RESUMO
STUDY OBJECTIVE: Assess the quality of life (QOL) of female adolescents with children compared to those without children. DESIGN: Cross-sectional. SETTING: Public university-affiliated family planning clinic, São Paulo, Brazil. PARTICIPANTS: 91 female adolescents (16-19 years) of low socio-economic status with and without children. INTERVENTIONS: The Portuguese version of the WHOQOL-BREF questionnaire was used. OUTCOME MEASURES: Mean scores of the 4 main domains were compared between adolescents with and without children. RESULTS: Both mothers (N = 40) and nonmothers (N = 51) had low mean scores (<75%) in most of the QOL domains. Compared to adolescents without children, adolescent mothers scored significantly lower in the physical (52.1 vs 59.4, P = .0137) and social (66.9 vs 77.3, P = .0182) domains. CONCLUSION: Adolescent mothers have a significantly lower quality of life in the physical and in the social relationships domains than nonmothers.
Assuntos
Mães/psicologia , Qualidade de Vida/psicologia , Adolescente , Adulto , Brasil , Estudos Transversais , Feminino , Nível de Saúde , Humanos , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto JovemRESUMO
PIP: 526 patients admitted to the Department of Tocogynecology of the Sao Paulo Medical School during 1976-83 comprised of 281 secundiparas, 152 terciparas, and 93 quadriparas with 1390 live births and 864 intergestational intervals, aged no older than 40, took part in the investigation. The short intergestational interval lasted up to 12 months following delivery, and the long interval was 13 months or longer. Infant mortality rate (IMR) was very low among secundiparas (58.7/1000 live births), higher among terciparas (72.4/100 live births), reaching 110.2 among quadriparas with an average of 77.0 for the whole population. The IMR increased to 96.9 among secundiparas when the interval was short (60.1%), and dropped to 38.2 during the long interval (65.1%). Among terciparas the findings were: 116.7 and 57.1 for 2 short and 2 long intervals, respectively, and 51.1 and 98.9 for short-long and long-short combined intervals. The effect of intergestational intervals on IMR was the most pronounced among quadriparas: it soared to 270.80 for only short intervals (25% increase), decreased to 89.3 for only long intervals (18.9% drop), further diminished to 78.9 for 2 long and 1 short intervals, and increased to 94.8 for 2 short and 1 long intervals. These results confirm the benefit of longer intergestational intervals and this knowledge ought to be a vital part of family planning programs.^ieng