Journal of Immigrant and Minority Health
Volume 13, Issue 3, 2011, Pages 478-486

Correlates of unintended birth among low-income Hispanic immigrants at high risk for depression (Article)

Christensen A.L. , Perry D.F. , Le H.-N. , Ahmed S.
  • a Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States
  • b Center for Child and Human Development, Georgetown University, Washington, DC, United States
  • c Department of Psychology, George Washington University, Washington, DC, United States
  • d Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, United States

Abstract

Hispanic women, a large and growing ethnic minority group in the U.S., have an unintended birth rate over twice the national average. However, little is known about unintended birth among Hispanic immigrants. The purpose of this study is to determine the sociodemographic, including immigration-related, correlates of unintended birth in this population. Data were collected as part of a preventive intervention among pregnant Hispanic immigrants at increased risk for depression (n = 215). The correlates of women's self-reported pregnancy intention (intended, mistimed, unwanted) were examined using multinomial logistic regression. Similar to nationally representative findings, unintended birth was more common among younger women, single women and women not cohabiting with their partners, and women with more children. Additionally, women who had immigrated to the U.S. less than 1 year ago had almost a 4 times greater risk of a mistimed birth (RRR = 3.82, P < 0.05) compared to women who immigrated 1-4 years ago. Women with greater social support scores had a reduced chance of mistimed (RRR = 0.98, P < 0.10) and unwanted (RRR = 0.97, P < 0.05) birth. The findings have implications for development of effective and culturally appropriate family planning programs. They suggest that interventions should target young women, women who have achieved their desired family size, and very recent immigrants. © 2011 Springer Science+Business Media, LLC.

Author Keywords

Hispanic Pregnancy Acculturation

Index Keywords

psychological aspect poverty human risk assessment District of Columbia unplanned pregnancy Central America ethnology United States Young Adult Humans Adolescent Emigrants and Immigrants Acculturation female questionnaire pregnancy cultural factor Article Questionnaires adult migration Depressive Disorder, