| Neighborhood and individual-level violence and unintended pregnancy. | |
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MedLine Citation:
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PMID: 20559892 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Lori Uscher-Pines; Deborah B Nelson |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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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:
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Created Date: 2010-07-09 Completed Date: 2010-10-19 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 9809909 Medline TA: J Urban Health Country: United States |
Other Details:
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Languages: eng Pagination: 677-87 Citation Subset: IM |
Affiliation:
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RAND Corporation, Arlington, VA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Female Humans Philadelphia / epidemiology Pregnancy 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 | |
ID/Acronym/Agency:
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R01-HD36918/HD/NICHD NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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