Associations Among Sociodemographic and Contextual Factors and Youth Pregnancy Preferences.

IF 5.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health Pub Date : 2025-05-17 DOI:10.1016/j.jadohealth.2025.03.017

Sarah F Nathan, Susan A Chapman, Claire D Brindis, Corinne H Rocca

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引用次数: 0

Abstract

Purpose: Efforts to improve access to and use of contraception among young people have often inadequately accounted for the diversity in feelings youth hold about a potential pregnancy. Research using validated measures, is needed to investigate the distribution of pregnancy preferences among youth (15-24 years old) and identify contextual factors that may shape these preferences.

Methods: A series of bivariate regression models and one multivariate regression model were run using data from the Attitudes and Decision Making After Pregnancy Testing (ADAPT) study, including n = 1,020 assigned female at birth youth recruited from 23 health facilities in the southwestern United States. Pregnancy preferences were measured with the Desire to Avoid Pregnancy (DAP) scale, a prospective validated measure.

Results: A range of DAP scale scores (pregnancy preferences) were found, with a mean of 2.5 (standard deviation 1.1, 0 = greatest openness to pregnancy, 4 = strongest desire to avoid pregnancy). Parous (1.98 vs. 2.63 nulliparous; aCoeff. -0.38, p ≤ .001) and more religious youth (2.16 vs. 2.68 without religion; aCoeff. -0.47, p ≤ .001) were relatively more open to the prospect of pregnancy (e.g., lower DAP score). Those without a main partner (2.79 vs. 2.41 in a relationship; aCoeff. 0.37, p ≤ .001), who were in school (2.80 vs. 2.25 not in school; aCoeff. 0.45, p ≤ .001), and those experiencing depressive symptoms (2.70 vs. 2.40 not depressed; aCoeff. 0.19, p ≤ .01) expressed stronger desire to avoid pregnancy.

Discussion: Youth pregnancy preferences are diverse and shaped by their partnership status, prior childbearing, social context, and mental health.

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社会人口学和环境因素与青少年怀孕偏好的关系。

目的：改善年轻人获得和使用避孕措施的努力往往没有充分考虑到年轻人对潜在怀孕的感受的多样性。需要使用有效的措施进行研究，以调查青少年（15-24岁）的怀孕偏好分布，并确定可能影响这些偏好的背景因素。方法：采用一系列双变量回归模型和一个多变量回归模型，使用妊娠试验后态度和决策（ADAPT）研究的数据，包括从美国西南部23个卫生机构招募的n = 1,020名指定的女性出生青年。妊娠偏好用避免妊娠的愿望（DAP）量表测量，这是一种前瞻性的有效测量方法。结果：DAP量表评分范围（妊娠偏好），均值为2.5分（标准差1.1,0 =对妊娠最开放，4 =最强烈的避免妊娠愿望）。Parous (1.98 vs. 2.63；aCoeff。-0.38, p≤.001)和更多的信教青年(2.16 vs. 2.68；aCoeff。-0.47, p≤0.001)对妊娠前景相对更开放（如DAP评分较低）。没有主要伴侣的人（2.79 vs 2.41）；aCoeff。0.37, p≤.001)，在校生(2.80 vs. 2.25；aCoeff。0.45, p≤0.001)，有抑郁症状者(2.70 vs. 2.40不抑郁；aCoeff。0.19, p≤0.01)表示更强烈的避免怀孕愿望。讨论：青少年的怀孕偏好是多种多样的，受其伴侣关系、生育史、社会背景和心理健康状况的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

10.40

自引率

3.90%

发文量

526

审稿时长

46 days

期刊介绍： The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.