Non-Heterosexuality, Relationships, and Young Women’s Contraceptive Behavior

Ela, Elizabeth; Budnick, Jamie

doi:10.1007/s13524-017-0578-y

Cited by 37 publications

(29 citation statements)

References 56 publications

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“…Our sample of ever‐partnered 18‐ and 19‐year‐old women from the RDSL study resembles the nationally representative sample of 18‐ and 19‐year‐old women in the National Survey of Family Growth (NSFG), with a few exceptions . Black women are overrepresented in the RDSL study sample compared with the U.S. population (34% vs. 16%).…”

Section: Resultsmentioning

confidence: 99%

Intimate Relationship Dynamics and Changing Desire for Pregnancy Among Young Women

Barber

Miller²,

Kusunoki

et al. 2019

Perspect Sexual Reproductive

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Although substantial research has focused on unintended pregnancy among young women, less is known about the circumstances under which pregnancy is desired. Whether a young woman ' s pregnancy desire changes across her diff erent relationships, or over time within a relationship, has not been directly assessed. METHODS : Data on intimate relationships and pregnancy desire were assessed weekly for 895 women aged 18-22 who participated in the Relationship Dynamics and Social Life study in a county in Michigan (2008Michigan ( -2012. Withinbetween logistic regression models were used to examine within-cluster and between-cluster diff erences-comparisons of a woman ' s pregnancy desire within a relationship over time as well as across a woman ' s diff erent relationships. RESULTS :Young women were more likely to desire pregnancy if they were in any relationship more intimate and committed than a casual relationship (odds ratios, 1.6-9.2); the odds of desiring pregnancy were also higher in long-term relationships rather than in short-term ones (2.1). In general, pregnancy desire increased over time as a relationship endured and became more serious. The odds of desiring pregnancy were lower among women with less educated, rather than equally educated, partners (0.7), while the odds were higher in nonmonogamous or violent relationships than in monogamous or nonviolent relationships (1.6 and 1.9, respectively).CONCLUSIONS : Young women ' s pregnancy desire changes depending on their intimate relationship context, across the range of relationships they experience during the transition to adulthood. INTIMATE RELATIONSHIPS AND PREGNANCY DESIRESome research has directly investigated whether intimate relationships aff ect the desire for pregnancy. For example, Edin and Kefalas ' s groundbreaking study of disadvantaged

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Section: Resultsmentioning

confidence: 99%

Intimate Relationship Dynamics and Changing Desire for Pregnancy Among Young Women

Barber

Miller²,

Kusunoki

et al. 2019

Perspect Sexual Reproductive

View full text Add to dashboard Cite

show abstract

“…12 Other published research compared the full RDSL sample to the nationally representative sample of the NSFG (Ela and Budnick 2017). African American women were overrepresented in the RDSL sample (34%) compared to the US population (16%).…”

Section: Resultsmentioning

confidence: 99%

The social context of retrospective-prospective changes in pregnancy desire during the transition to adulthood: The role of fathers and intimate relationships

Barber¹,

Gatny²

2021

DemRes

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BACKGROUNDResearchers have questioned the accuracy of retrospective measures of unintended pregnancy, which ask women whether they wanted a pregnancy before it was conceived. OBJECTIVEWe investigated whether pregnant women's retrospective recollections of their preconception desires for pregnancy were shaped by intimate relationships, their own reactions, and their perceptions of their partners' reactions to their pregnancies. METHODSWe used the Relationship Dynamics and Social Life (RDSL) study, which included weekly survey interviews with 971 young women, of whom 175 experienced 203 pregnancies during the 2.5-year study period. We estimated logistic regression models of whether women's retrospective recollections of their pre-conception desires were stable, shifted positive, or shifted negative compared to their prospectively reported desires, along with formal mediation tests of potential mechanisms. RESULTSWomen were more likely to remember their undesired pregnancies as desired before conception if they themselves reacted happily to the pregnancy, they were married or engaged, or they perceived their partner as reacting positively. The association with perceiving her partner as positive was mediated by her own happiness about the pregnancy.

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“…37 In contrast, a recent study of New York City Youth Risk Behavior Survey data found that young SMW who identified as gay/lesbian or bisexual were more likely to report using no contraception at last sex compared with their heterosexual peers. 42 Additional data indicate that young SMW report less frequent contraceptive use 62 and use of less effective contraceptive methods compared with their heterosexual peers. 41 NSFG data reported by Agénor et al found that contraception use among adult women of all races who have sex with only women was less common (4.1-13.6%) as compared with their peers who have sex with men only (31.6-38.7%).…”

Section: Contraceptionmentioning

confidence: 99%

Family Planning for Sexual Minority Women

et al. 2017

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The family planning needs of sexual minority women (SMW) are an understudied but growing area of research. SMW have family planning needs, both similar to and distinct from their exclusively heterosexual peers. Specifically, SMW experience unintended pregnancies at higher rates than their exclusively heterosexual peers, but factors that increase this risk are not well understood. Contraception use is not uncommon among SMW, but lesbian women are less likely to use contraception than bisexual or exclusively heterosexual women. High rates of unintended pregnancy suggest contraception is underused among SMW. Contraception counseling guidelines specific to SMW do not yet exist, but greater adoption of current best practices is likely to meet the needs of SMW. SMW may have unique needs for their planned pregnancies as well, for which obstetrics and gynecology (Ob/Gyn) providers should provide care and referrals. In general, understandings of the distinct family planning needs for SMW are limited and further research is needed, with particular attention to issues of over-lapping health disparities related to status as a SMW and other factors such as race/ethnicity that may add additional layers of stigma and discrimination. Clinical resources are needed to help Ob/Gyns make their practice more welcoming to the needs of SMW.

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Non-Heterosexuality, Relationships, and Young Women’s Contraceptive Behavior

Cited by 37 publications

References 56 publications

Intimate Relationship Dynamics and Changing Desire for Pregnancy Among Young Women

Intimate Relationship Dynamics and Changing Desire for Pregnancy Among Young Women

The social context of retrospective-prospective changes in pregnancy desire during the transition to adulthood: The role of fathers and intimate relationships

Family Planning for Sexual Minority Women

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