Document Detail

Neighborhood and individual-level violence and unintended pregnancy.
MedLine Citation:
PMID:  20559892     Owner:  NLM     Status:  MEDLINE    
As many as half of all pregnancies are unintended, and unintended pregnancy has been linked to a variety of adverse pregnancy and infant health outcomes. Our aim was to determine if urban women who experience high levels of neighborhood and/or individual-level violence are at an increased risk of reporting an unintended pregnancy. One thousand five hundred thirty-six pregnant women seeking care in an emergency department in Philadelphia, Pennsylvania were recruited in their first or second trimester and completed in-person interviews. Information on demographic characteristics, social support, substance abuse, current experience and history of interpersonal violence, perceptions of current neighborhood-level violence, and the intendedness of their current pregnancy were gathered. Multiple logistic regression analyses were conducted to assess the relationship between violence indicators and pregnancy intendedness. Six hundred twenty-seven women (41%) reported an unintended pregnancy. Not feeling safe in one's neighborhood was significantly associated with reporting an unintended pregnancy (odds ratio (OR), 1.28; 95% confidence interval (CI), 1.02-1.61) when demographic, other neighborhood, and individual-level violence indicators were accounted for. Furthermore, history of sexual abuse (OR, 1.5; 95% CI, 1.11-2.04), violence in previous pregnancy (OR = 1.7, 95% CI, 1.15-2.51), and a high index of spousal abuse score (OR = 1.6; 95% CI, 1.32-2.04) were also associated with unintended pregnancy in multiple logistic regression models. These findings indicate that neighborhood-level violence and other individual-level violence indicators may be important when examining factors related to unintended pregnancy among young, urban women.
Lori Uscher-Pines; Deborah B Nelson
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of urban health : bulletin of the New York Academy of Medicine     Volume:  87     ISSN:  1468-2869     ISO Abbreviation:  J Urban Health     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-09     Completed Date:  2010-10-19     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  9809909     Medline TA:  J Urban Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  677-87     Citation Subset:  IM    
RAND Corporation, Arlington, VA, USA.
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MeSH Terms
Philadelphia / epidemiology
Pregnancy, Unplanned*
Residence Characteristics / statistics & numerical data*
Social Support
Socioeconomic Factors
Substance-Related Disorders / epidemiology
Urban Population / statistics & numerical data*
Violence / statistics & numerical data*
Young Adult
Grant Support

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