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Unintended rapid repeat pregnancy and low education status: Any role for depression and contraceptive use?
Journal article   Open access   Peer reviewed

Unintended rapid repeat pregnancy and low education status: Any role for depression and contraceptive use?

Ian M. Bennett, Jennifer F. Culhane, Kelly F. McCollum and Irma T. Elo
American journal of obstetrics and gynecology, v 194(3), pp 749-754
2006
DOI: https://doi.org/10.1016/j.ajog.2005.10.193
PMID: 16522408
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc3606910View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Contraception Depressive symptom Educational status Fertility control Postpartum period Pregnancy interval
The purpose of this study was to assess the contribution of depressive symptoms and poor contraceptive use early in the first postpartum year to the risk of unintended repeat pregnancy at the end of that year among adults with low educational status (<12th grade or equivalence). This was a prospective observational cohort study of 643 sexually active, low-income, inner-city adult women (age ≥19) who enrolled prenatally (14.7 ± 6.9 weeks gestational age) and were followed twice after delivery (3.3 ± 1.3 months and 11.0 ± 1.3 months). Associations were assessed by multivariate logistic regression. Low educational status (odds ratio, 2.32; 95% CI, 1.25-4.33) and less effective contraceptive use (odds ratio, 2.31; 95% CI, 1.05-4.51) were associated with unintended pregnancy. Neither depressive symptoms nor contraceptive use reduced the risk of pregnancy that was associated with low educational status. Low educational status was associated with more than twice the risk of unintended pregnancy 1 year after delivery. We found no evidence that depression or poor contraceptive use mediate this relationship.

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37 citations in Web of Science
38 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Obstetrics & Gynecology
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