Research has suggested the importance of pregnancy desire in explaining pregnancy risk behavior among adolescent females. Much of the literature, however, uses cross-sectional study designs to examine this relationship. Because bias may strongly influence these results, more prospective studies are needed to confirm the relationship between pregnancy desire and pregnancy incidence over time.
Nonpregnant adolescents aged 14- to 19 years (n = 208) completed baseline interviews and interviews every 6 months thereafter for 18 months. Logistic regression was used to examine demographic and psychosocial correlates of pregnancy desire. Cox regression analysis was used to determine whether pregnancy desire predicted pregnancy incidence over time after controlling for potential confounders.
Twenty-four percent of participants either desired pregnancy or were ambivalent toward pregnancy in the next year. Pregnancy desire was associated with older age, relationship duration of <6 months, and greater perceived stress. After accounting for potential confounders, pregnancy desire doubled the risk of becoming pregnant over the 18-month follow-up period (relative risk, 2.00; 95% confidence interval [CI], 0.99–4.02). Additionally, a heightened risk for pregnancy was found among those who expressed some desire for pregnancy and who were not in school compared with those who expressed no desire for pregnancy and who were in school (relative risk, 4.84; 95% CI, 1.21–19.31).
Our analysis reinforces the importance of evaluating pregnancy desire among sexually active adolescent females. Interventions should target young women in new romantic relationships and who are not in school to improve pregnancy prevention efforts. Additionally, improving coping abilities may help to reduce feelings of pregnancy desire among adolescent females.
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Ms. Sipsma's research interests include adolescent reproductive health and maternal and child health more broadly, with a focus on both domestic and international settings.
Dr. Ickovics' research lies at the intersection between public health and psychology. She investigates the interplay of the complex psychological, medical, and social factors that influence the health of the person and of the community.
Ms. Lewis' areas of interest lie in adolescent pregnancy, reproductive and behavioral health, and HIV prevention.
Dr. Ethier's research has included psychosocial, behavioral, organizational and clinical factors related to women's health, maternal health and adolescent sexual and reproductive health.
Dr. Kershaw's research revolves around the intersection of sexual, reproductive, and maternal child health in young women, men, and couples.
Published online: December 23, 2010
Accepted: September 16, 2010
Received in revised form: September 16, 2010
Received: January 11, 2010
Supported by Award Number T32MH020031 from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH or the NIH.
© 2011 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.