A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months

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dc.contributor.authorLe Roux, Karlen_ZA
dc.contributor.authorChristodoulou, Joanen_ZA
dc.contributor.authorStansert-Katzen, Linneaen_ZA
dc.contributor.authorDippenaar, Elaineen_ZA
dc.contributor.authorLaurenzi, Christinaen_ZA
dc.contributor.authorLe Roux, Ingrid M.en_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorRotheram-Borus, Mary Janeen_ZA
dc.date.accessioned2019-01-15T13:38:24Z
dc.date.available2019-01-15T13:38:24Z
dc.date.issued2019-01-11
dc.date.updated2019-01-15T11:49:14Z
dc.descriptionCITATION: le Roux, K., et al. 2019. A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months. BMC Pregnancy and Childbirth, 19:24, doi:10.1186/s12884-018-2164-8.
dc.descriptionThe original publication is available at https://bmcpregnancychildbirth.biomedcentral.com
dc.description.abstractBackground: Adolescent motherhood has been repeatedly linked to poor child outcomes in high income countries and urban areas in low- and middle-income countries. We examine the structural, personal, and caretaking challenges of adolescent mothers and their children in rural South Africa compared to adult mothers over the first 24 months post-birth. Methods: A cohort of sequential births (n = 470/493) in the rural OR Tambo District was recruited and reassessed at 3, 6, 9, 12, and at 24 months post-birth, with a retention rate above 84% at all timepoints. Maternal and child outcomes were examined over time using multiple linear and logistic regressions. Results: Adolescent mothers reflect 17% of births (n = 76/458). Adolescent mothers were more likely to have water in their households, but less likely to live with a partner and to be seropositive for HIV than adult mothers. Risks posed by mental health symptoms, alcohol, and partner violence were similar. Adolescents exclusively breastfed for shorter time and it took longer for them to secure a child grant compared to adult mothers. Although obtaining immunizations was similar, growth was significantly slower for infants of adolescent mothers compared to adult mothers over time. Conclusions: In rural South Africa, almost one in five pregnant women is an adolescent. Caretaking tasks influencing child growth, especially breastfeeding and securing the child grant appear as the greatest problems for adolescent compared to adult mothers.en_ZA
dc.description.urihttps://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-2164-8
dc.description.versionPublisher's version
dc.format.extent8 pagesen_ZA
dc.identifier.citationle Roux, K., et al. 2019. A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months. BMC Pregnancy and Childbirth, 19:24, doi:10.1186/s12884-018-2164-8
dc.identifier.issn1471-2393 (online)
dc.identifier.otherdoi:10.1186/s12884-018-2164-8
dc.identifier.urihttp://hdl.handle.net/10019.1/105322
dc.publisherBMC (part of Springer Nature)en_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectTeenage parentsen_ZA
dc.subjectRural parentsen_ZA
dc.subjectRural children -- Africanen_ZA
dc.titleA longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 monthsen_ZA
dc.typeArticleen_ZA
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