No one to turn to: low social support and the incidence of undesired pregnancy in the United States

Moseson, Heidi; Dehlendorf, Christine; Gerdts, Caitlin; Vittinghoff, Eric; Hiatt, Robert A.; Barber, Jennifer S.

doi:10.1016/j.contraception.2018.06.009

Cited by 17 publications

(14 citation statements)

References 33 publications

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“…This study finds that trans-masculine individuals with more social support have decreased odds of pregnancy. Similar findings have been shown in cisgender females with regard to unplanned pregnancy [10]. Additionally, findings suggest that a lower proportion of transmasculine students use contraceptives relative to non-students.…”

Section: Discussionsupporting

confidence: 82%

The contraceptive and reproductive history and planning goals of trans-masculine adults: a mixed-methods study

et al. 2019

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Objectives: This study aims to identify factors associated with the reproductive planning of transmasculine adults. Study design: Between 2015 and 2016, providers enrolled 150 trans-masculine adults in a sexual health study assessing sociodemographics, social support, gender affirmation, sexual partnering, and reproductive history and planning. A brief clinical interview assessed contraceptive use and concerns. Bivariate and multivariable logistic regression analyses examined associations between participant characteristics and three outcomes: current contraceptive use, lifetime pregnancy history and reproductive planning. Results: Overall, 37.3% are currently using contraceptives; 5.3% have been pregnant; and 20.0% plan to have biological children (9.3% plan to become pregnant; 12.0% plan to use their oocytes with a surrogate). Participants are less likely to use contraceptives if they are students vs. not, have socially affirmed their gender vs. not and have a partner vs. are single. Greater number of sexual partners is associated with the increased odds of contraceptive use. Further, as social support increases, the odds of having been pregnant decreases. Participants with a nonbinary gender identity are more likely to want to become pregnant than those with a binary gender identity, whereas those who have socially affirmed their gender are less likely to want to become pregnant than those who had not. Finally, participants of color more commonly planned to use their oocytes with a surrogate than white participants. Conclusion: Sociodemographic, gender affirmation, social support and sexual partner factors are associated with contraceptive use and reproductive history among trans-masculine patients.

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Section: Discussionsupporting

confidence: 82%

The contraceptive and reproductive history and planning goals of trans-masculine adults: a mixed-methods study

et al. 2019

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“…The idea that women who experience unintended pregnancy are "drifters" who have somehow failed to control or even think about their reproductive capacity [66] is stigmatizing and not supported by the wealth of scientific evidence thus far accumulated. Also stigmatizing are public policies directed solely at reducing unintended pregnancy without regard to how that is achieved [41,67,68]. Evidence-based policies that serve the needs of the public recognize the varying circumstances under which individuals become pregnant, including acceptance that, for many, pregnancy without planning or intention is their preference.…”

Section: Critique: the Measure Supports Misleading And Stigmatizing Nmentioning

confidence: 99%

Challenging unintended pregnancy as an indicator of reproductive autonomy: a response

Kost

Zolna

2019

Contraception

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(K. Kost). 1 We recognize that many trans men, gender-nonbinary and gender-nonconforming people also often need reproductive health care to either prevent or support pregnancy. Unfortunately, most data sources with pregnancy intentions measures do not allow researchers to identify these populations; some data sources do not even include these individuals. Because of these data limitations, we generally use the term "women" to describe the group of individuals for which we have data, but recognize that this does not necessarily include the experiences of everyone who is able to become pregnant. 2 While the issues raised throughout are relevant to ongoing discussions of how we approach research work globally, the extent of the expertise of the authors of this response necessarily limits our perspective to the body of research work focused on unintended pregnancy in the United States.

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“…Consistently a study in Addis Ababa supports this finding (6). Other studies state that when parents have better income they usually follow, support and control their child's which reduces exposure of unintended pregnancy (8,10,(34)(35)(36). This might be due to those whose income is from partners might be influenced or forced by their partners due to economic dependency.…”

Section: Discussionmentioning

confidence: 99%

“…The major reason for it is gap on accessing and practicing contraceptive [7,8]. In Africa there is a high incidence of risky sexual behaviors among university Students [9].…”

Section: Introductionmentioning

confidence: 99%

Pregnancy History and Associated Factors Among Hawassa University Regular Undergraduate Female Students, Southern Ethiopia

Fikadu¹,

Siyoum²,

Tirfie³

2020

AJLM

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Introduction: Global incidence of pregnancies among University students is increasing; and challenging in Universities of Ethiopia. There are a few studies on pregnancy experiences among university students in Ethiopia. The finding will be used by policy makers, additive of the existing knowledge and as a reference for future researchers. Objective: To assess magnitude of pregnancy experiences and associated factors among Hawassa University regular female students from May 1-15, 2019. Methods: Institution based cross-sectional study was conducted from May 1-15, 2019 and 741 participants were selected using multistage sampling method from Hawassa University regular undergraduate female students. EPidata for entry and SPSS for analysis were used. Variables with p <0.25 on bivariate were used for multivariable analysis and p<0.05 were considered significant. Result: Magnitude of pregnancies experience among Hawassa University regular undergraduate female students was 98 (13.2%) (95%

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No one to turn to: low social support and the incidence of undesired pregnancy in the United States

Abstract: Interventions to increase young women's perceptions of social support may reduce the risk of undesired pregnancy for some individuals.

Cited by 17 publications

References 33 publications

The contraceptive and reproductive history and planning goals of trans-masculine adults: a mixed-methods study

The contraceptive and reproductive history and planning goals of trans-masculine adults: a mixed-methods study

Challenging unintended pregnancy as an indicator of reproductive autonomy: a response

Pregnancy History and Associated Factors Among Hawassa University Regular Undergraduate Female Students, Southern Ethiopia

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