Document Detail

Race/Ethnicity and pregnancy decision making: the role of fatalism and subjective social standing.
MedLine Citation:
PMID:  20469962     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Rates of unintended pregnancy in the United States differ by race and ethnicity. We examined whether these differences might be explained by maternal fatalism and subjective social standing.
METHODS: We used data from 1070 pregnant women of sociodemographically diverse backgrounds enrolled in prenatal care in the San Francisco Bay area. Logistic regression was used to explore the relationship between attitude variables and a measure of pregnancy decision making ("not trying to get pregnant").
RESULTS: African American women were more likely than others to report not trying to get pregnant with the current pregnancy (adjusted odds ratio [AOR] 2.04, 95% confidence interval [95% CI] 1.22-3.43, p = 0.007). Higher subjective social standing was associated with a lower likelihood of not trying among white and U.S.-born women only (AOR 0.67, p = 0.001 and AOR 0.75, p < 0.001, respectively. Fatalism was associated with not trying in bivariate but not multivariable analyses.
CONCLUSIONS: In this population, the likelihood of reporting not trying to get pregnant was higher among racial/ethnic minorities regardless of subjective social standing. Programs aimed at reduction in unintended pregnancy rates need to be targeted to a broader population of women.
Allison S Bryant; Sanae Nakagawa; Steven E Gregorich; Miriam Kuppermann
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  19     ISSN:  1931-843X     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-15     Completed Date:  2012-10-19     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1195-200     Citation Subset:  IM    
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California 94143-0132, USA.
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MeSH Terms
African Americans
Decision Making*
Middle Aged
Multivariate Analysis
Pregnancy, Unplanned / ethnology*,  psychology
Social Class
Young Adult
Grant Support
1 KL2 RR024130-01/RR/NCRR NIH HHS; P01 HS 10856/HS/AHRQ HHS; R01 HG01255/HG/NHGRI NIH HHS

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