Evidence map›Paper›PMID 34325740›Full record

ArticleArchives of public health = Archives belges de sante publique2021

Pregnancy complications, substance abuse, and prenatal care predict birthweight in adolescent mothers.

Miriam Hacker, Christine Firk, Kerstin Konrad, Kerstin Paschke, Joseph Neulen, Beate Herpertz-Dahlmann, Brigitte Dahmen

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Younger Age in Adolescent Pregnancies Is Associated with Higher Risk of Adverse Outcomes.International journal of environmental research and public health · 2021
    Observational
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

7 authors at 5 institutions in 1 country.

Miriam HackerDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital RWTH Aachen University, Neuenhofer Weg 21, Aachen, Germany.
Christine FirkChild Neuropsychology Section, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital RWTH Aachen University, Aachen, Germany.
Kerstin KonradChild Neuropsychology Section, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital RWTH Aachen University, Aachen, Germany.
Kerstin PaschkeGerman Center for Addiction Research in Childhood and Adolescence, University Hospital Hamburg- Eppendorf, Hamburg University, Hamburg, Germany.
Joseph NeulenDepartment of Gynecological Endocrinology and Reproductive Medicine, University Hospital RWTH Aachen University, Aachen, Germany.
Beate Herpertz-DahlmannDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital RWTH Aachen University, Neuenhofer Weg 21, Aachen, Germany.
Brigitte DahmenDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital RWTH Aachen University, Neuenhofer Weg 21, Aachen, Germany. bdahmen@ukaachen.de.
RWTH Aachen University · DECatholic University of Applied Sciences · DEJülich Aachen Research Alliance · DEStädtisches Klinikum Karlsruhe · DEUniversität Hamburg · DE

Funding

Bundesministerium für Bildung und Forschung 01KR1207BBundesministerium für Bildung und Forschung 01KR1803A
6 · The paper itself

Abstract

backgroundReduced birthweight is associated with adverse physical and mental health outcomes later in life. Children of adolescent mothers are at higher risk for reduced birthweight. The current study aimed to identify the key risk factors affecting birthweight in a well-characterized sample of adolescent mothers to inform preventive public health efforts.

methodsSixty-four adolescent mothers (≤ 21 years of age) provided detailed data on pregnancy, birth and psychosocial risk. Separate regression analyses with (1) birthweight and (2) low birthweight (LBW) as outcomes, and pregnancy complications, prenatal care, maternal age, substance abuse during pregnancy, socioeconomic risk, stressful life events and the child's sex as independent variables were conducted. Exploratively, a receiver operating characteristic (ROC) analysis was performed to investigate the quality of the discriminatory power of the risk factors.

resultsThe following variables explained variance in birthweight significantly: prenatal care attendance (p = .006), pregnancy complications (p = .006), and maternal substance abuse during pregnancy (p = .044). Prenatal care attendance (p = .023) and complications during pregnancy (p = .027) were identified as significant contributors to LBW. Substance abuse (p = .013), pregnancy complications (p = .022), and prenatal care attendance (p = .044) showed reasonable accuracy in predicting low birthweight in the ROC analysis.

conclusionsAmong high-risk adolescent mothers, both biological factors, such as pregnancy complications, and behavioural factors amenable to intervention, such as substance abuse and insufficient prenatal care, seem to contribute to reduced birthweight in their children, a predisposing factor for poorer health outcomes later in life. More tailored intervention programmes targeting the specific needs of this high-risk group are needed.

Indexed as

Adolescent pregnancyLow birthweightPerinatal preventionPregnancy complicationsPrenatal careTeenage mothers

Identifiers

PMID34325740
PMCPMC8320202
OpenAlexW3184905871

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.