Prevalence and Risk Factors for Infections in a Pregnant Adolescent Population

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• 作者：Christine C. Akoh ; BS¹ ; Eva K. Pressman ; MD² ; Elizabeth Cooper ; EdD ; CNM² ; Ruth Anne Queenan ; MD ; MBA² ; Julie Pillittere ; BS¹ ; Kimberly O. O'Brien ; PhD¹ ; ^{koo4@cornell.edu}
• 关键词：Pregnancy ; Sexually transmitted infections ; Adolescents ; Minority health
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：30
• 期：1
• 页码：71-75
• 全文大小：143 K
• 卷排序：30

文摘

Our objective was to identify risk factors associated with maternal infections and placental inflammation in pregnant adolescents attending an urban adolescent maternity clinic.DesignThis cross-sectional, descriptive study used survey and medical chart data collected at entry and prospectively across gestation. The prevalence of maternal infections and placental inflammation was determined and potential risk factors were identified.SettingRochester Adolescent Maternal Program (RAMP) in Rochester, NY.ParticipantsRacially and ethnically diverse pregnant adolescents (n = 158 ≤ 18 y at entry) were recruited.Interventions and Main Outcome MeasuresMain outcome measures were diagnosis of an infection or inflammatory condition in relation to demographic, anthropometric, dietary, socioeconomic, and health data.ResultsThe three most prevalent infections diagnosed in this study population were recto-vaginal colonization of group B Streptococcus (GBS) (38%), bacterial vaginosis (BV) (40%) and candida (42%). African-American teens (AOR = 4.6; 95% CI: 1.74-13.02) and those with higher pre-pregnancy BMI (ppBMI; AOR = 1.2; 95% CI: 1.04-1.31) were more likely to test positive for BV across gestation. Older maternal age decreased the likelihood of positive tests for trichomoniasis (OR = 0.51; 95% CI: 0.26-0.92) and gonorrhea (OR = 0.38; 95% CI: 0.16-0.82). Higher mean dietary vitamin D intake (mcg/d) was associated with a lower likelihood of testing positive for recto-vaginal GBS (OR = 0.87; 95% CI: 0.77-0.98).ConclusionAddressing modifiable risk factors associated with dietary intake and pre-pregnancy weight may help reduce health disparities among pregnant minority adolescents. Additionally, targeted sexual health education may greatly benefit younger female adolescents.