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

American Journal of Obstetrics and Gynecology
Ian M BennettIrma T Elo

Abstract

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 > or = 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.

References

May 1, 1980·Psychiatry Research·R E Roberts
Sep 1, 1996·Obstetrics and Gynecology·J A Cramer
Jul 29, 1998·The Journal of Nervous and Mental Disease·S StuartL Gorman
Nov 9, 2001·Journal of the American Academy of Child and Adolescent Psychiatry·J D McLennanH Cho
Dec 18, 2001·American Journal of Obstetrics and Gynecology·B P ZhuM L Boulton
Oct 25, 2002·American Journal of Epidemiology·Suezanne T OrrCheryl Blackmore Prince
Nov 20, 2002·American Journal of Obstetrics and Gynecology·Emmanuel BujoldRobert J Gauthier
Jul 25, 2003·Contraception·Chiun Fang ChiouJeff Borenstein

❮ Previous
Next ❯

Citations

Nov 13, 2008·American Journal of Epidemiology·Pablo A MoraJennifer F Culhane
Nov 24, 2011·ISRN Obstetrics and Gynecology·M NajafianR Mohammad Jafari
Jul 16, 2013·Contraception·Kelli Stidham HallJennifer Barber
Apr 7, 2010·Best Practice & Research. Clinical Obstetrics & Gynaecology·Sam Rowlands
Sep 8, 2009·Journal of Pediatric and Adolescent Gynecology·Jeanelle SheederCatherine Stevens-Simon
Nov 1, 2015·American Journal of Obstetrics and Gynecology·Susan ChaSaba W Masho
Apr 16, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kelli Stidham HallJennifer Barber
Jan 22, 2014·Social Science & Medicine·Kelli Stidham HallJennifer Barber
Dec 23, 2008·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Colleen P CrittendenDavid L Olds
Sep 10, 2014·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jenny FrancisJohn Santelli
Jan 23, 2017·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kelli Stidham HallKathleen Mullan Harris
Aug 30, 2020·Maternal and Child Health Journal·Jessica F HardingAmy Margolis
Feb 23, 2011·Public Health Reports·David A WebbRobert L Goldenberg
Feb 28, 2014·Maternal and Child Health Journal·Laurie James-HawkinsStefanie Mollborn
May 31, 2020·Journal of Women's Health·Sami BackleyLisa Chasan-Taber
May 7, 2020·Maternal and Child Health Journal·Kari HarrisCarolyn Ahlers-Schmidt
Aug 17, 2021·Maternal and Child Health Journal·Hana SmithBethany Ashby

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.