青少年怀孕和过早死亡的风险
Joel G Ray1,2,3,4, Longdi Fu3, Peter C Austin3
1Department of Medicine, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
JAMA network open
|March 14, 2024
概括
在女性中,青少年怀孕与更高的过早死亡风险有关,特别是由于受伤. 对怀孕青少年的早期支持可能有助于预防未来的死亡率.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 意外伤害,自杀和谋杀是导致年轻女性死亡的主要原因.
- 青少年怀孕可能是不利的生活经历的指标.
研究的目的:
- 调查青少年怀孕数量和怀孕时的年龄与从12岁起的过早死亡率之间的关联.
主要方法:
- 加拿大安大略省的一项基于人口的队列研究包括1991年至2021年期间所有活着的12岁女性.
- 暴露:在12-19岁之间怀孕的数量 (0,1或≥2),怀孕结果 (出生与堕胎),以及第一次怀孕的年龄.
- 结果:所有原因的死亡率,调整为共变量. 计算出了危险比率 (HR).
主要成果:
- 在220万名女青少年中,7.3%的青少年怀孕.
- 青少年怀孕与早产死亡率的增加有关 (调整后HRs:1.51对于1次怀孕,2.14对于≥2次怀孕).
- 青春期怀孕增加了因非伤害 (AHR=1.25),无意伤害 (AHR=2.06) 和故意伤害 (AHR=2.02) 的死亡风险.
结论:
- 青少年怀孕与女性过早死亡的风险增加有关.
- 进一步的研究应该探索孕妇青少年的支持系统,以减轻未来的死亡风险.
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