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Adolescent parenthood associated with adverse socio-economic outcomes at age 30 years in women and men of the Pelotas, Brazil: 1982 Birth Cohort Study.
Gigante, D P; de França, Gva; De Lucia Rolfe, E; Lima, N P; Dos Santos Motta, J V; Gonçalves, H; Horta, B L; Barros, F C; Ong, K K.
Afiliação
  • Gigante DP; Post-graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
  • de França G; Medical Research Council Epidemiology Unit, School of Clinical Medicine, Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
  • De Lucia Rolfe E; Post-graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
  • Lima NP; Medical Research Council Epidemiology Unit, School of Clinical Medicine, Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
  • Dos Santos Motta JV; Medical Research Council Epidemiology Unit, School of Clinical Medicine, Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
  • Gonçalves H; Post-graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
  • Horta BL; Post-graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
  • Barros FC; Post-graduate Program in Health and Behavior, Catholic University of Pelotas, Pelotas, Brazil.
  • Ong KK; Post-graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
BJOG ; 126(3): 360-367, 2019 Feb.
Article em En | MEDLINE | ID: mdl-30099837
OBJECTIVE: To investigate the potential long-term effects of adolescent parenthood on completed education and income. DESIGN: Population-based birth cohort study. SETTING: All live births in 1982, whose mothers lived in the urban area of Pelotas, southern Brazil. SAMPLE: A total of 3701 participants: 1914 women and 1787 men at age 30 years. METHODS: Questionnaires were completed by the mothers in the early phases of this study, and by the cohort members in adolescence and adulthood. Linear regression models and G-computation were used in the analyses. MAIN OUTCOME MEASURES: Educational attainment and income at age 30 years. RESULTS: In women, adolescent parenthood was associated with lower attained education compared with women without adolescent maternity: by -2.8 years [95% confidence interval (CI) -3.2 to -2.3] if their first birth was at age 16-19, and by -4.4 years (-5.5 to -3.3) at age 11-15. These effects were greater among women who had three or more children. Women with adolescent parenthood also had 49 or 33% lower income at age 30 if their first child was born when aged 16-19 or 11-15, respectively. In men, the adverse effect of adolescent parenthood on education appeared to be mediated by a higher number of children and there was no effect of adolescent paternity on income at age 30 years. CONCLUSION: These findings suggest lasting socio-economic disadvantages of adolescent parenthood, with larger effects being apparent in women than in men. TWEETABLE ABSTRACT: Adolescent parenthood has an adverse effect on educational attainment later in life, and on household income among women.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pais / Gravidez na Adolescência / Escolaridade / Renda Tipo de estudo: Etiology_studies / Health_economic_evaluation / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: BJOG Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pais / Gravidez na Adolescência / Escolaridade / Renda Tipo de estudo: Etiology_studies / Health_economic_evaluation / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: BJOG Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido