 3 months old: longitudinal study with adolescent mothers
Identifieur interne : 004370 ( Main/Exploration ); précédent : 004369; suivant : 004371SP3-63 From pre-natal to 3 months old: longitudinal study with adolescent mothers
Auteurs : S. Gama [Brésil] ; A P Esteves-Pereira [Brésil] ; M Do Carmo Leal [Brésil]Source :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2011-08.
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Abstract
Introduction The negative effects of pregnancy in adolescence on the mother and child health has been well established, however there are still remaining gaps to more studies to explore this cause-effect relation. Objectives To compare three groups of mothers—adolescents (<20 years) and two composed of ≥20-year-old women classified according to past experience of pregnancy during adolescence—with respect to perinatal care. Methods A sample of 1681 women was interviewed in two cities during the first trimester of pregnancy, a follow-up sample of 1540 at postpartum and 1434 after 3 months. We conducted crude and adjusted logistic regression analysis for each outcome, with a significance level of 5%. Results The most disadvantaged conditions were found among the adolescent's mothers and those with a history of pregnancy in adolescence. In comparison with women who hadn't been pregnant in adolescence, they had, respectively, a higher frequency of inadequate pre-natal-care [OR 1.8 and 1.5], no postpartum visit [OR 1.3 and 1.5], no performance of newborn screening test [OR 2.3 and 2.1] and baby's first doctor visit >1-month-old [OR 1.7 and 1.8]. No differences were found regarding breastfeeding at 3-month-old and immunisation. After adjustment for city, educational level and skin colour the association remained statistically significant for pre-natal inadequacy [OR 1.7 and 1.4] and baby's first doctor visit >1-month-old [OR 1.5 and 1.6]. Conclusions Previous and current adolescence pregnancy seems to be a risk factor for inadequate healthcare for both women and its offspring.
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DOI: 10.1136/jech.2011.142976o.63
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Gama</name></author><author><name sortKey="Esteves Pereira, A P" sort="Esteves Pereira, A P" uniqKey="Esteves Pereira A" first="A P" last="Esteves-Pereira">A P Esteves-Pereira</name></author><author><name sortKey="Carmo Leal, M Do" sort="Carmo Leal, M Do" uniqKey="Carmo Leal M" first="M Do" last="Carmo Leal">M Do Carmo Leal</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:22797117E55D98CD3555C31D9B750AE4BF4B2B55</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1136/jech.2011.142976o.63</idno><idno type="url">https://api.istex.fr/document/22797117E55D98CD3555C31D9B750AE4BF4B2B55/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">001096</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001096</idno><idno type="wicri:Area/Istex/Curation">001096</idno><idno type="wicri:Area/Istex/Checkpoint">001313</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001313</idno><idno type="wicri:doubleKey">0143-005X:2011:Gama S:sp:from:pre</idno><idno type="wicri:Area/Main/Merge">004397</idno><idno type="wicri:Area/Main/Curation">004370</idno><idno type="wicri:Area/Main/Exploration">004370</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">SP3-63 From pre-natal to 3 months old: longitudinal study with adolescent mothers</title><author><name sortKey="Gama, S" sort="Gama, S" uniqKey="Gama S" first="S" last="Gama">S. Gama</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>ENSP, FIOCRUZ, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Esteves Pereira, A P" sort="Esteves Pereira, A P" uniqKey="Esteves Pereira A" first="A P" last="Esteves-Pereira">A P Esteves-Pereira</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>ENSP, FIOCRUZ, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author><author><name sortKey="Carmo Leal, M Do" sort="Carmo Leal, M Do" uniqKey="Carmo Leal M" first="M Do" last="Carmo Leal">M Do Carmo Leal</name><affiliation wicri:level="3"><country xml:lang="fr">Brésil</country><wicri:regionArea>ENSP, FIOCRUZ, Rio de Janeiro</wicri:regionArea><placeName><settlement type="city">Rio de Janeiro</settlement><region type="state">État de Rio de Janeiro</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Epidemiology and Community Health</title><title level="j" type="abbrev">J Epidemiol Community Health</title><idno type="ISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2011-08">2011-08</date><biblScope unit="volume">65</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="A425">A425</biblScope></imprint><idno type="ISSN">0143-005X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0143-005X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent mothers</term><term>Birth weight</term><term>Carmo leal</term><term>Child health</term><term>Doctor visit</term><term>Educational level</term><term>Febrile</term><term>Febrile seizures</term><term>Last year</term><term>Medical record</term><term>Medical records</term><term>Negative effects</term><term>Oral health</term><term>Parent report</term><term>Pregnancy</term><term>Seizure characteristics</term><term>Socioeconomic characteristics</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adolescent mothers</term><term>Birth weight</term><term>Carmo leal</term><term>Child health</term><term>Doctor visit</term><term>Educational level</term><term>Febrile</term><term>Febrile seizures</term><term>Last year</term><term>Medical record</term><term>Medical records</term><term>Negative effects</term><term>Oral health</term><term>Parent report</term><term>Pregnancy</term><term>Seizure characteristics</term><term>Socioeconomic characteristics</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Introduction The negative effects of pregnancy in adolescence on the mother and child health has been well established, however there are still remaining gaps to more studies to explore this cause-effect relation. Objectives To compare three groups of mothers—adolescents (<20 years) and two composed of ≥20-year-old women classified according to past experience of pregnancy during adolescence—with respect to perinatal care. Methods A sample of 1681 women was interviewed in two cities during the first trimester of pregnancy, a follow-up sample of 1540 at postpartum and 1434 after 3 months. We conducted crude and adjusted logistic regression analysis for each outcome, with a significance level of 5%. Results The most disadvantaged conditions were found among the adolescent's mothers and those with a history of pregnancy in adolescence. In comparison with women who hadn't been pregnant in adolescence, they had, respectively, a higher frequency of inadequate pre-natal-care [OR 1.8 and 1.5], no postpartum visit [OR 1.3 and 1.5], no performance of newborn screening test [OR 2.3 and 2.1] and baby's first doctor visit >1-month-old [OR 1.7 and 1.8]. No differences were found regarding breastfeeding at 3-month-old and immunisation. After adjustment for city, educational level and skin colour the association remained statistically significant for pre-natal inadequacy [OR 1.7 and 1.4] and baby's first doctor visit >1-month-old [OR 1.5 and 1.6]. Conclusions Previous and current adolescence pregnancy seems to be a risk factor for inadequate healthcare for both women and its offspring.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>État de Rio de Janeiro</li></region><settlement><li>Rio de Janeiro</li></settlement></list><tree><country name="Brésil"><region name="État de Rio de Janeiro"><name sortKey="Gama, S" sort="Gama, S" uniqKey="Gama S" first="S" last="Gama">S. Gama</name></region><name sortKey="Carmo Leal, M Do" sort="Carmo Leal, M Do" uniqKey="Carmo Leal M" first="M Do" last="Carmo Leal">M Do Carmo Leal</name><name sortKey="Esteves Pereira, A P" sort="Esteves Pereira, A P" uniqKey="Esteves Pereira A" first="A P" last="Esteves-Pereira">A P Esteves-Pereira</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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