Produção Nacional
Factors associated with Specific Hypertensive Gestation Syndrome (SHGS) in postpartum adolescent and young adult mothers in the Northeast of Brazil: a multiple analysis of hierarchical models
2017; Instituto Materno Infantil de Pernambuco; Volume: 17; Issue: 4 Linguagem: Inglês
10.1590/1806-93042017000400004
ISSN1806-9304
AutoresEloísa Barreto Bacelar, Maria Conceição Oliveira Costa, Silvana Granado Nogueira da Gama, Magali Teresópolis Reis Amaral, André Henrique do Vale de Almeida,
Tópico(s)Gestational Diabetes Research and Management
ResumoAbstract Objectives: to analyze possible associations between Specific Hypertensive Gestation Syndrome (SHGS) and sociodemographic, prenatal, and delivery characteristics of young adult and teenage mothers. Methods: a hospital-based cross-sectional study and regional level, gathered from 54 municipalities in the Northeast region of Brazil from 2011-2012, using records from the National Survey, "Born in Brazil". A theoretical conceptual model with three-level hierarchy was established, with SHGS being the outcome variable. A multivariate analysis was performed from the bivariate analysis and p-value, with a significance of < 0.2 by the Wald test. Results: of the 2,960 adolescents and young adults included in the study, 135 (4.6%) developed HSP. The mothers without a partner had 50% (OR=1.53) greater chance of presenting this pathology; while those without adequate schooling for age presented 90% higher chance (OR = 1.86) and those with a prior clinical risk factor, the chance of presenting the outcome was 21 times the chance of those without this antecedent (OR = 21.72). Conclusions: significant associations were identified between SHGS and postpartum adolescents and young adults without a partner, with low schooling and prior clinical risk, signaling the importance of investments in the quality of prenatal care and labor of the most vulnerable groups.
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