Pregnancy Intendedness by Presence and Extent of Disability in the USA, 2019–2020
Bibliographic Data
| ID | 6444925 |
|---|---|
| Authors | Abigail Newby‐kew (0000-0003-0720-6506, Oregon Health & Science University), Jonathan M Snowden (0000-0002-9566-3047, Oregon Health & Science University), Anne Valentine (Brandeis University), Ilhom Akobirshoev (0000-0003-0680-5101, Brandeis University), M Mitra (0000-0002-4089-3240, Brandeis University), Willi Horner‐johnson (0000-0003-3568-1400, Oregon Health & Science University, corresponding author) |
| Year | 2025 |
| Volume | 57 |
| Issue | 1 |
| Pages | 85-94 |
| Publication date | 2025-01-09 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Perspectives on Sexual and Reproductive Health (JOURNAL) |
| Journal identifiers | ISSN: 1538-6341 • E-ISSN: 1931-2393 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/psrh.12292 |
| PMID | 39789758 |
| OpenAlex | W4406253440 |
| Language | EN |
| References cited | 50 |
Context Over 40% of pregnancies in the United States are unintended. Women with unintended pregnancies may be less likely to receive timely prenatal care and engage in healthy behaviors immediately before and during pregnancy. Limited research suggests that women with disabilities are more likely to have an unintended pregnancy, but to date no studies have assessed whether intendedness varies by extent of disability. Methods We analyzed 2019–2020 PRAMS data from 22 sites that included the Washington Group Short Set of Questions on Disability ( n = 37,832). We examined associations of extent of disability (none, some difficulty, or a lot of difficulty) with pregnancy intendedness (classified as intended, mistimed, unwanted, or unsure). We used multinomial logistic regression to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) while controlling for sociodemographic characteristics. Results Overall, 60.1% of pregnancies were intended, 18.2% mistimed, 6.4% unwanted, and 15.3% unsure. Compared to respondents with no difficulty, respondents with some difficulty or a lot of difficulty were more likely to report a mistimed pregnancy (aOR = 1.55, 95%CI 1.40,1.71; aOR = 1.62, 95%CI 1.34,1.95), an unwanted pregnancy (aOR = 1.92, 95%CI 1.66,2.24; aOR = 2.20; 95%CI 1.72,2.82), and unsure intendedness (aOR = 1.61, 95%CI 1.45,1.79; aOR = 1.75, 95%CI 1.45,2.11), respectively. Conclusions People with disabilities who give birth, regardless of extent of disability, had elevated odds of mistimed and unwanted pregnancy and of being unsure of their pregnancy intendedness. Our findings support the use of more inclusive measures of disability and emphasize the need for equitable reproductive healthcare that respects the childbearing potential and choices of individuals with disabilities
Confidence interval · Context (archaeology · Environmental health · Family planning · Logistic regression · Odds · Odds ratio · Population · Pregnancy · Unintended pregnancy · Demography · Ectopic Pregnancy Diagnosis and Management · Maternal and Perinatal Health Interventions · Medicine · Reproductive Health and Contraception · Internal Medicine
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Do Pregnancy Intentions Matter? A Research Note Revisiting Relationships Among Pregnancy, Birth, and Maternal Outcomes
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| Citation velocity | historical |
|---|---|
| Highly cited | No |