Differences Between Women at Higher and Lower Risk for an Unintended Pregnancy

Xaverius, Pamela K.; Tenkku, Leigh E.; Salas, Joanne

doi:10.1016/j.whi.2009.06.002

Cited by 24 publications

(22 citation statements)

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“…Binge drinking, early sexual debut and younger age have also been found to correlate with sexual risk in other population studies of sexual risk among women [10, 23, 28, 29]. However, observed associations between the dichotomous housing tenure variable and sexual risk contrast with previous Natsal-3 analyses which used comprehensive socio-economic variables [13].…”

Section: Discussionmentioning

confidence: 92%

Can psychosocial and socio-demographic questions help identify sexual risk among heterosexually-active women of reproductive age? Evidence from Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

et al. 2017

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BackgroundContraceptive advice and supply (CAS) and sexually transmitted infection (STI) testing are increasingly provided in primary care. Most risk assessment tools are based on sexual risk behaviours and socio-demographics, for use online or in specialist services. Combining socio-demographic and psychosocial questions (e.g. religious belief and formative experience) may generate an acceptable tool for targeting women in primary care who would benefit from intervention. We aimed to identify psychosocial and socio-demographic factors associated with reporting key sexual risk behaviours among women in the British general population.MethodsWe undertook complex survey analysis of data from 4911 hetero-sexually active women aged 16–44 years, who participated in Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3), a national probability sample survey undertaken 2010–2012. We used multivariable regression to examine associations between the available psychosocial and socio-demographic variables in Natsal-3 and reports of three key sexual behaviours: a) 2+ partners in the last year (2PP); b) non-use of condoms with 2+ partners in the last year (2PPNC); c) non-use of condoms at first sex with most recent sexual partner (FSNC). We adjusted for key socio-demographic factors: age, ethnicity and socio-economic status (measured by housing tenure).ResultsWeekly binge drinking (6+ units on one occasion), and first sex before age 16 were each positively associated with all three sexual behaviours after adjustment. Current relationship status, reporting drug use (ever), younger age and living in rented accommodation were also associated with 2+ partners and 2 + partners without condoms after adjustment. Currently being a smoker, older age and respondent ethnicity were associated with FSNC after adjustment for all other variables. Current smoking status, treatment for depression (last year), and living at home with both parents until the age of 14 were each associated with one or more of the behaviours.ConclusionsReported weekly binge drinking, early sexual debut, and age group may help target STI testing and/or CAS among women. Further research is needed to examine the proportion of sexual risk explained by these factors, the acceptability of these questions to women in primary care and the need to customise them for community and other settings.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3918-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 92%

Can psychosocial and socio-demographic questions help identify sexual risk among heterosexually-active women of reproductive age? Evidence from Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

et al. 2017

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“…Unintended pregnancies are similarly common in the general population [10][11][12][13]. The 2002 National Survey of Family Growth showed that 49% of pregnancies to women aged 18-44 years old in 2001 in the USA were unintended [10].…”

Section: Introductionmentioning

confidence: 99%

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

et al. 2011

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There is speculation, but there are few data, on the high rates of unintended pregnancies in HIV-positive women. We investigated rates and correlates of unintended pregnancies among HIV-positive women of reproductive age. MethodsA cross-sectional study was conducted with recruitment stratified to match the geographical distribution of HIV-positive women of reproductive age (18-52 years) living in Ontario, Canada. Women, recruited from 38 sites between October 2007 and April 2009, were invited to complete a 189-item self-administered survey. This analysis focused on questions relating to pregnancy and whether the last pregnancy was intended. Logistic regression models were fitted to calculate unadjusted and adjusted odds ratios of correlates of unintended pregnancies occurring after HIV diagnosis. Happiness with unintended pregnancies was also assessed. ResultsThe median age at the time of the survey of the 416 participating HIV-positive women who were previously pregnant (53% before and 47% after HIV diagnosis) was 38 years [interquartile range (IQR) 33-44 years] and their last pregnancy was a median of 8 years (IQR 3-14 years) prior to the survey (n 5 283). Fifty-nine per cent were born outside Canada and 47% were of African ethnicity. Of the 416, 56% [95% confidence interval (CI) 51-61%] identified that their last pregnancy was unintended (57% before and 54% after HIV diagnosis). In the multivariable model, significant correlates of unintended pregnancy after HIV diagnosis were: marital status (P 5 0.01) and never having given birth (P 5 0.01). Women were less happy if their pregnancy was unintended (Po0.01). ConclusionsThe prevalence of unintended pregnancy was high in this cohort. Pregnancy planning programmes are needed for this population to decrease fetal and maternal complications and reduce vertical and horizontal transmission.

