法属圭亚那的青少年怀孕：年轻母亲和脆弱的小新生儿的双重麻烦

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-09-05 DOI:10.1016/j.puhe.2025.105926

Lindsay Osei , Françoise Vendittelli , Mathilde Georgeault , Leslie Alcouffe , Mathieu Nacher , Gabriel Carles , Najeh Hcini , Malika Leneuve-Dorilas , Joy Lawn , Akoï Koivogui , Soraya Nicolaus , Annick Epailly , Sabrina Covis , Célia Basurko , Louise Vuylsteker , Alain Prual , Thierry Cardoso , Stéphanie Bernard , Nicolas Vignier , Narcisse Elenga

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引用次数: 0

摘要

青少年怀孕（AP），定义为10-19岁女孩怀孕，与孕产妇和新生儿不良结局相关。据报道，他们经常发生在经济地位低下的人群中。法属圭亚那是法国的海外领土，在南美洲存在着严重的社会不平等现象，其特点是不平等。本研究旨在描述FG地区AP的社会人口学特征和医疗保健系统的使用情况。研究设计：基于人群的历史队列。方法本研究包括2013年至2021年在FG出生的所有婴儿。对每对妊娠≥22周和/或体重≥500 g的母新生儿的数据进行分析。将AP与非AP进行比较。结果共纳入新生儿67962例。美联社的怀孕人数为8810人（13.0%），是法国的10倍。与非AP的新生儿相比，AP的新生儿更频繁地被转移到新生儿护理病房（10.6% vs 9.5%, p < 10−3）。圣洛朗-杜马罗尼医院（FG西部）是急性胰腺炎的主要分娩地点，50.7%的急性胰腺炎在该医院分娩。母亲的两个原籍国占AP的大多数：FG（65.9%）和苏里南（17.3%）（p<10-3）。AP与早产（aOR = 1.09[1.01-1.18]）、胎龄小新生儿（aOR = 1.66[1.55-1.78]）和分娩时缺乏医疗保险（aOR = 1.34[1.19-1.49]）相关。结论流行性感冒是一种公共卫生问题。鉴于年轻母亲及其子女面临的双重负担，需要采取综合预防和护理办法。

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Adolescent pregnancy in French Guiana: double trouble for young mothers and small vulnerable newborns

Objectives

Adolescent pregnancies (AP), defined as pregnancies in girls aged 10–19 years, are associated with adverse maternal and neonatal outcomes. They are frequently reported among those with low economic status. French Guiana (FG) is a French overseas territory with important social inequalities in South America, marked by inequalities. Our study aimed to describe the sociodemographic characteristics and use of the healthcare system for AP in FG.

Study design

Population based historical cohort.

Methods

This study included all births in FG between 2013 and 2021. Data from each mother-newborn pair ≥22 weeks of gestation and/or weighing ≥500 g were analysed. AP were compared to non-AP.

Results

67,962 newborns were included. AP accounted for 8810 pregnancies (13.0 %), which was 10 times more than in France. Newborns from AP were more frequently transferred to neonatal care units when compared to those from non-AP (10.6 % vs 9.5 %, p < 10⁻³). St-Laurent-du-Maroni hospital (western part of FG) was the main place of delivery for AP with 50.7 % of all AP delivering there. Two countries of origin of the mothers accounted for the majority of AP: FG (65.9 %) and Suriname (17.3 %) (p<10^-3). AP were more frequently associated with preterm birth (aOR = 1.09 [1.01–1.18]), small for gestational age newborns (aOR = 1.66 [1.55–1.78]) and lack of health insurance coverage at delivery (aOR = 1.34[1.19–1.49]).

Conclusions

AP in FG is a public health concern. Comprehensive prevention and care approaches are needed given the double burden faced by young mothers and their children.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.