One of the major social and public health problems in the world is adolescent pregnancy. Adolescent pregnancy is strongly associated to less favorable results for both the mother and the newborn. We conducted this research to ascertain the impact of teenage age on neonatal outcomes and also observed the lifestyles of pregnant teenage girls. We conducted a study of 2434 mothers aged ≤19 years (n = 294) or 20–34 years (n = 2140) who gave birth in 2019–2020 at the Department of Gynaecology and Obstetrics of Louis Pasteur University Hospital in Košice. The data on mothers and newborn infants have been reported from the reports on mothers at childbirth. Women between the ages of 20 and 34 served as the reference group. The teenage mothers were more likely to become pregnant if they were unmarried (OR = 14.2; 95% CI = 9.3–21.6; p < 0.001) and had a basic education or lack of education (OR = 16.8; 95% CI = 11.5–24.6; p < 0.001). Additionally, they were more likely to smoke when pregnant (OR = 5.0; 95% CI = 3.8–6.6; p < 0.001). Low birth weight was more common in newborns born to adolescent mothers than in those born to adult mothers (p < 0.001). Our findings showed that infants of teenage mothers often had lower birth weights (−332.6 g, p < 0.001). Adolescent mothers were associated with lower Apgar scores at the first minute (p = 0.003). As compared with the control group, pregnant teenage girls had a greater prevalence of preterm deliveries in our research (p = 0.004). This study finds significant age-related disparities in neonatal outcomes between mothers. These results might be used to identify vulnerable groups who need special assistance and actions to reduce the probability of negative outcomes for such groups.
31 December 2018 in Central European Journal of Public Health
Objective: Tick-borne encephalitis virus (TBEV) is most commonly transmitted to humans via the bite of an infected tick. Alimentary infection through the consumption of TBEV-contaminated dairy products is also well-documented and is responsibl...
1 June 2015 in Central European Journal of Public Health
The aim of the study was to determine the seroprevalence of three zoonotic infections among healthy blood donors/volunteers in Eastern Slovakia. Sera from 124 blood donors were investigated for the presence of antibodies against Borrelia burgdorferi, Francisella tularensis and Leptospira pomona. The participants also completed the questionnaire about demographic, exposure and epidemiological characteristics. Two serological methods were used for the diagnosis: the enzyme linked protein A/G assay (ELPAGA) and the Western blot (WB). First, sera were screened by ELPAGA (except for leptospirosis). The observed seroprevalence was 15% for Lyme borreliosis (LB) and 4% for tularaemia (TUL). The results were confirmed by WB. Positive IgG antibodies (WB method) were detected only in 1.6% of examined for LB and 0.8% for TUL. Our results did not identify any antibodies against Leptospira pomona agent in the examined healthy blood donors group. ELPAGA seroprevalence for TUL was significantly higher in blood donors working in the agricultural area in the direct contact with hay, straw, manure, and agricultural land. Our outputs determine tick bite as a significant risk factor for LB. The study confirms the explosion of tick-borne diseases in the healthy population of people. The exposure risk for leptospirosis seems to be minimal.
1 September 2012 in Central European Journal of Public Health
Q fever, which is caused by Coxiella burnetii, is a worldwide zoonotic infectious disease and ruminants are the main reservoir for human infec-tions. Humans become infected primarily by inhaling aerosols that are contaminated with C. burnetii....
Tick-borne encephalitis (TBE) is caused by tick-borne encephalitis virus (TBEV), a virus species of the genus Flavivirus within the Flaviviridae family. In Western Europe, TBEV is transmitted primarily by the Ixodes ricinus (I. ricinus) tick. During the last 30 years, there has been a continued increase in human cases of TBE in Europe. A total number of 102 cases in Slovakia was reported in 2012 (1.89/100,000), with two local outbreaks after the ingestion of raw milk and dairy products. Active vaccination is the most effective method of preventing TBE. According to the available data in Slovakia from 2012, 8,491 children under 15 years of age were vaccinated that year, which, when compared to 2009 with approximately 17,000 vaccinated children, represents a decrease of more than 50%. The data on vaccination of adults are not available, but the estimated vaccination coverage in Slovakia is around 1% (1.3/100,000). The education of the population is also an important precautionary measure in the prevention of tick-borne illnesses.