PMID- 28796678
OWN - NLM
STAT- MEDLINE
DCOM- 20170908
LR  - 20180901
IS  - 1873-233X (Electronic)
IS  - 0029-7844 (Linking)
VI  - 130
IP  - 3
DP  - 2017 Sep
TI  - Socioeconomic Status As a Risk Factor for Unintended Pregnancy in the
      Contraceptive CHOICE Project.
PG  - 609-615
LID - 10.1097/AOG.0000000000002189 [doi]
AB  - OBJECTIVE: To evaluate the association of low socioeconomic status as an
      independent risk factor for unintended pregnancy. METHODS: We performed a
      secondary analysis of data from the Contraceptive CHOICE project. Between 2007
      and 2011, 9,256 participants were recruited and followed for up to 3 years. The
      primary outcome of interest was unintended pregnancy; the primary exposure
      variable was low socioeconomic status, defined as self-report of either receiving
      public assistance or having difficulty paying for basic necessities. Four
      contraceptive groups were evaluated: 1) long-acting reversible contraceptive
      method (hormonal or copper intrauterine device or subdermal implant); 2) depot
      medroxyprogesterone acetate injection; 3) oral contraceptive pills, a transdermal
      patch, or a vaginal ring; or 4) other or no method. Confounders were adjusted for
      in the multivariable Cox proportional hazard model to estimate the effect of
      socioeconomic status on risk of unintended pregnancy. RESULTS: Participants with 
      low socioeconomic status experienced 515 unintended pregnancies during 14,001
      women-years of follow-up (3.68/100 women-years; 95% CI 3.37-4.01) compared with
      200 unintended pregnancies during 10,296 women-years (1.94/100 women-years; 95%
      CI 1.68-2.23) among participants without low socioeconomic status. Women with low
      socioeconomic status were more likely to have an unintended pregnancy (unadjusted
      hazard ratio [HR] 1.8, 95% CI 1.5-2.2). After adjusting for age, education level,
      insurance status, and history of unintended pregnancy, low socioeconomic status
      was associated with an increased risk of unintended pregnancy (adjusted HR 1.4,
      95% CI 1.1-1.7). CONCLUSION: Despite the removal of cost barriers, low
      socioeconomic status is associated with a higher incidence of unintended
      pregnancy.
FAU - Iseyemi, Abigail
AU  - Iseyemi A
AD  - Meharry Medical College, Nashville, Tennessee; the Department of Obstetrics &
      Gynecology, Washington University School of Medicine, St. Louis, Missouri; and
      the Department of Obstetrics & Gynecology; Indiana University School of Medicine,
      Indianapolis, Indiana.
FAU - Zhao, Qiuhong
AU  - Zhao Q
FAU - McNicholas, Colleen
AU  - McNicholas C
FAU - Peipert, Jeffrey F
AU  - Peipert JF
LA  - eng
GR  - K24 HD001298/HD/NICHD NIH HHS/United States
GR  - T35 HL007815/HL/NHLBI NIH HHS/United States
GR  - UL1 TR000448/TR/NCATS NIH HHS/United States
GR  - TL1 TR000449/TR/NCATS NIH HHS/United States
GR  - UL1 TR002345/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Obstet Gynecol
JT  - Obstetrics and gynecology
JID - 0401101
SB  - AIM
SB  - IM
MH  - Adult
MH  - Contraception/economics/*methods
MH  - *Decision Making
MH  - Ethnic Groups
MH  - Female
MH  - Humans
MH  - Indiana/epidemiology
MH  - Maternal Health Services
MH  - Pregnancy
MH  - *Pregnancy, Unplanned
MH  - Risk Factors
MH  - Socioeconomic Factors
MH  - Young Adult
PMC - PMC5654472
MID - NIHMS882856
EDAT- 2017/08/11 06:00
MHDA- 2017/09/09 06:00
CRDT- 2017/08/11 06:00
PHST- 2017/08/11 06:00 [pubmed]
PHST- 2017/09/09 06:00 [medline]
PHST- 2017/08/11 06:00 [entrez]
AID - 10.1097/AOG.0000000000002189 [doi]
PST - ppublish
SO  - Obstet Gynecol. 2017 Sep;130(3):609-615. doi: 10.1097/AOG.0000000000002189.