PMID- 34325686 OWN - NLM STAT- MEDLINE DCOM- 20210805 LR - 20210805 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 21 IP - 1 DP - 2021 Jul 29 TI - Hypertension in women: the role of adolescent childbearing. PG - 1481 LID - 10.1186/s12889-021-11488-z [doi] LID - 1481 AB - BACKGROUND: Adolescent childbearing is associated with various health risks to the mother and child, and potentially with adverse socioeconomic outcomes. However, little is known about the role of adolescent childbearing in maternal health outcomes in adulthood. This study investigates the link between childbirth in adolescence and later-life risk of hypertension among women in India. METHODS: We obtained nationally representative data on demographic and health outcomes for 442,845 women aged 25 to 49 from the India National Family Health Survey (NFHS) 2015-16. We assessed the difference in hypertension prevalence between women who gave birth in adolescence (age 10 to 19) and those who did not, for the full sample and various sub-samples, using linear probability models with controls for individual characteristics, hypertension risk factors, and geographic fixed effects. RESULTS: Nearly 40% of the women in the sample gave birth in adolescence. The adjusted probability of being hypertensive in adulthood was 2.3 percentage points higher for this group compared to women who did not give childbirth in adolescence. This added probability was larger for women who gave birth earlier in adolescence (4.8 percentage points) and for women who gave birth more than once in adolescence (3.4 percentage points). CONCLUSIONS: Adolescent childbearing was strongly associated with a higher probability of adult female hypertension in India. This finding illustrates the intertemporal relationship between health risk factors during the life cycle, informing the importance of addressing adverse early life events (e.g. child marriage and adolescent childbirth) for hypertension outcomes among women in India. CI - (c) 2021. The Author(s). FAU - Datta, Biplab K AU - Datta BK AD - Global Noncommunicable Diseases Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, 30329, GA, USA. AD - Present Address: Institute of Public and Preventive Health, Augusta University, 1120 15th Street, Augusta, 30912, GA, USA. FAU - Husain, Muhammad J AU - Husain MJ AUID- ORCID: 0000-0001-6049-0505 AD - Global Noncommunicable Diseases Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, 30329, GA, USA. mhusain@cdc.gov. FAU - Kostova, Deliana AU - Kostova D AD - Global Noncommunicable Diseases Branch, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, 30329, GA, USA. LA - eng PT - Journal Article DEP - 20210729 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adolescent MH - Adult MH - Child MH - Female MH - Humans MH - *Hypertension/epidemiology MH - India/epidemiology MH - Marriage MH - Pregnancy MH - *Pregnancy in Adolescence MH - Risk Factors MH - Young Adult PMC - PMC8323295 OTO - NOTNLM OT - Adolescent childbearing OT - Hypertension OT - Life course OT - Teenage pregnancy COIS- The authors declare that they have no competing interests. EDAT- 2021/07/31 06:00 MHDA- 2021/08/06 06:00 PMCR- 2021/07/29 CRDT- 2021/07/30 05:34 PHST- 2020/06/23 00:00 [received] PHST- 2021/07/09 00:00 [accepted] PHST- 2021/07/30 05:34 [entrez] PHST- 2021/07/31 06:00 [pubmed] PHST- 2021/08/06 06:00 [medline] PHST- 2021/07/29 00:00 [pmc-release] AID - 10.1186/s12889-021-11488-z [pii] AID - 11488 [pii] AID - 10.1186/s12889-021-11488-z [doi] PST - epublish SO - BMC Public Health. 2021 Jul 29;21(1):1481. doi: 10.1186/s12889-021-11488-z.