کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3961368 1255600 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Periconceptional Risk Factors for Birth Defects among Younger and Older Teen Mothers
ترجمه فارسی عنوان
عوامل خطرساز تصادفی برای نقایص زودهنگام در مادران جوان و نوجوان
کلمات کلیدی
نوجوانان مراقبت پیش از موعد، رفتار بهداشتی، استفاده از تنباکو، رفتار نوجوانان، رفتار نوشیدن، میوه، سبزیجات، اسید فولیک، ناهنجاریهای مادرزادی، نظرسنجی های بهداشتی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

Study ObjectivesWe sought to determine whether selected periconceptional health behaviors that influence risk for birth defects differ between older and younger adolescents and whether pregnancy intention predicts more positive preconception health behaviors among teens.Design and ParticipantsWe analyzed interview responses from 954 adolescent control group participants from the National Birth Defects Prevention Study who delivered live infants during 1997-2007.Main Outcome MeasuresAdjusted odds ratios (aORs) and 95% confidence intervals (CIs) were calculated for factors of interest by age categories (13-15, 16-17, and 18 years, relative to 19 years). To construct a composite periconceptional behavior index, we summed the following healthy behaviors: nonsmoker, nondrinker, folic acid supplementation, and eating 5 or more servings of fruits and vegetables per day.ResultsAnalyses indicated that women in the youngest group (13-15 years of age) were more likely to be Hispanic (aOR 2.83, 95% CI 1.40-5.70) and less likely to engage in some unhealthy pregnancy-related behaviors compared with 19-year-olds, such as smoking (aOR 0.45, 95% CI 0.20-0.99) and being overweight or obese (aOR 0.32, 95% CI 0.16-0.61). However, they were also less likely to have taken periconceptional folic acid (aOR 0.44, 95% CI 0.21-0.90). About one-third of teen mothers indicated that their pregnancies had been intended. Among 18- and 19-year-olds, this predicted a higher mean value for the composite periconceptional behavior index (2.30 versus 1.94, P ≤ .01).ConclusionsTeen mothers are not a homogeneous group. Each age subgroup presents varied demographic and behavioral factors that put them at varying levels of risk for birth defects. Furthermore, caregivers should not assume that teens do not plan pregnancies or that they need not be informed of the importance of periconceptional health.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric and Adolescent Gynecology - Volume 28, Issue 4, August 2015, Pages 263–270
نویسندگان
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