Trends and birth outcomes in adolescent refugees and migrants on the Thailand-Myanmar border, 1986-2016: an observational study

Wellcome Open Research

article

François Nosten¹  Sue J. Lee³  Rose McGready¹  Amber L. Parker¹  Daniel M. Parker⁴  Blooming Night Zan⁵  Aung Myat Min¹  Mary Ellen Gilder¹  Maxime Ringringulu¹  Elsi Win¹  Jacher Wiladphaingern¹  Prakaykaew Charunwatthana³ 

[1] Shoklo Malaria Research Unit, Mahidol-Oxford Tropical Medicine Research Un, Mahidol University;Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine Research Building, University of Oxford;Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University;Department of Population Health and Disease Prevention, Program in Public Health, University of California;Karen Refugee Committee;Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University

关键词: adolescent pregnancy;    teenage pregnancy;    reproductive health;    birth outcomes;    pregnancy trend;    pregnancy outcomes;    refugee health;    migrant health;   

DOI  :  10.12688/wellcomeopenres.14613.1

学科分类：内科医学

来源: Wellcome

【 摘 要 】

Background: Currently there are more adolescents (10-19 years old) and young adults (20-24 years old) than ever. Reproductive health among this age group is often overlooked, although it can have a profound impact on the future. This is especially the case in conflict zones and refugee settings, where there is a heightened need for reproductive health care, and where both the resources and possibility for data collation are usually limited.Methods: Here we report on pregnancies, birth outcomes and risk factors for repeat pregnancies among adolescent and young adult refugees and migrants from antenatal clinics on the Thailand-Myanmar border across a 30 year time span.Results:2). In primigravidae, the proportion of small for gestational age (SGA) and preterm births (PTB), and neonatal deaths (NND) decreased with increasing maternal age (all p <0.001). After adjustment, this association retained significance for PTB (cut-off point, ≤18 years) but not for SGA and NND.Conclusions: There is considerable room for improvement in adolescent pregnancy rates in these border populations, and educational opportunities may play a key role in effective interventions.

【 授权许可】

CC BY