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Invited paper| Volume 21, ISSUE 3, SUPPLEMENT , S8-S13, May 2011

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Associations Between Perceived Partner Support and Relationship Dynamics With Timing of Pregnancy Termination

      Abstract

      Background

      Little is known about partner- and relationship-level characteristics that may affect the timing of pregnancy termination. The present study sought to address this issue by examining women’s perceptions of social support and relationship-level dynamics for their association with timing of pregnancy termination.

      Methods

      Data on partner characteristics and relationship dynamics were collected from 373 women receiving abortions at clinics in two large East Coast cities via a brief, self-administered survey. These surveys collected information on individual and partner characteristics as well as perceived emotional, financial, and material support and relationship dynamics.

      Results

      Forty-six percent of women (mean age, 25 years; 52% African American, 27% Latina, 9% White; 34% currently in school; 37% employed full time) in this study were terminating a pregnancy at more than 9 weeks’ gestation (mean, 9.6; median, 8; interquartile range, 6–12). On bivariate analysis, we found that women terminating early (<9 weeks) were more likely to report perceptions of supportive partner interactions and joint decision making compared with those terminating later. Perceived negative interactions with partners were associated with later termination. In multivariate analysis, controlling for sociodemographic characteristics, women who reported delays in pregnancy termination were also more likely to report a greater degree of perceived negative interactions in their relationships (adjusted odds ratio, 1.95; 95% confidence interval, 1.19–3.20).

      Discussion

      These findings suggest that factors influencing a woman’s decision to terminate a pregnancy are not limited to her own professional or personal goals, but also include the social and relationship context within which the pregnancy occurs.
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      References

        • Armstrong B.
        The young men’s clinic: Addressing men’s reproductive health and responsibilities.
        Perspectives on Sexual and Reproductive Health. 2003; 35: 220-225
        • Bartlett L.A.
        • Berg C.J.
        • Shulman H.B.
        • Sane S.B.
        • Green C.A.
        • Whitehead S.
        • et al.
        Risk factors for legal induced abortion-related mortality in the United States.
        Obstetrics and Gynecology. 2004; 103: 729-737
        • Bustamante-Forest R.
        • Giarratano G.
        Changing men’s involvement in reproductive health and family planning.
        Nursing Clinics of North America. 2004; 39: 301-318
        • Clinton J.F.
        • Kelber S.T.
        Stress and coping in fathers of newborns: Comparisons of planned versus unplanned pregnancy.
        International Journal of Nursing Studies. 1993; 30: 437-443
        • Drey E.A.
        • Foster D.G.
        • Jackson R.A.
        • Lee S.J.
        • Cardenas L.H.
        • Darney P.D.
        Risk factors associated with presenting for abortion in the second trimester.
        Obstetrics and Gynecology. 2006; 107: 128-135
        • Finer L.B.
        • Frohwirth L.F.
        • Dauphinee L.A.
        • Singh S.
        • Moore A.M.
        Reasons U.S. women have abortions: Quantitative and qualitative perspectives.
        Perspectives on Sexual and Reproductive Health. 2005; 37: 110-118
        • Finer L.B.
        • Frohwirth L.F.
        • Dauphinee L.A.
        • Singh S.
        • Moore A.M.
        Timing of steps and reasons for delays in obtaining abortions in the United States.
        Contraception. 2006; 74: 334-344
        • Foster D.G.
        • Jackson R.A.
        • Cosby K.
        • Weitz T.A.
        • Darney P.D.
        • Drey E.A.
        Predictors of delay in each step leading to an abortion.
        Contraception. 2008; 77: 289-293
        • Grzywacz J.G.M.N.F.
        Family solidarity and health behaviors: Evidence from the National Survey of Midlife Development in the United States.
        Journal of Family Issues. 1999; 20: 243-268
        • Hardy J.B.
        • Duggan A.K.
        • Masnyk K.
        • Pearson C.
        Fathers of children born to young urban mothers.
        Family Planning Perspectives. 1989; 21: 159-163
        • Henshaw S.K.
        • Finer L.B.
        The accessibility of abortion services in the United States, 2001.
        Perspectives on Sexual and Reproductive Health. 2003; 35: 16-24
        • Henshaw S.K.
        • Kost K.
        Parental involvement in minors’ abortion decisions.
        Family Planning Perspectives. 1992; 24: 196-207
        • Kroelinger C.D.
        • Oths K.S.
        Partner support and pregnancy wantedness.
        Birth. 2000; 27: 112-119
        • Lachman M.E.
        • Weaver S.L.
        Sociodemographic variations in the sense of control by domain: Findings from the MacArthur studies of midlife.
        Psychology and Aging. 1998; 13: 553-562
        • Marcell A.V.
        • Ford C.A.
        • Pleck J.H.
        • Sonenstein F.L.
        Masculine beliefs, parental communication, and male adolescents’ health care use.
        Pediatrics. 2007; 119: e966-e975
        • May K.A.
        A typology of detachment/involvement styles adopted during pregnancy by first-time expectant fathers.
        Western Journal of Nursing Research. 1980; 2: 444-461
        • Miller W.B.
        The relationship between childbearing motivations and attitude toward abortion among married men and women.
        Family Planning Perspectives. 1994; 26: 165-168
        • Panzarine S.
        • Elster A.B.
        Coping in a group of expectant adolescent fathers: An exploratory study.
        Journal of Adolescent Health Care. 1983; 4: 117-120
        • Speizer I.S.
        • Santelli J.S.
        • Fable-Munsuz A.
        • Kendall C.
        Measuring factors underlying intendedness of women’s first and later pregnancies.
        Perspectives on Sexual and Reproductive Health. 2004; 36: 198-205
        • Zabin L.S.
        • Huggins G.R.
        • Emerson M.R.
        • Cullins V.E.
        Partner effects on a woman’s intention to conceive: ‘Not with this partner’.
        Family Planning Perspectives. 2000; 32: 39-45
        • Zavodny M.
        The effect of partners’ characteristics on teenage pregnancy and its resolution.
        Family Planning Perspectives. 2001; 33: 192-199

      Biography

      Farzana Kapadia, PhD, MPH, is an Assistant Professor of Public Health in the Department of Nutrition, Food Studies & Public Health, New York University. She is an epidemiologist whose research examines individual and contextual influences on sexual health.

      Biography

      Lawrence B. Finer, PhD, is the Director of Domestic Research at the Guttmacher Institute. He is a demographer whose work focuses on contraceptive use, unintended pregnancy and abortion.

      Biography

      Emily Klukas, MPH, is a recent graduate of the Community Public Health program, New York University. She is currently a capacity building specialist at the Latino Commission on AIDS in New York City.