Birth Outcomes Among Adolescents

青少年的出生结果

• 批准号: 8206869
• 负责人: Emily Wheeler Harville
• 金额: $ 7.45万
• 依托单位: TULANE UNIVERSITY OF LOUISIANA
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-12-21 至 2013-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8206869
• 关键词: Address; Administrator; Adolescence; Adolescent; Affect; Age; Anxiety; Attitude; Behavior; Belief; Birth; Birth Weight; Caring; Child; Data; Disadvantaged; Education; Emotional; Family; Female Adolescents; Foundations; Frequencies; Friends; Gestational Age; Goals; Health; Health Knowledge, Attitudes, Practice; Health Personnel; Health Services Accessibility; Health behavior; Individual; Intelligence; Intervention; Longitudinal Studies; Low Birth Weight Infant; Medical; Mental Health; Mothers; Neighborhoods; Outcome; Parents; Participant; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Pregnancy in Adolescence; Premature Birth; Prenatal care; Public Health; Reporting; Resources; Risk; Schools; Self Efficacy; Social support; Stress; System; Underweight; Weight; Woman; experience; girls; high risk; maltreatment; microsystems; pregnant; prenatal health; prenatal smoking; public health relevance; self esteem; social; teenage mother; theories; young mother

DESCRIPTION (provided by applicant): Women who give birth as adolescents are at increased risk for low birth weight (LBW) and preterm birth (PTB). These complications have far-reaching medical and financial implications for both mother and child. However, the majority of teenage mothers give birth to healthy babies. Younger age and underweight are associated with higher risk of poor birth outcome; otherwise, few risk or protective factors are known. We conceptualize three levels that may affect a girl's pregnancy health. The girl's own resources will contribute to her ability to have positive health behaviors, access adequate medical care, and control her stress levels. Second, the micro system in which she operates - particularly her family - provides the instrumental, informational, and emotional support to encourage or discourage good health. Third, the context of the neighborhood and school she attends will provide the backdrop for a girl's attitudes and behavior. The National Longitudinal Study of Adolescent Health's (Add Health) collected data on adolescents across 4 Waves, including information on pregnancies and births. Participants reported on several aspects of their lives and families, and data were also gathered from parents, friends, and school administrators, allowing for a broad picture of the context in which participants were developing. As of Wave III, 913 women experienced at least one adolescent pregnancy (before age 20). Our specific aims are: 1) To examine how individual resources (self-esteem, intelligence, mental health, self- efficacy) affect birth weight and gestational age in adolescent girls; 2) To examine how micro system strengths and weaknesses (family closeness, family disadvantage, mistreatment, parental relationship quality, parental support), and neighborhood/school resources (school disadvantage, availability of health care, frequency of teen pregnancy, quality of education) affect birth outcomes in teenage girls, and to examine interactions among the higher levels and individual levels, and 3) To examine the relationship between these resources and potential intermediates such as prenatal care and health behaviors. The public health goals served by this project include identifying high- and low-risk subsets within this high-risk group, and identifying opportunities for interventions which could decrease the negative consequences of these births to young mothers. PUBLIC HEALTH RELEVANCE: Overall, women who give birth as adolescents are at increased risk for low birth weight (LBW) and preterm birth (PTB); however, few risk or protective factors are known within this group. Data from the National Longitudinal Study of Adolescent Health (Add Health) will be used to examine individual, family, and neighborhood/school influences on pregnancy outcome among adolescents and intermediates such as prenatal care and smoking during pregnancy. The public health goals served by this project are identifying high- and low-risk subsets within this high-risk group, and identifying opportunities for interventions which could decrease the negative consequences of these births to young mothers.

描述（由申请人提供）：以青少年出生的妇女的低出生体重（LBW）和早产（PTB）的风险增加。这些并发症对母亲和儿童都具有深远的医疗和财务影响。但是，大多数少年母亲都会生下健康的婴儿。年龄和体重不足与出生不良的风险较高有关；否则，很少知道风险或保护因素。我们概念化了可能影响女孩妊娠健康的三个层次。女孩自己的资源将有助于她具有积极的健康行为，获得足够的医疗服务并控制压力水平的能力。其次，她经营的微型系统（尤其是她的家人）提供了工具，信息性和情感支持，以鼓励或劝阻身体健康。第三，她上所在的社区和学校的背景将为女孩的态度和行为提供背景。全国对青少年健康（ADD HEALTY）的纵向研究收集了4个波浪的青少年数据，包括有关怀孕和出生的信息。参与者报告了他们的生活和家庭的几个方面，并且还从父母，朋友和学校管理人员那里收集了数据，从而可以广泛了解参与者发展的背景。从第三波开始，有913名妇女至少经历了一次青春期怀孕（20岁之前）。我们的具体目的是：1）检查青少年女孩的个人资源（自尊，智力，心理健康，自我效能）如何影响出生体重和胎龄； 2）检查微型系统的长处和劣势（家庭亲密关系，家庭劣势，虐待，父母关系质量，父母的支持，父母支持）以及社区/学校资源（学校劣势，医疗保健的可用性，卫生保健的可用性，青少年怀孕的频率，教育质量，教育质量）会影响青少年女孩的出生成果，以检查较高水平和个人水平和个人之间的互动，以及这些水平和个人之间的互动以及3）的关系，以及3）的关系以及3），以及3）的关系。行为。该项目提供的公共卫生目标包括确定这个高风险群体中的高风险子集，并确定干预措施的机会，这可能会减少这些出生对年轻母亲的负面影响。 公共卫生相关性：总体而言，作为青少年生育的妇女的出生体重（LBW）和早产（PTB）的风险增加；但是，该组中很少有风险或保护因素。全国青少年健康纵向研究（ADD健康）的数据将用于检查青少年和中间体对怀孕期间和中间人（例如产前保健和怀孕期间吸烟）对妊娠结局的影响。该项目提供的公共卫生目标是在这个高风险群体中确定高风险子集，并确定了干预措施的机会，这可能会减少这些出生对年轻母亲的负面影响。

项目成果

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

• DOI: 10.1186/1471-2393-14-3
• 发表时间: 2014-01-15
• 期刊: BMC pregnancy and childbirth
• 影响因子: 3.1
• 作者: Xie Y;Harville EW;Madkour AS
• 通讯作者: Madkour AS

Pre-Pregnancy Dating Violence and Birth Outcomes Among Adolescent Mothers in a National Sample.

• DOI: 10.1177/0886260513511699
• 发表时间: 2014-07
• 期刊: Journal of interpersonal violence
• 影响因子: 2.5
• 作者: Madkour AS;Xie Y;Harville EW
• 通讯作者: Harville EW

The association between prepregnancy parental support and control and adolescent girls' pregnancy resolution decisions.

怀孕前父母的支持和控制与青春期女孩怀孕解决决定之间的关联。

• DOI: 10.1016/j.jadohealth.2013.04.016
• 发表时间: 2013
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Madkour,AubreySpriggs;Xie,Yiqiong;Harville,EmilyW
• 通讯作者: Harville,EmilyW