In the United States, half of all pregnancies are classified as unintended. This measure fails to capture the complexity of cognitive and affective processes that result in conflicted or ambivalent attitudes toward pregnancy. Accurately measuring women's reproductive plans is essential for providing appropriate interventions to improve maternal-child health. The purpose of this study was to explore the concept of pregnancy ambivalence by estimating a multidimensional measure of pregnancy desire in the 2006-2010 National Survey of Family Growth data, and to examine the social and demographic characteristics associated with pregnancy ambivalence. For each female participant reporting exactly one live birth within a three-year time period (n = 2,298), a pregnancy desire score was calculated from five existing survey items. Weighted mean pregnancy desire scores were calculated for levels of the following covariates: maternal age, race, marital status, educational level, income, employment status, and birth order. Weighted multiple linear regression analysis was used to examine the associations between pregnancy desire and the same covariates. On a 0–100 scale, the mean pregnancy desire score was 68.7 (standard error 1.0). Pregnancy desire scores were highest for married, highly educated non-Hispanic White women between the ages of 35 and 39, with income greater than 300% of the federal poverty level, giving birth to their second child. After controlling for covariates, Hispanic women had a mean pregnancy desire score five points higher than non-Hispanic White women, and the difference in pregnancy desire score for a first birth versus a second birth was not statistically significant. The distribution of pregnancy desire score revealed that about one-quarter of pregnancies are highly desired, highlighting the large number of women with conflicting or ambivalent feelings about their pregnancies. Further research to explore alternatives to the traditional measure of pregnancy intention is warranted.
|Advisor:||Wilkinson, Anna V.|
|School:||The University of Texas School of Public Health|
|Department:||Epidemiology and Disease Control|
|School Location:||United States -- Texas|
|Source:||MAI 54/01M(E), Masters Abstracts International|
|Subjects:||Public health, Epidemiology|
|Keywords:||Cross-sectional, Family planning, Pregnancy ambivalence, Pregnancy intention, Secondary data analysis|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be