Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?

<p>Abstract</p> <p>Background</p> <p>Young maternal age has long been associated with higher infant mortality rates, but the role of socioeconomic factors in this association has been controversial. We sought to investigate the relationships between infant mortality (di...

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Main Authors: Flick Louise H, Cook Rebeka, Markovitz Barry P, Leet Terry L
Format: Article
Language:English
Published: BMC 2005-07-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/5/79
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spelling doaj-6198ccb9488f44e38fe67491dbf3d0e02020-11-25T00:15:09ZengBMCBMC Public Health1471-24582005-07-01517910.1186/1471-2458-5-79Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?Flick Louise HCook RebekaMarkovitz Barry PLeet Terry L<p>Abstract</p> <p>Background</p> <p>Young maternal age has long been associated with higher infant mortality rates, but the role of socioeconomic factors in this association has been controversial. We sought to investigate the relationships between infant mortality (distinguishing neonatal from post-neonatal deaths), socioeconomic status and maternal age in a large, retrospective cohort study.</p> <p>Methods</p> <p>We conducted a population-based cohort study using linked birth-death certificate data for Missouri residents during 1997–1999. Infant mortality rates for all singleton births to adolescent women (12–17 years, n = 10,131; 18–19 years, n = 18,954) were compared to those for older women (20–35 years, n = 28,899). Logistic regression was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI) for all potential associations.</p> <p>Results</p> <p>The risk of infant (OR 1.95, CI 1.54–2.48), neonatal (1.69, 1.24–2.31) and post-neonatal mortality (2.47, 1.70–3.59) were significantly higher for younger adolescent (12–17 years) than older (20–34 years) mothers. After adjusting for race, marital status, age-appropriate education level, parity, smoking status, prenatal care utilization, and poverty status (indicated by participation in WIC, food stamps or Medicaid), the risk of post-neonatal mortality (1.73, 1.14–2.64) but not neonatal mortality (1.43, 0.98–2.08) remained significant for younger adolescent mothers. There were no differences in neonatal or post-neonatal mortality risks for older adolescent (18–19 years) mothers.</p> <p>Conclusion</p> <p>Socioeconomic factors may largely explain the increased neonatal mortality risk among younger adolescent mothers but not the increase in post-neonatal mortality risk.</p> http://www.biomedcentral.com/1471-2458/5/79
collection DOAJ
language English
format Article
sources DOAJ
author Flick Louise H
Cook Rebeka
Markovitz Barry P
Leet Terry L
spellingShingle Flick Louise H
Cook Rebeka
Markovitz Barry P
Leet Terry L
Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?
BMC Public Health
author_facet Flick Louise H
Cook Rebeka
Markovitz Barry P
Leet Terry L
author_sort Flick Louise H
title Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?
title_short Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?
title_full Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?
title_fullStr Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?
title_full_unstemmed Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?
title_sort socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?
publisher BMC
series BMC Public Health
issn 1471-2458
publishDate 2005-07-01
description <p>Abstract</p> <p>Background</p> <p>Young maternal age has long been associated with higher infant mortality rates, but the role of socioeconomic factors in this association has been controversial. We sought to investigate the relationships between infant mortality (distinguishing neonatal from post-neonatal deaths), socioeconomic status and maternal age in a large, retrospective cohort study.</p> <p>Methods</p> <p>We conducted a population-based cohort study using linked birth-death certificate data for Missouri residents during 1997–1999. Infant mortality rates for all singleton births to adolescent women (12–17 years, n = 10,131; 18–19 years, n = 18,954) were compared to those for older women (20–35 years, n = 28,899). Logistic regression was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI) for all potential associations.</p> <p>Results</p> <p>The risk of infant (OR 1.95, CI 1.54–2.48), neonatal (1.69, 1.24–2.31) and post-neonatal mortality (2.47, 1.70–3.59) were significantly higher for younger adolescent (12–17 years) than older (20–34 years) mothers. After adjusting for race, marital status, age-appropriate education level, parity, smoking status, prenatal care utilization, and poverty status (indicated by participation in WIC, food stamps or Medicaid), the risk of post-neonatal mortality (1.73, 1.14–2.64) but not neonatal mortality (1.43, 0.98–2.08) remained significant for younger adolescent mothers. There were no differences in neonatal or post-neonatal mortality risks for older adolescent (18–19 years) mothers.</p> <p>Conclusion</p> <p>Socioeconomic factors may largely explain the increased neonatal mortality risk among younger adolescent mothers but not the increase in post-neonatal mortality risk.</p>
url http://www.biomedcentral.com/1471-2458/5/79
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AT markovitzbarryp socioeconomicfactorsandadolescentpregnancyoutcomesdistinctionsbetweenneonatalandpostneonataldeaths
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