Document Detail

The context of unintended pregnancy among married women in the USA.
MedLine Citation:
PMID:  20659369     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND METHODOLOGY: Unintended pregnancy is a concern in the USA due to its association with adverse physical, mental, social and economic outcomes. Few studies have examined this issue among married women from a social and contextual perspective. This study targeted married women to examine factors associated with unintended pregnancy using the ecological model of health promotion that focuses attention on both individual and social environmental factors. Data from the National Survey of Family Growth (NSFG) were merged with NSFG contextual files to examine the major predictive factors. RESULTS: Multilevel logistic regression modelling revealed that married women of lower socioeconomic status, higher parity, who lived in communities with a high rate of marital dissolution had a higher probability of an unintended pregnancy. Women reported that their husbands were likely to concur with the unintended designation of the pregnancy. DISCUSSION AND CONCLUSIONS: This study utilised a unique perspective to examine contextual factors related to unintended pregnancy among married women. The results support the need to focus on the couple as a unit for prevention efforts. Social policies to enhance access to family planning services are necessary to improve outcomes and prevent unintended pregnancies.
Ainat Koren; Barbara Mawn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of family planning and reproductive health care / Faculty of Family Planning & Reproductive Health Care, Royal College of Obstetricians & Gynaecologists     Volume:  36     ISSN:  1471-1893     ISO Abbreviation:  J Fam Plann Reprod Health Care     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101087687     Medline TA:  J Fam Plann Reprod Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  150-8     Citation Subset:  IM    
Assistant Professor, School of Health and Environment, University of Massachusetts Lowell, 3 Solomont Way, Suite 2, Lowell, MA 01854-5126, USA.
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MeSH Terms
Interpersonal Relations
Logistic Models
Marital Status
Models, Theoretical
Pregnancy, Unplanned / psychology*
Pregnancy, Unwanted / psychology*
Risk Factors
Socioeconomic Factors
United States / epidemiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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