Case-control study of risk factors for adolescent fertility and premature birth in Bulgaria

Abstract The significant positive correlation between share of Roma population and adolescent live birth in EU member states (r = 0.804, with 2-tailed significance p = 0.000) was found. The highest level of proportion of live births to mothers aged less than 20 years was found in Romania (9.8%) and...

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Bibliographic Details
Published in:European journal of public health 2020-09, Vol.30 (Supplement_5)
Main Authors: Kamburova, M, Georgieva, S L, Tsanova, D K, Karadzhova, P
Format: Article
Language:English
Subjects:
Adolescents
Childbirth & labor
Children
Economic development
Fertility
Girls
Neonates
Pregnancy
Premature birth
Public health
Registration
Risk analysis
Risk factors
Risk management
Romani people
Rural areas
Socioeconomic development
Teenagers
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Summary:Abstract The significant positive correlation between share of Roma population and adolescent live birth in EU member states (r = 0.804, with 2-tailed significance p = 0.000) was found. The highest level of proportion of live births to mothers aged less than 20 years was found in Romania (9.8%) and Bulgaria (9.5%). At the same tame proportion of Roma population in those countries is highest: Bulgaria (4.7%) and Romania (2.5%). The study found that two thirds (66%) of children born to mothers under the age of 19 are born prematurely OR = 2.10 95% CI (1.13-3.91). Among the newborns studied, the proportion of prematurely born children living in rural areas is significantly higher than those living in the city (p = 0.0001; r = 0.26). Later registration (after the first trimester) and monitoring of pregnancy is a significant risk factor and increases more than four times the risk of having a premature baby OR = 4.23 95% CI (1.41-12.69). A holistic approach is needed in which socio-economic development and education of Roma girls leads to further reduction of adolescent childbirth and premature delivery in Bulgaria.
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/ckaa165.1168