Kelli Stidham Hall1, Jennifer L Richards2, Kathleen Mullan Harris3. 1. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia. Electronic address: kelli.s.hall@emory.edu. 2. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia. 3. Department of Sociology, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Abstract
PURPOSE: We investigated the influence of depression on subsequent risk of unintended pregnancy and social disparities within this relationship, during adolescence and young adulthood. METHODS: Drawing upon 15-year, nationally representative data from 8,810 young U.S. women in the National Longitudinal Study of Adolescent to Adult Health, we estimated associations between depression and time to first pregnancies reported as unintended, overall and stratified by race/ethnicity, socioeconomic status, and age with Cox proportional hazard models. RESULTS: Moderate/severe depression symptoms were associated with an increased risk of unintended first pregnancy (hazard ratio [HR], 1.21; confidence interval [CI], 1.02-1.44). In stratified models, depression increased the pregnancy risk for all minority groups (HRs, 1.36-3.25) but not white women. Depression increased the pregnancy risk for women with $0-$19,999 (HR, 1.48; CI, 1.11-1.98) and $20,000-$49,999 (HR, 1.33; CI, 1.05-1.68) income levels but not those at higher levels. Depression increased the pregnancy risk for adolescents <20 years (HR, 1.35; CI, 1.07-1.71) but decreased the risk for women >24 years (HR, .47; CI, .25-.86). CONCLUSIONS: Findings may inform more equitable, holistic public health strategies that target depression as a modifiable risk factor for adverse reproductive outcomes during adolescence and young adulthood.
PURPOSE: We investigated the influence of depression on subsequent risk of unintended pregnancy and social disparities within this relationship, during adolescence and young adulthood. METHODS: Drawing upon 15-year, nationally representative data from 8,810 young U.S. women in the National Longitudinal Study of Adolescent to Adult Health, we estimated associations between depression and time to first pregnancies reported as unintended, overall and stratified by race/ethnicity, socioeconomic status, and age with Cox proportional hazard models. RESULTS: Moderate/severe depression symptoms were associated with an increased risk of unintended first pregnancy (hazard ratio [HR], 1.21; confidence interval [CI], 1.02-1.44). In stratified models, depression increased the pregnancy risk for all minority groups (HRs, 1.36-3.25) but not white women. Depression increased the pregnancy risk for women with $0-$19,999 (HR, 1.48; CI, 1.11-1.98) and $20,000-$49,999 (HR, 1.33; CI, 1.05-1.68) income levels but not those at higher levels. Depression increased the pregnancy risk for adolescents <20 years (HR, 1.35; CI, 1.07-1.71) but decreased the risk for women >24 years (HR, .47; CI, .25-.86). CONCLUSIONS: Findings may inform more equitable, holistic public health strategies that target depression as a modifiable risk factor for adverse reproductive outcomes during adolescence and young adulthood.
Authors: Sarah B Maness; Eric R Buhi; Ellen M Daley; Julie A Baldwin; Jeffrey D Kromrey Journal: J Adolesc Health Date: 2016-03-26 Impact factor: 5.012
Authors: Julia R Steinberg; Jeanne M Tschann; Jillian T Henderson; Eleanor A Drey; Jody E Steinauer; Cynthia C Harper Journal: Contraception Date: 2013-09-09 Impact factor: 3.375
Authors: Leigh E Tenkku; Louise H Flick; Sharon Homan; Cynthia A Loveland Cook; Claudia Campbell; Maryellen McSweeney Journal: Womens Health Issues Date: 2009 Sep-Oct
Authors: Eugenia Millender; John P Barile; Jessica R Bagneris; Rachel M Harris; Ludmila De Faria; Frank Y Wong; Cindy A Crusto; Jacquelyn Y Taylor Journal: Arch Psychiatr Nurs Date: 2020-11-25 Impact factor: 2.218
Authors: Pietro Gambadauro; Vladimir Carli; Camilla Wasserman; Gergö Hadlaczky; Marco Sarchiapone; Alan Apter; Judit Balazs; Julio Bobes; Romuald Brunner; Doina Cosman; Christian Haring; Christina W Hoven; Miriam Iosue; Michael Kaess; Jean Pierre Kahn; Elaine McMahon; Vita Postuvan; Airi Värnik; Danuta Wasserman Journal: Reprod Health Date: 2018-11-06 Impact factor: 3.223
Authors: Jennifer Malat; Elaina Johns-Wolfe; Teresa Smith; Grant S Shields; Farrah Jacquez; George M Slavich Journal: J Health Psychol Date: 2020-10-28