Dissertation Research: Health Care Utilization, Diet, and Pregnancy Outcome in Urban Adolescents in Natal, South Africa

摘要P.I.Rebecca Huss-Ashmore/Christine Varga SBR-9319680青春期妊娠是一个世界性的重要问题。这不仅是因为它的增加，而且是因为与之相关的年轻妇女及其婴儿的健康问题。在美国，青春期母亲的特点是产科和新生儿并发症的发生率很高。这些都与母亲的行为有关，特别是与产前护理不足和营养不良有关。同样清楚的是，城市环境通过影响与健康相关的行为和生殖行为来影响怀孕结果。在南非，青少年怀孕也成为一个主要问题。南非的研究表明，在城市青少年中，晚参加或不参加产前计划与不良妊娠结局之间存在关联。然而，几乎没有研究涉及影响诊所就诊模式的中间因素。同样，关于青少年饮食的数据也很少。该项目将评估产前护理和营养(饮食和能量储备)，并研究南非城市初孕青少年就诊、营养和妊娠结局之间的关系。项目目标将通过1)检查人口和社会行为因素以及2)调查营养状况和3)收集妊娠结局数据来实现。这项研究涉及人类学对人类适应特定环境的关注--在这种情况下，现代城市环境。这位研究生已经被授予富布赖特奖学金，并在该领域工作。*P\anthro\jfred\9319680.absF h！D(Times新罗马符号&amp；Arial“h r E r E/=Jonathan Friedlaender Jonathan Friedlaender

ABSTRACT P.I. Rebecca Huss-Ashmore/Christine Varga SBR- 9319680 Adolescent preganancy is an important problem world-wide. This is true not only because of its increase, but because of the associated health problems for young women and their babies. In the U.S., adolescent mothers are characterized by having a high prevalence of obstetric and neonatal complications. These are linked to maternal behaviors, especially to inadequate antenatal care and poor nutrition. It is also clear that the urban context affects pregnancy outcome by influencing both health-related and reproductive behavior. In South Africa, adolescent pregnancy has also become a major problem. South African studies have revealed an association between late or non-entry into antenatal programs and poor preganncy outcomes among urban teenagers. However, almost no research has addressed intermediate factors affecting clinic attendance patterns. Similarly, there is little data on adolescent diet. This project will assess antenatal care and nutrition (diet and energy reserves), and examine the relationship between clinic attendance, nutrition and pregnancy outcome among urban South African primigravida adolescents. Project objectives will be achieved by 1) the examination of demographic and socio-behavioral factors and 2) investigation of nutritional status and 3) collection of pregnancy outcome data. This study relates to the anthropological concern with human adaptation to specific environments - in this case, the modern urban environment. The graduate student already has been awarded a Fulbright Fellowship and is in th e field. *** P\anthro\jfried\9319680.abs f h ! ! ! ! D ( Times New Roman Symbol & Arial " h r E r E / = Jonathan Friedlaender Jonathan Friedlaender