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“…In a study by Xaverius et al, onethird of cases and in another study by foster, 9.0% of women used these methods (Xaverius, et al, 2009). In a study in the United States, half of unplanned pregnancies were observed in the group which used contraceptive methods (Finer & Henshaw, 2006).…”

Section: Discussionmentioning

confidence: 93%

“…Due to poor health outcomes associated with the mother and fetus, unintended pregnancy should be considered an important public health problem *Corresponding Author Email:fshobeiri@yahoo.com (Finer & Henshaw, 2006). Unplanned pregnancy is a marker for unwillingness to pregnancy and is usually accompanied with medical, psychological, social, and even economic complications for women, family, and community (Xaverius, et al, 2009). Various studies indicated that unplanned pregnancy is more related to the problems including reduced prenatal care, misbehavior, increased complications within and after pregnancy, as well as low birth weight and infant mortality in comparison with planned pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Use of Contraceptive Methods in Couple’s with Unplanned Pregnancies: A Population-Based Study among Iranian Population

Shobeiri¹,

Aghababaei²,

Moien³

2017

EJMR

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According to common complications of unplanned pregnancies and the necessity of the attention to different factors leading to these types of pregnancies. The purpose of this study was to evaluate the use of contraceptive methods in couple's with unplanned pregnancies referred to health centers in Hamadan city, Iran. In a cross-sectional study conducted on pregnant women who referred to health centers in Hamadan city for using prenatal caring from March 2006 to March 2007.Nine hundred women with unintended pregnancy were randomly selected for this study. The study data were collected by a validated questionnaire including questions about demographic characteristics, pregnancy and also family planning methods used before pregnancy. Data Processing and statistical analysis were performed using SPSS /16.0. Among 900 women with unplanned pregnancy, 92.2% experienced unplanned pregnancy for the first time and once and twice a history of unintended pregnancy was observed in 7.2% and 0.6% of cases, respectively. Among those, 93.9% used contraceptive methods. Hormonal methods were main used methods for contraception in 38.1%, natural method was observed in 31.9% and periodic abstinence was the least used method (0.4%). The main reasons for using irregular methods included inadequate information, lack of motivation and fear of side effects. Meaningful associations were found between the variables of age, age of spouse, educational level, number of parity, and history of abortion and the use of contraceptive methods. Multivariable logistic regression analysis showed that maternal age, educational level of woman and her spouse, and also number of parity were main indicators of the use of contraception. According to high rate of unplanned pregnancy in our population, planning more training and consulting sessions for improving couple's awareness about selection of the most appropriate family planning methods should be considered to reduce unintended pregnancy in our population.

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Differences Between Women at Higher and Lower Risk for an Unintended Pregnancy

Cited by 24 publications

References 24 publications

Can psychosocial and socio-demographic questions help identify sexual risk among heterosexually-active women of reproductive age? Evidence from Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

Can psychosocial and socio-demographic questions help identify sexual risk among heterosexually-active women of reproductive age? Evidence from Britain’s third National Survey of Sexual Attitudes and Lifestyles (Natsal-3)

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

Use of Contraceptive Methods in Couple’s with Unplanned Pregnancies: A Population-Based Study among Iranian Population

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