Association between Provision of Initial Family Planning Services and Unintended Pregnancy among Women Attending an STD Clinic

Shlay, Judith C.; Zolot, Liza; Bell, Debra A.; Maravi, Moises; Urbina, Christopher

doi:10.1089/jwh.2008.0966

Cited by 9 publications

(14 citation statements)

References 8 publications

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“…9 Approximately 10%-20% of women attending STD clinics are pregnant. 11,12 The higher rates of alcohol use with pregnancy seen in STD clinics are not surprising. The highest levels of heavy alcohol use, and the highest incidences of Chlamydia trachomatis and Neisseria gonorrhoeae infections, have been found in 15-to 24-year-olds.…”

Section: Pcsi Principles and Std Clinicsmentioning

confidence: 99%

A Novel Integration Effort to Reduce the Risk for Alcohol-Exposed Pregnancy among Women Attending Urban STD Clinics

et al. 2014

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Alcohol-exposed pregnancy (AEP) is a significant public health problem in the United States. Sexually transmitted disease (STD) clinics serve female clients with a high prevalence of heavy alcohol consumption coupled with ineffective contraceptive use. Project CHOICES (Changing High-Risk AlcOhol Use and Increasing Contraception Effectiveness) is an evidence-based, brief intervention to lower risk of AEP by targeting alcohol and contraceptive behaviors through motivational interviewing and individualized feedback . We describe our experience integrating and implementing CHOICES in STD clinics . This endeavor aligns with CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention's program collaboration and service integration strategic priority to strengthen collaborative work across disease areas and integrate services provided by related programs at the client level .

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Section: Pcsi Principles and Std Clinicsmentioning

confidence: 99%

A Novel Integration Effort to Reduce the Risk for Alcohol-Exposed Pregnancy among Women Attending Urban STD Clinics

et al. 2014

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“…Unintended pregnancies are similarly common in the general population [10][11][12][13]. The 2002 National Survey of Family Growth showed that 49% of pregnancies to women aged 18-44 years old in 2001 in the USA were unintended [10].…”

Section: Introductionmentioning

confidence: 99%

“…The U.S. Behavioral Risk Factor Surveillance System survey data showed that 29% of 18-to 44-year-old fertile women were at high risk for unintended pregnancy, based on the report of failure to use any form of contraception [11]. A 19% pregnancy rate was observed among a cohort of women seen in a sexually transmitted disease clinic in the USA, all of whom reported 'no intention of becoming pregnant' at their previous visit [12]. The 2008 Preconception Health Survey of 200 pregnant women and 151 women with a child under the age of 7 years living in Ontario, Canada, revealed that 30% of pregnancies were unplanned and 67% of women were happy with their last pregnancy [13].…”

Section: Introductionmentioning

confidence: 99%

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

et al. 2011

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There is speculation, but there are few data, on the high rates of unintended pregnancies in HIV-positive women. We investigated rates and correlates of unintended pregnancies among HIV-positive women of reproductive age. MethodsA cross-sectional study was conducted with recruitment stratified to match the geographical distribution of HIV-positive women of reproductive age (18-52 years) living in Ontario, Canada. Women, recruited from 38 sites between October 2007 and April 2009, were invited to complete a 189-item self-administered survey. This analysis focused on questions relating to pregnancy and whether the last pregnancy was intended. Logistic regression models were fitted to calculate unadjusted and adjusted odds ratios of correlates of unintended pregnancies occurring after HIV diagnosis. Happiness with unintended pregnancies was also assessed. ResultsThe median age at the time of the survey of the 416 participating HIV-positive women who were previously pregnant (53% before and 47% after HIV diagnosis) was 38 years [interquartile range (IQR) 33-44 years] and their last pregnancy was a median of 8 years (IQR 3-14 years) prior to the survey (n 5 283). Fifty-nine per cent were born outside Canada and 47% were of African ethnicity. Of the 416, 56% [95% confidence interval (CI) 51-61%] identified that their last pregnancy was unintended (57% before and 54% after HIV diagnosis). In the multivariable model, significant correlates of unintended pregnancy after HIV diagnosis were: marital status (P 5 0.01) and never having given birth (P 5 0.01). Women were less happy if their pregnancy was unintended (Po0.01). ConclusionsThe prevalence of unintended pregnancy was high in this cohort. Pregnancy planning programmes are needed for this population to decrease fetal and maternal complications and reduce vertical and horizontal transmission.

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“…Three of the studies were cross-sectional (Decker et al, 2012; Jones et al, 2006; Magnusson et al, 2011), two were prospective (Abrams, 1985; Upadhyay, Brown, Sokoloff, & Raine, 2012), one involved a retrospective chart review (Shlay, Zolot, Bell, Maravi, & Urbina, 2009), and one involved a pseudo cohort extracted from a randomized controlled trial by ignoring randomization (Cremer et al, 2011). …”

Section: Resultsmentioning

confidence: 99%

“…Two studies prospectively asked participants if they hoped to delay or avoid childbearing in the future (Cremer et al, 2011; Upadhyay et al, 2012). One study assumed that women desired to delay or avoid pregnancy based on request for contraception (Shlay et al, 2009). In these articles, the term “unplanned” was often used interchangeably with “unintended.” In a report by the National Center for Health Statistics, these terms were reported to frequently be used interchangeably in the literature (Mosher et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

Multiple Unintended Pregnancies in U.S. Women: A Systematic Review

Aztlan-James

McLemore

Taylor

2017

Women's Health Issues

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Context Each year, nearly half of all pregnancies in the United States are unintended. Risk factors of unintended pregnancy have been studied without attention to whether the pregnancy was the woman’s first unintended pregnancy or whether she had had more than one. Little is known about the prevalence, incidence, and risk factors for multiple unintended pregnancies. The purpose of this paper is to present a systematic review of the extant literature on the risk factors for multiple unintended pregnancies in women in the United States, and whether these factors are specific to multiple unintended pregnancies. Methods PubMed, PsychInfo, CINAHL, Web of Science and JSTOR databases were searched for empirical research studies performed after 1979, in the U.S., with a primary outcome of multiple unintended pregnancies. Articles that did not establish the intendedness of the studied pregnancies were excluded. Results Seven studies were identified. For multiple unintended pregnancies, incidence rates ranged from 7.4 to 30.9 per 100 person-years and prevalence rates ranged from 17% to 31.6%. Greater age; identifying as Black or Hispanic; non-voluntary first intercourse, particularly at a young age; sex trade involvement; and previous abortion were found to be associated with multiple unintended pregnancies. Use of IUDs or combined oral contraceptives were found to decrease risk of multiple unintended pregnancies. Conclusions This review suggests a small number of modifiable factors that may be used to better predict and manage multiple unintended pregnancies.

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Association between Provision of Initial Family Planning Services and Unintended Pregnancy among Women Attending an STD Clinic

Abstract: Certain baseline characteristics identified a subset of women seen in an STD clinic that were associated with future unintended pregnancy. Targeted interventions addressing these factors are needed.

Cited by 9 publications

References 8 publications

A Novel Integration Effort to Reduce the Risk for Alcohol-Exposed Pregnancy among Women Attending Urban STD Clinics

A Novel Integration Effort to Reduce the Risk for Alcohol-Exposed Pregnancy among Women Attending Urban STD Clinics

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

Multiple Unintended Pregnancies in U.S. Women: A Systematic Review

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