Evidence map›Paper›PMID 30634932›Full record

ArticleBMC pregnancy and childbirth2019

A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months.

Karl le Roux, Joan Christodoulou, Linnea Stansert-Katzen, Elaine Dippenaar, Christina Laurenzi, Ingrid M le Roux, Mark Tomlinson, Mary Jane Rotheram-Borus

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  5. Observational
  6. Young women's social support networks during pregnancy in Soweto, South Africa.African journal of primary health care & family medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Karl le RouxWalter Sisulu University Family Medicine Department, Zithulele Hospital, Mqanduli District, 5080, South Africa.
Joan ChristodoulouUniversity of California, Los Angeles, USA. jchristodoulou@mednet.ucla.edu.ORCID http://orcid.org/0000-0001-6997-1567
Linnea Stansert-KatzenWalter Sisulu University Family Medicine Department, Zithulele Hospital, Mqanduli District, 5080, South Africa.
Elaine DippenaarWalter Sisulu University Family Medicine Department, Zithulele Hospital, Mqanduli District, 5080, South Africa.
Christina LaurenziWalter Sisulu University Family Medicine Department, Zithulele Hospital, Mqanduli District, 5080, South Africa.
Ingrid M le RouxWalter Sisulu University Family Medicine Department, Zithulele Hospital, Mqanduli District, 5080, South Africa.
Mark TomlinsonDepartment of Psychology, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa.
Mary Jane Rotheram-BorusUniversity of California, Los Angeles, USA.
Zithulele Hospital · ZAUniversity of California, Los Angeles · USStellenbosch University · ZA

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
An RCT to Improve the South African Government's Community Health Workers' Capacities to Deliver Evidence-based Interventions for Optimizing HIV Outcomes and Reducing its ComorbiditiesR01MH111391 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2016 to 2020
$2.8M
Post-doctoral HIV Research Training Program for HIV Combination PreventionT32MH109205 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROTHERAM-BORUS, MARY JANE · 2016 to 2020
$2.3M
DG Murray Trust no numberELMA Foundation no numberNational Institutes of Health T32MJ109205NIMH NIH HHS P30 MH058107NIMH NIH HHS R01 MH111391NIMH NIH HHS T32 MH109205Philani no number
6 · The paper itself

Abstract

backgroundAdolescent motherhood has been repeatedly linked to poor child outcomes in high income countries and urban areas in low- and middle-income countries. We examine the structural, personal, and caretaking challenges of adolescent mothers and their children in rural South Africa compared to adult mothers over the first 24 months post-birth.

methodsA cohort of sequential births (n = 470/493) in the rural OR Tambo District was recruited and reassessed at 3, 6, 9, 12, and at 24 months post-birth, with a retention rate above 84% at all timepoints. Maternal and child outcomes were examined over time using multiple linear and logistic regressions.

resultsAdolescent mothers reflect 17% of births (n = 76/458). Adolescent mothers were more likely to have water in their households, but less likely to live with a partner and to be seropositive for HIV than adult mothers. Risks posed by mental health symptoms, alcohol, and partner violence were similar. Adolescents exclusively breastfed for shorter time and it took longer for them to secure a child grant compared to adult mothers. Although obtaining immunizations was similar, growth was significantly slower for infants of adolescent mothers compared to adult mothers over time.

conclusionsIn rural South Africa, almost one in five pregnant women is an adolescent. Caretaking tasks influencing child growth, especially breastfeeding and securing the child grant appear as the greatest problems for adolescent compared to adult mothers.

Indexed as

Child DevelopmentMothersPregnancy in AdolescenceAdolescentAdultBreast FeedingChild, PreschoolCohort StudiesDepression, PostpartumFamily CharacteristicsFemaleHIV InfectionsHumansImmunizationInfantInfant, Low Birth WeightAdolescent parenthoodRural African childrenRural motherhood

Identifiers

PMID30634932
PMCPMC6330475
OpenAlexW2910344237

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.