Unintended childbearing and knowledge of emergency contraception in a population-based survey of postpartum women

Kimberley A. Goldsmith, Laurin J. Kasehagen, Kenneth D. Rosenberg, Alfredo P. Sandoval, Jodi Lapidus

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objectives: We examined the relationship between unintended childbearing and knowledge of emergency contraception. Methods: The Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based survey of postpartum women. We analyzed data from the 2001 PRAMS survey using logistic regression to assess the relationship between unintended childbearing and emergency contraception while controlling for maternal characteristics such as age, race/ ethnicity, education, marital status, family income, and insurance coverage before pregnancy. Results: In 2001, 1,795 women completed the PRAMS survey (78.1% weighted response proportion). Of the women who completed the survey, 38.2% reported that their birth was unintended and 25.3% reported that they did not know about emergency contraception before pregnancy. Unintended childbearing was associated with a lack of knowledge of emergency contraception (OR 1.43, 95% CI 1.00, 2.05) after controlling for marital status and age. Conclusions: Women in Oregon who were not aware of emergency contraception before pregnancy were more likely to have had an unintended birth when their marital status and age were taken into account. Unintended birth was more likely among women who were young, unmarried, lower income, and uninsured. Given that emergency contraception is now available over-the-counter in the US to women who are 18 years of age or older, age- and culturally-appropriate public health messages should be developed to expand women's awareness of, dispel myths around, and encourage appropriate use of emergency contraception as a tool to help prevent unintended pregnancy and birth.

Original languageEnglish (US)
Pages (from-to)332-341
Number of pages10
JournalMaternal and Child Health Journal
Volume12
Issue number3
DOIs
StatePublished - May 2008

Fingerprint

Postcoital Contraception
Postpartum Period
Pregnancy
Marital Status
Population
Parturition
Insurance Coverage
Surveys and Questionnaires
Public Health
Logistic Models
Mothers
Education

Keywords

  • Emergency contraception
  • Postcoital contraception
  • PRAMS
  • Pregnancy
  • Unintended pregnancy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Unintended childbearing and knowledge of emergency contraception in a population-based survey of postpartum women. / Goldsmith, Kimberley A.; Kasehagen, Laurin J.; Rosenberg, Kenneth D.; Sandoval, Alfredo P.; Lapidus, Jodi.

In: Maternal and Child Health Journal, Vol. 12, No. 3, 05.2008, p. 332-341.

Research output: Contribution to journalArticle

Goldsmith, Kimberley A. ; Kasehagen, Laurin J. ; Rosenberg, Kenneth D. ; Sandoval, Alfredo P. ; Lapidus, Jodi. / Unintended childbearing and knowledge of emergency contraception in a population-based survey of postpartum women. In: Maternal and Child Health Journal. 2008 ; Vol. 12, No. 3. pp. 332-341.
@article{8ad06f211bbc4d6796d9acfc11b3f238,
title = "Unintended childbearing and knowledge of emergency contraception in a population-based survey of postpartum women",
abstract = "Objectives: We examined the relationship between unintended childbearing and knowledge of emergency contraception. Methods: The Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based survey of postpartum women. We analyzed data from the 2001 PRAMS survey using logistic regression to assess the relationship between unintended childbearing and emergency contraception while controlling for maternal characteristics such as age, race/ ethnicity, education, marital status, family income, and insurance coverage before pregnancy. Results: In 2001, 1,795 women completed the PRAMS survey (78.1{\%} weighted response proportion). Of the women who completed the survey, 38.2{\%} reported that their birth was unintended and 25.3{\%} reported that they did not know about emergency contraception before pregnancy. Unintended childbearing was associated with a lack of knowledge of emergency contraception (OR 1.43, 95{\%} CI 1.00, 2.05) after controlling for marital status and age. Conclusions: Women in Oregon who were not aware of emergency contraception before pregnancy were more likely to have had an unintended birth when their marital status and age were taken into account. Unintended birth was more likely among women who were young, unmarried, lower income, and uninsured. Given that emergency contraception is now available over-the-counter in the US to women who are 18 years of age or older, age- and culturally-appropriate public health messages should be developed to expand women's awareness of, dispel myths around, and encourage appropriate use of emergency contraception as a tool to help prevent unintended pregnancy and birth.",
keywords = "Emergency contraception, Postcoital contraception, PRAMS, Pregnancy, Unintended pregnancy",
author = "Goldsmith, {Kimberley A.} and Kasehagen, {Laurin J.} and Rosenberg, {Kenneth D.} and Sandoval, {Alfredo P.} and Jodi Lapidus",
year = "2008",
month = "5",
doi = "10.1007/s10995-007-0252-x",
language = "English (US)",
volume = "12",
pages = "332--341",
journal = "Maternal and Child Health Journal",
issn = "1092-7875",
publisher = "Springer GmbH & Co, Auslieferungs-Gesellschaf",
number = "3",

