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A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months
BACKGROUND: Adolescent motherhood has been repeatedly linked to poor child outcomes in high income countries and urban areas in low- and middle-income countries. We examine the structural, personal, and caretaking challenges of adolescent mothers and their children in rural South Africa compared to...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330475/ https://www.ncbi.nlm.nih.gov/pubmed/30634932 http://dx.doi.org/10.1186/s12884-018-2164-8 |
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author | le Roux, Karl Christodoulou, Joan Stansert-Katzen, Linnea Dippenaar, Elaine Laurenzi, Christina le Roux, Ingrid M. Tomlinson, Mark Rotheram-Borus, Mary Jane |
author_facet | le Roux, Karl Christodoulou, Joan Stansert-Katzen, Linnea Dippenaar, Elaine Laurenzi, Christina le Roux, Ingrid M. Tomlinson, Mark Rotheram-Borus, Mary Jane |
author_sort | le Roux, Karl |
collection | PubMed |
description | BACKGROUND: Adolescent motherhood has been repeatedly linked to poor child outcomes in high income countries and urban areas in low- and middle-income countries. We examine the structural, personal, and caretaking challenges of adolescent mothers and their children in rural South Africa compared to adult mothers over the first 24 months post-birth. METHODS: A cohort of sequential births (n = 470/493) in the rural OR Tambo District was recruited and reassessed at 3, 6, 9, 12, and at 24 months post-birth, with a retention rate above 84% at all timepoints. Maternal and child outcomes were examined over time using multiple linear and logistic regressions. RESULTS: Adolescent mothers reflect 17% of births (n = 76/458). Adolescent mothers were more likely to have water in their households, but less likely to live with a partner and to be seropositive for HIV than adult mothers. Risks posed by mental health symptoms, alcohol, and partner violence were similar. Adolescents exclusively breastfed for shorter time and it took longer for them to secure a child grant compared to adult mothers. Although obtaining immunizations was similar, growth was significantly slower for infants of adolescent mothers compared to adult mothers over time. CONCLUSIONS: In rural South Africa, almost one in five pregnant women is an adolescent. Caretaking tasks influencing child growth, especially breastfeeding and securing the child grant appear as the greatest problems for adolescent compared to adult mothers. |
format | Online Article Text |
id | pubmed-6330475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63304752019-01-16 A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months le Roux, Karl Christodoulou, Joan Stansert-Katzen, Linnea Dippenaar, Elaine Laurenzi, Christina le Roux, Ingrid M. Tomlinson, Mark Rotheram-Borus, Mary Jane BMC Pregnancy Childbirth Research Article BACKGROUND: Adolescent motherhood has been repeatedly linked to poor child outcomes in high income countries and urban areas in low- and middle-income countries. We examine the structural, personal, and caretaking challenges of adolescent mothers and their children in rural South Africa compared to adult mothers over the first 24 months post-birth. METHODS: A cohort of sequential births (n = 470/493) in the rural OR Tambo District was recruited and reassessed at 3, 6, 9, 12, and at 24 months post-birth, with a retention rate above 84% at all timepoints. Maternal and child outcomes were examined over time using multiple linear and logistic regressions. RESULTS: Adolescent mothers reflect 17% of births (n = 76/458). Adolescent mothers were more likely to have water in their households, but less likely to live with a partner and to be seropositive for HIV than adult mothers. Risks posed by mental health symptoms, alcohol, and partner violence were similar. Adolescents exclusively breastfed for shorter time and it took longer for them to secure a child grant compared to adult mothers. Although obtaining immunizations was similar, growth was significantly slower for infants of adolescent mothers compared to adult mothers over time. CONCLUSIONS: In rural South Africa, almost one in five pregnant women is an adolescent. Caretaking tasks influencing child growth, especially breastfeeding and securing the child grant appear as the greatest problems for adolescent compared to adult mothers. BioMed Central 2019-01-11 /pmc/articles/PMC6330475/ /pubmed/30634932 http://dx.doi.org/10.1186/s12884-018-2164-8 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article le Roux, Karl Christodoulou, Joan Stansert-Katzen, Linnea Dippenaar, Elaine Laurenzi, Christina le Roux, Ingrid M. Tomlinson, Mark Rotheram-Borus, Mary Jane A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months |
title | A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months |
title_full | A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months |
title_fullStr | A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months |
title_full_unstemmed | A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months |
title_short | A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months |
title_sort | longitudinal cohort study of rural adolescent vs adult south african mothers and their children from birth to 24 months |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330475/ https://www.ncbi.nlm.nih.gov/pubmed/30634932 http://dx.doi.org/10.1186/s12884-018-2164-8 |
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