| Unintended pregnancy and prenatal behaviors among urban, black women in Baltimore, Maryland: the Baltimore preterm birth study. | |
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MedLine Citation:
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PMID: 18504137 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: We explored associations between intendedness of pregnancy with maternal prenatal behaviors, including smoking, use of alcohol, use of illicit drugs, and late initiation of prenatal care. METHODS: Pregnant black women ages 18 years or older (N = 913) were enrolled in the study at their first visit to prenatal clinics in Baltimore, Maryland, at which time data were obtained from the women about intendedness of pregnancy. Data on behavioral risks were abstracted from clinical records. Logistic regression was used to adjust analyses for maternal demographic characteristics. RESULTS: Women with unwanted pregnancies were significantly more likely than women with wanted or mistimed pregnancies, or who were unsure about intendedness, to smoke (odds ratio [OR], 2.0; 95% CI, 1.2-3.3), use alcohol (OR, 2.1; 95% CI, 1.1-3.9), and use illicit drugs (OR, 1.8; 95% CI, 1.0-2.9) during pregnancy, and to initiate prenatal care in the third trimester (OR, 5.7; 95% CI, 3.5-9.4). CONCLUSIONS: Unwanted pregnancy is associated with prenatal behaviors that increase the risk of poor pregnancy outcomes. The facilitation of wanted pregnancies and reduction of harmful maternal behaviors may result in improved pregnancy outcomes in the United States. |
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Authors:
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Suezanne T Orr; Sherman A James; Jerome P Reiter |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. Date: 2008-05-27 |
Journal Detail:
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Title: Annals of epidemiology Volume: 18 ISSN: 1873-2585 ISO Abbreviation: Ann Epidemiol Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-06-16 Completed Date: 2008-07-17 Revised Date: 2011-12-06 |
Medline Journal Info:
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Nlm Unique ID: 9100013 Medline TA: Ann Epidemiol Country: United States |
Other Details:
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Languages: eng Pagination: 545-51 Citation Subset: IM |
Affiliation:
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Department of Health Education and Promotion, East Carolina University, Greenville, NC 27858, USA. orrs@ecu.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult African Americans / psychology*, statistics & numerical data Baltimore / epidemiology Female Health Behavior* Humans Logistic Models Maternal Behavior / psychology* Pregnancy Pregnancy, Unplanned / ethnology, psychology* Pregnancy, Unwanted / ethnology, psychology* Prenatal Care* Prospective Studies Risk-Taking |
| Grant Support | |
ID/Acronym/Agency:
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SO 17-13/14/SO/PHSPO CDC HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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