Rapid Repeat Pregnancy in Brazilian Adolescents: Interaction between Maternal Schooling and Age

Abstract Study Objective An association between rapid repeat pregnancy (RRP; occurring within a birth interval of up to 24 months) and undesirable obstetric and perinatal outcomes has been shown, especially among adolescents and women without adequate schooling. The objective of this study was to ev...

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Veröffentlicht in:Journal of pediatric & adolescent gynecology 2016-08, Vol.29 (4), p.382-385
Hauptverfasser: Vieira, Cláudia Lima, MPH, Flores, Patricia V., PhD, Rochel de Camargo, Kenneth, PhD, Pinheiro, Rejane S., PhD, Cabral, Cristiane S., PhD, Aguiar, Fernanda P., MPH, Coeli, Claudia M., PhD
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container_end_page 385
container_issue 4
container_start_page 382
container_title Journal of pediatric & adolescent gynecology
container_volume 29
creator Vieira, Cláudia Lima, MPH
Flores, Patricia V., PhD
Rochel de Camargo, Kenneth, PhD
Pinheiro, Rejane S., PhD
Cabral, Cristiane S., PhD
Aguiar, Fernanda P., MPH
Coeli, Claudia M., PhD
description Abstract Study Objective An association between rapid repeat pregnancy (RRP; occurring within a birth interval of up to 24 months) and undesirable obstetric and perinatal outcomes has been shown, especially among adolescents and women without adequate schooling. The objective of this study was to evaluate the effect of the interaction between maternal schooling and age on the incidence of RRP. Design, Setting, Participants, Interventions, and Main Outcome Measures A nonconcurrent cohort study was carried out using probabilistic record linkage techniques. The 59,400 linked records of singleton live-born infants delivered in 2002 whose mothers were up to 29 years old and lived in Rio de Janeiro City were evaluated. Results Compared with young adults with adequate schooling, the adjusted risk ratio for RRP for adolescents with inadequate schooling was 2.1 (95% confidence interval, 1.8-2.4). The attributable proportion was 0.16 (95% confidence interval, 0.02-0.29). Conclusion Young maternal age and inadequate schooling interact, increasing RRP.
doi_str_mv 10.1016/j.jpag.2016.01.121
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The objective of this study was to evaluate the effect of the interaction between maternal schooling and age on the incidence of RRP. Design, Setting, Participants, Interventions, and Main Outcome Measures A nonconcurrent cohort study was carried out using probabilistic record linkage techniques. The 59,400 linked records of singleton live-born infants delivered in 2002 whose mothers were up to 29 years old and lived in Rio de Janeiro City were evaluated. Results Compared with young adults with adequate schooling, the adjusted risk ratio for RRP for adolescents with inadequate schooling was 2.1 (95% confidence interval, 1.8-2.4). The attributable proportion was 0.16 (95% confidence interval, 0.02-0.29). Conclusion Young maternal age and inadequate schooling interact, increasing RRP.</description><identifier>ISSN: 1083-3188</identifier><identifier>EISSN: 1873-4332</identifier><identifier>DOI: 10.1016/j.jpag.2016.01.121</identifier><identifier>PMID: 26860545</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Additive interaction ; Adolescent ; Adult ; Brazil - epidemiology ; Child ; Cohort Studies ; Educational Status ; Female ; Gravidity ; Humans ; Incidence ; Maternal Age ; Obstetrics and Gynecology ; Odds Ratio ; Pediatrics ; Pregnancy ; Pregnancy in Adolescence - statistics &amp; numerical data ; Pregnancy Outcome ; Rapid repeat pregnancy ; Schooling ; Teenage pregnancy ; Time Factors ; Young Adult</subject><ispartof>Journal of pediatric &amp; adolescent gynecology, 2016-08, Vol.29 (4), p.382-385</ispartof><rights>North American Society for Pediatric and Adolescent Gynecology</rights><rights>2016 North American Society for Pediatric and Adolescent Gynecology</rights><rights>Copyright © 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. 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The objective of this study was to evaluate the effect of the interaction between maternal schooling and age on the incidence of RRP. Design, Setting, Participants, Interventions, and Main Outcome Measures A nonconcurrent cohort study was carried out using probabilistic record linkage techniques. The 59,400 linked records of singleton live-born infants delivered in 2002 whose mothers were up to 29 years old and lived in Rio de Janeiro City were evaluated. Results Compared with young adults with adequate schooling, the adjusted risk ratio for RRP for adolescents with inadequate schooling was 2.1 (95% confidence interval, 1.8-2.4). The attributable proportion was 0.16 (95% confidence interval, 0.02-0.29). Conclusion Young maternal age and inadequate schooling interact, increasing RRP.</description><subject>Additive interaction</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Brazil - epidemiology</subject><subject>Child</subject><subject>Cohort Studies</subject><subject>Educational Status</subject><subject>Female</subject><subject>Gravidity</subject><subject>Humans</subject><subject>Incidence</subject><subject>Maternal Age</subject><subject>Obstetrics and Gynecology</subject><subject>Odds Ratio</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence - statistics &amp; numerical data</subject><subject>Pregnancy Outcome</subject><subject>Rapid repeat pregnancy</subject><subject>Schooling</subject><subject>Teenage pregnancy</subject><subject>Time Factors</subject><subject>Young Adult</subject><issn>1083-3188</issn><issn>1873-4332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EoqXwBzggH7kkjO04dhBCWipaKhWBWjhbjjNZHLJOamdBy6_H0RYOHDjNaPTe08w3hDxnUDJg9auhHGa7LXnuS2Al4-wBOWVaiaISgj_MPWhRCKb1CXmS0gAAStb6MTnhta5BVvKUmBs7-47e4Ix2oZ8jboMN7kB9oO-i_eVHbwPddNOIyWFY0mt6FRaM1i1-CrTF5SdioB9tngU70lv3bZpGH7bUho5utviUPOrtmPDZfT0jXy_efzn_UFx_urw631wXrmJsKRhA1XBb9VJp4G3TSt6yXjeK17JplLLcNdBzriqhQPZ1DUIL1Xa6klwyXYsz8vKYO8fpbo9pMTufNx5HG3DaJ8NUo5tGguBZyo9SF6eUIvZmjn5n48EwMCtYM5gVrFnBGmAmg82mF_f5-3aH3V_LH5JZ8OYowHzlD4_RJOcxOOx8RLeYbvL_z3_7j91ljN7Z8TseMA3TfuWb7zCJGzC362vXz7IagFUaxG9njZwl</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Vieira, Cláudia Lima, MPH</creator><creator>Flores, Patricia V., PhD</creator><creator>Rochel de Camargo, Kenneth, PhD</creator><creator>Pinheiro, Rejane S., PhD</creator><creator>Cabral, Cristiane S., PhD</creator><creator>Aguiar, Fernanda P., MPH</creator><creator>Coeli, Claudia M., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Rapid Repeat Pregnancy in Brazilian Adolescents: Interaction between Maternal Schooling and Age</title><author>Vieira, Cláudia Lima, MPH ; 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subjects Additive interaction
Adolescent
Adult
Brazil - epidemiology
Child
Cohort Studies
Educational Status
Female
Gravidity
Humans
Incidence
Maternal Age
Obstetrics and Gynecology
Odds Ratio
Pediatrics
Pregnancy
Pregnancy in Adolescence - statistics & numerical data
Pregnancy Outcome
Rapid repeat pregnancy
Schooling
Teenage pregnancy
Time Factors
Young Adult
title Rapid Repeat Pregnancy in Brazilian Adolescents: Interaction between Maternal Schooling and Age
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