Souza Maria de Lourdes de, Lynn Fiona Ann, Johnston Linda, Tavares Eduardo Cardoso Teixeira, Brüggemann Odaléa Maria, Botelho Lúcio José
PhD, Professor, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
PhD, Professor, School of Nursing & Midwifery, Queen's University, Belfast, Northern Ireland, United Kingdom.
Rev Lat Am Enfermagem. 2017 Apr 6;25:e2876. doi: 10.1590/1518-8345.1820.2876.
analyze trends in fertility rates and associations with perinatal outcomes for adolescents in Santa Catarina, Brazil.
a population-based study covering 2006 to 2013 was carried out to evaluate associations between perinatal outcomes and age groups, using odds ratios, and Chi-squared tests.
differences in the fertility rate among female adolescents across regions and time period were observed, ranging from 40.9 to 72.0 per 1,000 in mothers aged 15-19 years. Adolescents had fewer prenatal care appointments than mothers ≥20 years, and a higher proportion had no partner. Mothers aged 15-19 years were more likely to experience preterm birth (OR:1.1; CI:1.08-1.13; p<0.001), have an infant with low birthweight (OR:1.1; CI:1.10-1.15; p<0.001) and low Apgar score at 5 minutes (OR:1.4; CI:1.34-1.45; p<0.001) than mothers ≥20 years, with the odds for adverse outcomes greater for those aged 10-14 years.
this study provides evidence of fertility rates among adolescents remaining higher in regions of social and economic deprivation. Adolescent mothers and their infants more likely to experience adverse perinatal outcomes. Nurses, public health practitioners, health and social care professionals and educators need to work collaboratively to better target strategies for adolescents at greater risk; to help reduce fertility rates and improve outcomes.
分析巴西圣卡塔琳娜州青少年生育率趋势及其与围产期结局的关联。
开展一项基于人群的研究，涵盖2006年至2013年，采用比值比和卡方检验评估围产期结局与年龄组之间的关联。
观察到不同地区和时间段的女性青少年生育率存在差异，15 - 19岁母亲的生育率为每1000人40.9至72.0例。青少年的产前检查次数少于20岁及以上的母亲，且无伴侣的比例更高。15 - 19岁的母亲比20岁及以上的母亲更有可能早产（比值比：1.1；置信区间：1.08 - 1.13；p<0.001）、生育低体重儿（比值比：1.1；置信区间：1.10 - 1.15；p<0.001）以及5分钟时阿氏评分低（比值比：1.4；置信区间：1.34 - 1.45；p<0.001），10 - 14岁母亲出现不良结局的几率更高。
本研究证明，在社会经济贫困地区青少年生育率仍然较高。青少年母亲及其婴儿更有可能经历不良围产期结局。护士、公共卫生从业者、健康和社会护理专业人员以及教育工作者需要协同合作，更好地针对风险较高的青少年制定策略；以帮助降低生育率并改善结局。
