TY - JOUR
T1 - Unintended births among adult immigrant and U.S.-Born Mexican women in the los angeles mommy and baby (lamb) survey
AU - Coller, Karen M.
AU - Chao, Shin M.
AU - Lu, Michael C.
AU - Strobino, Donna
N1 - Funding Information:
Funding for the 2005 Los Angeles Mommy and Baby study was provided by the County of Los Angeles Department of Public Health , Maternal, Child and Adolescent Health . Dr. Coller received support from the Centers for Disease Control and Prevention ( R36DP001162-01 ) and from the Epidemiological MCH/SPH Institute ( T03MC07645-07-00 ). Dr. Coller had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
PY - 2014/7
Y1 - 2014/7
N2 - Background: Unintended births are especially frequent among minority women. Predictors of unintended births among adult Mexican women living in the United States are poorly characterized. Methods: Data are from vital statistics and the 2005 Los Angeles Mommy and Baby (LAMB) survey, a population-based study of women delivering a live birth in Los Angeles County, California (n=1,214). Multivariable logistic regression assessed the relation of unintended birth with acculturation variables adjusting for background and psychosocial characteristics. Multinomial models assessed these relations for women with an unintended birth who did and did not use contraception. Findings: Forty-one percent of women reported an unintended birth. Being a long-term immigrant and U.S.-born were positively associated with unintended birth compared with shorter term immigrants, but the adjusted relation was significant only for U.S.-born women (odds ratio [OR], 2.01; 95% CI, 1.19-3.39). Women reporting an unintended birth were younger, unmarried, and higher parity. If using contraception, the odds of unintended birth were increased for cohabiting women, those with high education, and those with greater stress during pregnancy. When not using contraception and reporting an unintended birth, women also have no usual place for health care, have depressive symptoms during pregnancy, and are dissatisfied with partner support. Conclusions: Women's background and psychosocial characteristics were central to explaining unintended birth among immigrant women but less so for U.S.-born Mexican mothers. Interventions to improve birth intentions should not only target effective contraception, but also important social determinants.
AB - Background: Unintended births are especially frequent among minority women. Predictors of unintended births among adult Mexican women living in the United States are poorly characterized. Methods: Data are from vital statistics and the 2005 Los Angeles Mommy and Baby (LAMB) survey, a population-based study of women delivering a live birth in Los Angeles County, California (n=1,214). Multivariable logistic regression assessed the relation of unintended birth with acculturation variables adjusting for background and psychosocial characteristics. Multinomial models assessed these relations for women with an unintended birth who did and did not use contraception. Findings: Forty-one percent of women reported an unintended birth. Being a long-term immigrant and U.S.-born were positively associated with unintended birth compared with shorter term immigrants, but the adjusted relation was significant only for U.S.-born women (odds ratio [OR], 2.01; 95% CI, 1.19-3.39). Women reporting an unintended birth were younger, unmarried, and higher parity. If using contraception, the odds of unintended birth were increased for cohabiting women, those with high education, and those with greater stress during pregnancy. When not using contraception and reporting an unintended birth, women also have no usual place for health care, have depressive symptoms during pregnancy, and are dissatisfied with partner support. Conclusions: Women's background and psychosocial characteristics were central to explaining unintended birth among immigrant women but less so for U.S.-born Mexican mothers. Interventions to improve birth intentions should not only target effective contraception, but also important social determinants.
UR - http://www.scopus.com/inward/record.url?scp=84903453366&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84903453366&partnerID=8YFLogxK
U2 - 10.1016/j.whi.2014.03.005
DO - 10.1016/j.whi.2014.03.005
M3 - Article
C2 - 24837399
AN - SCOPUS:84903453366
SN - 1049-3867
VL - 24
SP - e365-e372
JO - Women's Health Issues
JF - Women's Health Issues
IS - 4
ER -