}

TY - JOUR

T1 - Unintended childbearing and knowledge of emergency contraception in a population-based survey of postpartum women

AU - Goldsmith, Kimberley A.

AU - Kasehagen, Laurin J.

AU - Rosenberg, Kenneth D.

AU - Sandoval, Alfredo P.

AU - Lapidus, Jodi

PY - 2008/5

Y1 - 2008/5

N2 - Objectives: We examined the relationship between unintended childbearing and knowledge of emergency contraception. Methods: The Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based survey of postpartum women. We analyzed data from the 2001 PRAMS survey using logistic regression to assess the relationship between unintended childbearing and emergency contraception while controlling for maternal characteristics such as age, race/ ethnicity, education, marital status, family income, and insurance coverage before pregnancy. Results: In 2001, 1,795 women completed the PRAMS survey (78.1% weighted response proportion). Of the women who completed the survey, 38.2% reported that their birth was unintended and 25.3% reported that they did not know about emergency contraception before pregnancy. Unintended childbearing was associated with a lack of knowledge of emergency contraception (OR 1.43, 95% CI 1.00, 2.05) after controlling for marital status and age. Conclusions: Women in Oregon who were not aware of emergency contraception before pregnancy were more likely to have had an unintended birth when their marital status and age were taken into account. Unintended birth was more likely among women who were young, unmarried, lower income, and uninsured. Given that emergency contraception is now available over-the-counter in the US to women who are 18 years of age or older, age- and culturally-appropriate public health messages should be developed to expand women's awareness of, dispel myths around, and encourage appropriate use of emergency contraception as a tool to help prevent unintended pregnancy and birth.

AB - Objectives: We examined the relationship between unintended childbearing and knowledge of emergency contraception. Methods: The Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) is a population-based survey of postpartum women. We analyzed data from the 2001 PRAMS survey using logistic regression to assess the relationship between unintended childbearing and emergency contraception while controlling for maternal characteristics such as age, race/ ethnicity, education, marital status, family income, and insurance coverage before pregnancy. Results: In 2001, 1,795 women completed the PRAMS survey (78.1% weighted response proportion). Of the women who completed the survey, 38.2% reported that their birth was unintended and 25.3% reported that they did not know about emergency contraception before pregnancy. Unintended childbearing was associated with a lack of knowledge of emergency contraception (OR 1.43, 95% CI 1.00, 2.05) after controlling for marital status and age. Conclusions: Women in Oregon who were not aware of emergency contraception before pregnancy were more likely to have had an unintended birth when their marital status and age were taken into account. Unintended birth was more likely among women who were young, unmarried, lower income, and uninsured. Given that emergency contraception is now available over-the-counter in the US to women who are 18 years of age or older, age- and culturally-appropriate public health messages should be developed to expand women's awareness of, dispel myths around, and encourage appropriate use of emergency contraception as a tool to help prevent unintended pregnancy and birth.

KW - Emergency contraception

KW - Postcoital contraception

KW - PRAMS

KW - Pregnancy

KW - Unintended pregnancy

UR - http://www.scopus.com/inward/record.url?scp=41949137441&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41949137441&partnerID=8YFLogxK

U2 - 10.1007/s10995-007-0252-x

DO - 10.1007/s10995-007-0252-x

M3 - Article

VL - 12

SP - 332

EP - 341

JO - Maternal and Child Health Journal

JF - Maternal and Child Health Journal

SN - 1092-7875

IS - 3

ER -