Academic performance, educational aspiration and birth outcomes among adolescent mothers: a national longitudinal study.

Academic performance, educational aspiration and birth outcomes among adolescent mothers: a national longitudinal study.
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DOI:
10.1186/1471-2393-14-3
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发表时间:
2014-01-15
影响因子:
3.1
通讯作者:
Madkour AS
Madkour AS
中科院分区:
医学3区
文献类型:
--
作者:
Xie Y;Harville EW;Madkour AS

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母亲的教育程度与成年母亲的生育结果有关。然而,有限的研究探讨学习成绩和教育愿望是否会影响青少年母亲的生育结果。数据来自全国青少年健康纵向研究(Add Health)的第一波和第四波。纳入了第一波后在青春期首次怀孕并以单胎活产结束的青春期女孩。青少年的平均成绩(GPA),曾经跳过一个年级,曾经重复一个年级的经验,他们的愿望参加大学的出生结果(出生体重和胎龄; n = 763)的预测因素进行了检查。使用调查程序,按种族分层进行单变量统计、双变量分析和多变量模型。在黑人青少年中,那些跳过一个年级的人有更高的后代出生体重。在非黑人青少年中,跳过一个年级和更高的教育愿望与更高的后代出生体重相关;跳过一个年级也与更高的胎龄相关。GPA与出生结局无统计学显著相关。在多变量模型中增加怀孕期间吸烟和产前检查并没有改变这些关联。在青少年中,学业成绩和志向较高的一些指标与生育结果较好有关。投资于改善教育机会可能会改善少女母亲的生育结果。
Maternal educational attainment has been associated with birth outcomes among adult mothers. However, limited research explores whether academic performance and educational aspiration influence birth outcomes among adolescent mothers. Data from Waves I and IV of the National Longitudinal Study of Adolescent Health (Add Health) were used. Adolescent girls whose first pregnancy occurred after Wave I, during their adolescence, and ended with a singleton live birth were included. Adolescents’ grade point average (GPA), experience of ever skipping a grade and ever repeating a grade, and their aspiration to attend college were examined as predictors of birth outcomes (birthweight and gestational age; n = 763). Univariate statistics, bivariate analyses and multivariable models were run stratified on race using survey procedures. Among Black adolescents, those who ever skipped a grade had higher offspring’s birthweight. Among non-Black adolescents, ever skipping a grade and higher educational aspiration were associated with higher offspring’s birthweight; ever skipping a grade was also associated with higher gestational age. GPA was not statistically significantly associated with either birth outcome. The addition of smoking during pregnancy and prenatal care visit into the multivariable models did not change these associations. Some indicators of higher academic performance and aspiration are associated with better birth outcomes among adolescents. Investing in improving educational opportunities may improve birth outcomes among teenage mothers.
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