Evidence map›Paper›PMID 37474178›Full record

ArticleBMJ open2023

Adolescent childbirth and mobility disability among women ages 15-49: an analysis of population health surveys from 14 low-income and middle-income countries.

Katherine E Peck, D Bassani, Saionara Ma Camara, Marlos R Domingues, Tetine Sentell, Maria P Velez, Catherine M Pirkle

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Pregnancy is linked to faster epigenetic aging in young women.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  4. Review
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.

Katherine E PeckOffice of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA.
D BassaniCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Saionara Ma CamaraDepartment of Physiotherapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.ORCID 0000-0002-3054-7213
Marlos R DominguesPostgraduate Programme in Physical Education, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
Tetine SentellThompson School of Social Work and Public Health, University of Hawai'i at Manoa, Honolulu, Hawaii, USA.
Maria P VelezDepartments of Obstetrics and Gynaecology & Public Health Sciences, Queen's University, Kingston, Ontario, Canada.
Catherine M PirkleOffice of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, Hawaii, USA cmpirkle@hawaii.edu.ORCID 0000-0002-1528-5438

Funding

Life-course pathways linking adolescent childbearing to chronic conditions: A pilot study to reinforce research and health system capacity in Northeast BrazilR21TW010466 · FIC · UNIVERSITY OF HAWAII AT MANOA · PI CAMARA, SAIONARA M A, PIRKLE, CATHERINE MCLEAN · 2016 to 2017
$321k
FIC NIH HHS R21 TW010466
6 · The paper itself

Abstract

objectivesAdolescent childbirth is associated with older adult adverse health outcomes that negatively affect mobility function, but these associations have not been studied globally in large samples of reproductive-age women. This study examines the association between age at first childbirth and mobility disability in national surveys from low-income and middle-income countries, and hypotheses that adolescent childbirth is associated with mobility disability.

designCross-sectional analysis.

settingPopulation health surveys from 2013 to 2018 containing mobility disability measures among ever-pregnant women ages 15-49. These included 13 Demographic Health Surveys from Haiti, Pakistan, Uganda, Cambodia, Colombia, South Africa, Timor-Leste, Albania, Gambia, Maldives, Peru, Senegal and Yemen and 1 Maternal Health Survey from Ghana.

participantsThe sample included 157 988 women ages 15-49 years. PRIMARY OUTCOME MEASURE: Adolescent childbirth was defined as 10-19 years of age. Poisson regression models were used to estimate prevalence ratios (PRs) of mobility disability among women who first gave birth during adolescence and in adult life (ages 20-45 years) in each country and across the whole sample. Countries were also analysed according to the use of standard and non-standard mobility disability measures. Covariates included current age, urban/rural residence, education and household wealth.

resultsPrevalence of adolescent childbirth (17.5%-66.2%) and mobility disability (0.32%-21.45%) varied widely across countries. Adolescent childbirth was significantly (p<0.05) associated with greater mobility disability in six of eight countries using standard disability measures. Among the six countries that did not use standard disability measures, none showed a statistically significant association between adolescent childbirth and mobility disability. Considering the whole sample and adjusting for all covariates, women who gave birth during adolescence had greater prevalence of mobility disability (pooled PR 1.19, 95% CI 1.06-1.31).

conclusionsThis analysis suggests a moderate and consistent association of adolescent childbearing with subsequent mobility disability.

Indexed as

Developing CountriesPopulation HealthAdolescentAgedCross-Sectional StudiesFemaleHealth SurveysHumansParturitionPovertyPregnancyEPIDEMIOLOGIC STUDIESEpidemiologyPublic health

Identifiers

PMID37474178
PMCPMC10360427

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LicenceCC BY-NC
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Registered trials

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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.