南非夸祖鲁-纳塔尔省农村地区少女和年轻妇女的意外怀孕与心理健康：一项观察性队列研究。

IF 1.9 Q3 PSYCHOLOGY, DEVELOPMENTAL

International Journal of Adolescence and Youth Pub Date : 2024-01-01 Epub Date: 2024-06-30 DOI:10.1080/02673843.2024.2371414

Helen Mebrahtu, Natsayi Chimbindi, Thembelihle Zuma, Jaco Dreyer, Nondumiso Mthiyane, Janet Seeley, Maryam Shahmanesh, Lorraine Sherr, Guy Harling

{"title":"南非夸祖鲁-纳塔尔省农村地区少女和年轻妇女的意外怀孕与心理健康：一项观察性队列研究。","authors":"Helen Mebrahtu, Natsayi Chimbindi, Thembelihle Zuma, Jaco Dreyer, Nondumiso Mthiyane, Janet Seeley, Maryam Shahmanesh, Lorraine Sherr, Guy Harling","doi":"10.1080/02673843.2024.2371414","DOIUrl":null,"url":null,"abstract":"Pregnancy can place adolescent girls and young women (AGYW) at risk of poor mental health. However, evidence linking youth pregnancy to mental health in resource-limited settings is limited, especially where HIV incidence is high. We analysed a population-representative cohort of AGYW aged 13-25 in rural KwaZulu-Natal to assess how adolescent pregnancy predicts subsequent mental health. Among 1851 respondents, incident pregnancy (self-reported past-12-month) rose from 0.7% at age 14 to 22.1% by 18. Probable common mental disorder (CMD; 14-item Shona Symptom Questionnaire) prevalence was 19.1%. In adjusted Poisson regression recent pregnancy was associated with slightly higher probable CMD (adjusted prevalence ratio [aPR] 1.19, 95%CI 0.96-1.49), and stronger association among 13-15 year-olds (aPR 3.25, 95%CI 1.50-7.03), but not with HIV serostatus. These findings suggest a possible incremental mental health impact of being pregnant earlier than peers, pointing to the need for age-appropriate mental health interventions for AGYW in resource-limited settings.","PeriodicalId":46941,"journal":{"name":"International Journal of Adolescence and Youth","volume":"29 1","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259029/pdf/","citationCount":"0","resultStr":"{\"title\":\"Incident pregnancy and mental health among adolescent girls and young women in rural KwaZulu-Natal, South Africa: an observational cohort study.\",\"authors\":\"Helen Mebrahtu, Natsayi Chimbindi, Thembelihle Zuma, Jaco Dreyer, Nondumiso Mthiyane, Janet Seeley, Maryam Shahmanesh, Lorraine Sherr, Guy Harling\",\"doi\":\"10.1080/02673843.2024.2371414\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Pregnancy can place adolescent girls and young women (AGYW) at risk of poor mental health. However, evidence linking youth pregnancy to mental health in resource-limited settings is limited, especially where HIV incidence is high. We analysed a population-representative cohort of AGYW aged 13-25 in rural KwaZulu-Natal to assess how adolescent pregnancy predicts subsequent mental health. Among 1851 respondents, incident pregnancy (self-reported past-12-month) rose from 0.7% at age 14 to 22.1% by 18. Probable common mental disorder (CMD; 14-item Shona Symptom Questionnaire) prevalence was 19.1%. In adjusted Poisson regression recent pregnancy was associated with slightly higher probable CMD (adjusted prevalence ratio [aPR] 1.19, 95%CI 0.96-1.49), and stronger association among 13-15 year-olds (aPR 3.25, 95%CI 1.50-7.03), but not with HIV serostatus. These findings suggest a possible incremental mental health impact of being pregnant earlier than peers, pointing to the need for age-appropriate mental health interventions for AGYW in resource-limited settings.\",\"PeriodicalId\":46941,\"journal\":{\"name\":\"International Journal of Adolescence and Youth\",\"volume\":\"29 1\",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259029/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Adolescence and Youth\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/02673843.2024.2371414\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, DEVELOPMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Adolescence and Youth","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/02673843.2024.2371414","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}

引用次数: 0

摘要

怀孕会使少女和年轻女性（AGYW）面临心理健康状况不佳的风险。然而，在资源有限的环境中，尤其是在艾滋病高发地区，将青少年怀孕与心理健康联系起来的证据非常有限。我们分析了夸祖鲁-纳塔尔省（KwaZulu-Natal）农村地区具有人口代表性的 13-25 岁少女和青年妇女队列，以评估青春期怀孕如何预测随后的心理健康。在 1851 名受访者中，意外怀孕率（自我报告的过去 12 个月）从 14 岁时的 0.7% 上升到 18 岁时的 22.1%。可能的常见精神障碍（CMD；14 项舒纳症状问卷）患病率为 19.1%。在调整后的泊松回归中，近期怀孕与较高的疑似常见精神障碍相关（调整后患病率比 [aPR] 1.19，95%CI 0.96-1.49），与 13-15 岁儿童的相关性更强（aPR 3.25，95%CI 1.50-7.03），但与 HIV 血清状态无关。这些研究结果表明，比同龄人更早怀孕可能会对心理健康产生更大的影响，这表明在资源有限的环境中，有必要对年龄相适应的非洲裔青年妇女进行心理健康干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Incident pregnancy and mental health among adolescent girls and young women in rural KwaZulu-Natal, South Africa: an observational cohort study.

Pregnancy can place adolescent girls and young women (AGYW) at risk of poor mental health. However, evidence linking youth pregnancy to mental health in resource-limited settings is limited, especially where HIV incidence is high. We analysed a population-representative cohort of AGYW aged 13-25 in rural KwaZulu-Natal to assess how adolescent pregnancy predicts subsequent mental health. Among 1851 respondents, incident pregnancy (self-reported past-12-month) rose from 0.7% at age 14 to 22.1% by 18. Probable common mental disorder (CMD; 14-item Shona Symptom Questionnaire) prevalence was 19.1%. In adjusted Poisson regression recent pregnancy was associated with slightly higher probable CMD (adjusted prevalence ratio [aPR] 1.19, 95%CI 0.96-1.49), and stronger association among 13-15 year-olds (aPR 3.25, 95%CI 1.50-7.03), but not with HIV serostatus. These findings suggest a possible incremental mental health impact of being pregnant earlier than peers, pointing to the need for age-appropriate mental health interventions for AGYW in resource-limited settings.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

International Journal of Adolescence and Youth PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

8.80

自引率

2.20%

发文量

审稿时长

9 weeks

期刊介绍： nternational Journal of Adolescence and Youth aims to identify, examine and compare particular issues, problems and policies related to adolescents and youth throughout the world. Subject areas covered include psychological growth and development, health and medical care, delinquency, social policy, employment and unemployment, education and training, spiritual and physical development, leisure, family relationships, sex education, homelessness. The Journal will be of interest to researchers in those areas, university and other higher education institutions, as well as to international, central and local government and voluntary organizations and field work agencies.