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）：青少年时期生育的女性发生低出生体重（LBW）和早产（PTB）的风险增加。这些并发症对母亲和孩子都有深远的医疗和经济影响。然而，大多数少女母亲都会生下健康的婴儿。年龄较小和体重不足与不良出生结果的风险较高相关；否则，已知的风险或保护因素很少。我们概念化了可能影响女孩怀孕健康的三个水平。女孩自己的资源将有助于她保持积极的健康行为、获得充分的医疗护理和控制压力水平。其次，她所处的微观系统——尤其是她的家庭——提供了工具、信息和情感支持，以鼓励或阻碍健康。第三，她就读的社区和学校的背景将为女孩的态度和行为提供背景。国家青少年健康纵向研究（Add Health）收集了 4 波青少年的数据，包括怀孕和出生的信息。参与者报告了他们生活和家庭的多个方面，并且还从父母、朋友和学校管理人员那里收集了数据，从而可以全面了解参与者的发展背景。截至第三波，有 913 名女性至少经历过一次青春期怀孕（20 岁之前）。我们的具体目标是： 1) 研究个人资源（自尊、智力、心理健康、自我效能）如何影响青春期女孩的出生体重和胎龄； 2) 检查微观系统的优势和劣势（家庭亲密程度、家庭劣势、虐待、父母关系质量、父母支持）以及社区/学校资源（学校劣势、医疗保健的可用性、青少年怀孕频率、教育质量）影响少女的出生结果，并检查较高级别和个人级别之间的相互作用，以及3）检查这些资源与潜在中间因素（例如产前护理和健康行为）之间的关系。该项目服务的公共卫生目标包括确定高风险群体中的高风险和低风险子集，并确定可以减少这些分娩对年轻母亲造成的负面影响的干预措施机会。 公共卫生相关性：总体而言，青少年时期生育的女性发生低出生体重 (LBW) 和早产 (PTB) 的风险增加；然而，该群体中的风险或保护因素知之甚少。国家青少年健康纵向研究（Add Health）的数据将用于检查个人、家庭和社区/学校对青少年和中间人妊娠结局的影响，例如产前护理和怀孕期间吸烟。该项目服务的公共卫生目标是确定该高风险群体中的高风险和低风险子集，并确定可以减少这些分娩对年轻母亲造成的负面影响的干预机会。

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