LeGrand T K, Mbacké C S
Department of Demography, Université de Montréal, Québec, Canada.
Stud Fam Plann. 1993 May-Jun;24(3):137-49.
Longitudinal data for more than 20,000 live births in the cities of Bamako (Mali) and Bobo-Dioulasso (Burkina Faso) are used to study the effects of young maternal age (less than 18 years and 18-19) on birth weight, child health care and feeding behavior, and child mortality, after controlling for other socioeconomic and demographic factors. Teenage pregnancies are associated with significantly worse prenatal health care and vaccination behavior, lower birth weights, earlier weaning, and, especially during the second year of life, higher mortality. A proxy for mother's school enrollment at the time of pregnancy is strongly linked to worse prenatal health behavior and weakly associated with other poor behaviors and health outcomes. Overall, the results highlight the importance of behavioral factors relative to strictly biological factors for explaining child health differentials.
在控制了其他社会经济和人口因素后，利用马里巴马科市和布基纳法索博博迪乌拉索市20000多例活产的纵向数据，研究年轻产妇年龄（小于18岁和18 - 19岁）对出生体重、儿童医疗保健和喂养行为以及儿童死亡率的影响。青少年怀孕与明显更差的产前保健和疫苗接种行为、更低的出生体重、更早断奶以及特别是在生命的第二年更高的死亡率相关。怀孕期间母亲入学情况的一个替代指标与更差的产前健康行为密切相关，与其他不良行为和健康结果的关联较弱。总体而言，研究结果突出了行为因素相对于严格的生物学因素在解释儿童健康差异方面的重要性。
