Patient characteristics associated with pregnancy ambivalence

Pooja Patel, Tabassum H. Laz, Abbey Berenson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: The objective of our study was to determine demographic characteristics, health and sexual behaviors, and psychological health associated with pregnancy ambivalence. We used a cross-sectional design for our study. Methods: A self-administered cross-sectional survey was conducted among nonpregnant women 16-40 years old from southeast Texas from July 2010 to August 2011. The survey included questions pertaining to demographics, pregnancy intentions, health behaviors, sexual behaviors, violence exposure, pregnancy coercion, and psychological behaviors. Multivariate logistic regression analyses were performed to determine differences between ambivalent and nonambivalent females. Results: Of the 1,388 women included in this analysis, 529 (38%) were ambivalent toward pregnancy. Ambivalent women were younger (p=0.03), had fewer children living at home (p<0.01), and were less likely to have been previously pregnant (p=0.01). Multivariate analysis showed that ambivalent women were more likely to smoke (p<0.01), sleep poorly (p=0.02), have had more sexual partners in the past month (p<0.01) and in their lifetime (p=0.01), not used contraception at last sex (p=0.01), be a victim of violence (p=0.01), and have experienced pregnancy coercion (p<0.01). In addition, these women exhibited higher scores on scales measuring depressive symptoms (p=0.01) and perceived stress (p<0.01). Conclusions: Women ambivalent toward pregnancy are not only less likely to use contraception but also more likely to have unhealthy behaviors and psychological risk factors. As this combination of characteristics may put a future pregnancy and child at risk, awareness about the possible consequences of pregnancy ambivalence needs to increase among the public and medical community. Providers need to focus efforts on screening for this patient population and preventive education through contraceptive counseling.

Original languageEnglish (US)
Pages (from-to)37-41
Number of pages5
JournalJournal of Women's Health
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2015

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Pregnancy
Coercion
Psychology
Contraception
Sexual Behavior
Demography
Sexual Partners
Sex Offenses
Health Behavior
Health
Contraceptive Agents
Violence
Smoke
Counseling
Sleep
Multivariate Analysis
Cross-Sectional Studies
Logistic Models
Regression Analysis
Depression

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Patient characteristics associated with pregnancy ambivalence. / Patel, Pooja; Laz, Tabassum H.; Berenson, Abbey.

In: Journal of Women's Health, Vol. 24, No. 1, 01.01.2015, p. 37-41.

Research output: Contribution to journalArticle

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