The impact of young maternal age at birth on neonatal mortality: Evidence from 45 low and middle income countries.
The impact of young maternal age at birth on neonatal mortality: Evidence from 45 low and middle income countries.
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DOI：
10.1371/journal.pone.0195731
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Chintsanya J
中科院分区：
文献类型：
--
作者：
Neal S;Channon AA;Chintsanya J
这项研究探讨了早期母亲对新生儿死亡率的影响，以及这在国家和地区之间的差异。它评估了新生儿死亡的风险是否更大的年轻的青春期母亲相比，母亲在青春期后期，并探讨了差异是否反映了混淆的社会经济和卫生保健利用因素。它还研究了第一次怀孕或随后怀孕的风险如何不同。该分析使用了2005年至2015年期间从45个国家收集的64项人口与健康调查，以探讨青少年母亲（分为<16岁，16/17岁和18/19岁）与新生儿死亡率之间的关系。使用未调整的双变量关联和logistic回归。区域一级的多变量模型，调整一系列的社会经济，人口和卫生服务利用率的变量进行估计。进一步的分层模型被创建来分别检查第一次和随后的分娩的超额风险。在所有区域，母亲不满16岁的婴儿的新生儿死亡风险明显更高，尽管区域之间的模式存在明显差异。调整社会经济，人口和卫生服务利用变量没有显着改变与年龄相关的优势比。与青少年母亲有关的风险增加在第一胎中最低。我们的研究结果特别强调了减少最年轻年龄组青少年生育的重要性，这是解决新生儿死亡率问题的一项战略，也是确保怀孕青少年获得优质孕产妇保健服务以保护自己和婴儿健康的一项战略。风险增加的区域差异是一个新的发现，需要更多的探索。
This study explores the impact of early motherhood on neonatal mortality, and how this differs between countries and regions. It assesses whether the risk of neonatal mortality is greater for younger adolescent mothers compared with mothers in later adolescence, and explores if differences reflect confounding socio-economic and health care utilisation factors. It also examines how the risks differ for first or subsequent pregnancies. The analysis uses 64 Demographic and Health Surveys collected between 2005 and 2015 from 45 countries to explore the relationship between adolescent motherhood (disaggregated as <16 years, 16/17 years and 18/19 years) and neonatal mortality. Both unadjusted bivariate association and logistic regression are used. Regional level multivariate models that adjust for a range of socio-economic, demographic and health service utilisation variables are estimated. Further stratified models are created to examine the excess risk for first and subsequent births separately. The risk of neonatal mortality in all regions was markedly greater for infants with mothers under 16 years old, although there was marked heterogeneity in patterns between regions. Adjusting for socio-economic, demographic and health service utilisation variables did not markedly change the odds ratios associated with age. The increased risks associated with adolescent motherhood are lowest for first births. Our findings particularly highlight the importance of reducing adolescent births among the youngest age group as a strategy for addressing the problem of neonatal mortality, as well ensuring pregnant adolescents have access to quality maternal health services to protect the health of both themselves and their infants. The regional differences in increased risk are a novel finding which requires more exploration.
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影响因子：
4.5
作者：
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通讯作者：
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