Academic Journal

A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months

التفاصيل البيبلوغرافية
العنوان: A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months
المؤلفون: Karl le Roux, Joan Christodoulou, Linnea Stansert-Katzen, Elaine Dippenaar, Christina Laurenzi, Ingrid M. le Roux, Mark Tomlinson, Mary Jane Rotheram-Borus
المصدر: BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-8 (2019)
بيانات النشر: BMC, 2019.
سنة النشر: 2019
المجموعة: LCC:Gynecology and obstetrics
مصطلحات موضوعية: Adolescent parenthood, Rural motherhood, Rural African children, Gynecology and obstetrics, RG1-991
الوصف: Abstract 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.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2393
Relation: http://link.springer.com/article/10.1186/s12884-018-2164-8; https://doaj.org/toc/1471-2393
DOI: 10.1186/s12884-018-2164-8
URL الوصول: https://doaj.org/article/f00f9e72932e45bc9e38f858fabbfc37
رقم الانضمام: edsdoj.f00f9e72932e45bc9e38f858fabbfc37
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712393
DOI:10.1186/s12884-018-2164-8