2017
DOI: 10.1016/j.jpag.2016.08.001
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Prevalence and Risk Factors for Infections in a Pregnant Adolescent Population

Abstract: Addressing 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.

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Cited by 23 publications
(23 citation statements)
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“…This large, prospective cohort study with frequent measurement of BMI and vaginal microbiota disruption is the first study to conclude that obese women may be at lower risk for BV. In contrast to prior studies finding a small increased likelihood of BV among women with higher BMI 4,5 , obese Kenyan FSWs had a nearly 20% lower risk of BV. Overweight women had a 10% reduction in BV that was of borderline significance, suggesting a dose-response effect.…”
Section: Discussioncontrasting
confidence: 99%
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“…This large, prospective cohort study with frequent measurement of BMI and vaginal microbiota disruption is the first study to conclude that obese women may be at lower risk for BV. In contrast to prior studies finding a small increased likelihood of BV among women with higher BMI 4,5 , obese Kenyan FSWs had a nearly 20% lower risk of BV. Overweight women had a 10% reduction in BV that was of borderline significance, suggesting a dose-response effect.…”
Section: Discussioncontrasting
confidence: 99%
“…Research assessing the association between BMI and BV is limited. Three studies found that higher BMI was associated with a slightly increased likelihood of BV 46 . Pregnant adolescents in the US with self-reported overweight or obese pre-pregnancy BMI were slightly more likely to be diagnosed with BV during pregnancy compared to adolescents with a normal or underweight pre-pregnancy BMI (aOR 1.16, 95%CI 1.04–1.30) 4 .…”
Section: Discussionmentioning
confidence: 99%
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“…The low proportion of women younger than 18 years of age (0.2%) was another potential limitation. Indeed, 16% of pregnant women in sub-Saharan Africa are under 19 years [ 23 ]; these young women are often at higher risk for GBS due to a lack of sexual health education [ 24 ] and a lower level of natural immunity against colonisation. Young pregnant women are an important group to study because they are often underrepresented in clinical trials due to legal or logistical reasons.…”
Section: Discussionmentioning
confidence: 99%
“…In one study, maternal age >36 years of age was associated with persistent colonization ( 32 ), and another demonstrated a higher GBS colonization rate in women >40 years of age ( 33 ). Ethnicity, obesity, low vitamin D intake, hygiene, sexual activity, health care occupation, and illiteracy have also been associated with GBS vaginal carriage ( 31 , 34 36 ). During pregnancy, GBS vaginal colonization may be continuous, intermittent, or transient among individual women ( 37 ).…”
Section: Epidemiology Of Gbs Vaginal Colonizationmentioning
confidence: 99%