Department of Public Health, Giresun University Faculty of Medicine, Giresun, Türkiye.
Giresun Central Community Health Centre, Giresun, Türkiye.
East Mediterr Health J. 2023 Sep 9;29(9):699-707. doi: 10.26719/emhj.23.074.
Adolescent motherhood can cause lifelong health inequalities for mothers and children.
To compare the frequency of negative birth outcomes and stunting among children aged ≤ 5 years born to adolescent and non-adolescent mothers.
This was a secondary analysis of the Demographic and Health Survey data of 2755 adolescent and non-adolescent mothers aged 15-49 years who had a negative birth outcome and their children aged 0-5 years in Türkiye. The data were analysed using SPSS version 25.0.
Term low birthweight and stunting were significantly higher among children of adolescent mothers. Multivariable analysis revealed that lack of education, poverty, and living in eastern Türkiye increased the risk of delivering a term low birthweight infant. The risk of being stunted was 2.22 times higher among women with lower socioeconomic status, and 2.86 times higher among low birthweight infants.
Our results show that macroenvironmental factors have a marked impact on maternal and child health, especially among women with lower socioeconomic status. Improving maternal education, income, and other socioeconomic inequalities can help improve maternal and child health in Türkiye.
少女生育会给母亲和孩子带来终生的健康不平等。
比较未成年和非未成年母亲所生的≤5 岁儿童负面出生结局和发育迟缓的发生频率。
这是对土耳其 2755 名 15-49 岁未成年和非未成年生育过不良妊娠结局的母亲及其 0-5 岁子女的人口与健康调查数据的二次分析。使用 SPSS 版本 25.0 对数据进行分析。
足月低出生体重和发育迟缓在未成年母亲的孩子中明显更高。多变量分析显示，缺乏教育、贫困和居住在土耳其东部增加了足月低出生体重婴儿的风险。社会经济地位较低的妇女发育迟缓的风险增加 2.22 倍，低出生体重婴儿的风险增加 2.86 倍。
我们的研究结果表明，宏观环境因素对母婴健康有显著影响，特别是对社会经济地位较低的妇女。改善母亲的教育、收入和其他社会经济不平等可以帮助改善土耳其的母婴健康。
