Journal article
Cohort profile: the ADAPT study, a prospective study of pregnancy preferences, pregnancy, and health and well-being in the southwestern USA
BMJ open, v 14(9), pe085372
25 Sep 2024
PMID: 39322600
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Significant methodological shortcomings limit the validity of prior research on pregnancy decision-making and the effects of 'unintended' pregnancies on people's health and well-being. The Attitudes and Decisions After Pregnancy Testing (ADAPT) study investigates the consequences for individuals unable to attain their pregnancy and childbearing preferences using an innovative nested prospective cohort design and novel conceptualisation and measurement of pregnancy preferences.
This paper describes the characteristics of the ADAPT Study Cohort, comprised of 2015 individuals aged 15-34 years, assigned female at birth, recruited between 2019 and 2022 from 23 health facilities in the southwestern USA.
The cohort was on average 25 years old. About 59% identified as Hispanic/Latine, 21% as white, and 8% as black, 13% multiracial or another race. Over half (56%) were nulliparous. About 32% lived in a household with income <100% of the federal poverty level. A significant minority (37%) reported a history of a depressive, anxiety or other mental health disorder diagnosis, and 30% reported currently experiencing moderate or severe depressive symptoms. Over one-quarter (27%) had ever experienced physical intimate partner violence, and almost half (49%) had ever experienced emotional abuse. About half (49%) had been diagnosed with a chronic health condition, and 37% rated their physical health as fair or poor. The 335 (17%) participants who experienced incident pregnancy over 1 year were similar to selected non-pregnant matched comparison participants in terms of age, racial and ethnic identity, and parity but were more likely to live with a main partner than comparison participants.
We will continue to follow participants who experienced incident pregnancy and non-pregnant comparison participants until 2026. Analyses will examine pregnancy decision-making and investigate differences in health and well-being by prepregnancy pregnancy desires and feelings after the discovery of pregnancy, offering new insights into the consequences of not attaining one's reproductive preferences.
NCT03888404.
Metrics
Details
- Title
- Cohort profile: the ADAPT study, a prospective study of pregnancy preferences, pregnancy, and health and well-being in the southwestern USA
- Creators
- Corinne H Rocca - Department of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA Corinne.Rocca@ucsf.eduHeather Gould - Department of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USAElizabeth Gonzalez - Department of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USADiana G Foster - Department of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USAIsabel Muñoz - Division of Epidemiology, University of California, School of Public Health, Berkeley, California, USAMiriam Parra - University of California, San FranciscoLauren J Ralph - Department of Obstetrics, Gynecology and Reproductive Sciences, Advancing Standards in Reproductive Health (ANSIRH), University of California, School of Medicine, Oakland, California, USA
- Publication Details
- BMJ open, v 14(9), pe085372
- Publisher
- BMJ PUBLISHING GROUP; LONDON
- Number of pages
- 13
- Grant note
- Eunice Kennedy Shriver National Institute of Child Health and Human Development: R01- HD108643
This study was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01- HD108643) and a research grant from the Susan Thompson Buffett Foundation.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing
- Web of Science ID
- WOS:001320497600001
- Scopus ID
- 2-s2.0-85204941201
- Other Identifier
- 991021906085404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Public, Environmental & Occupational Health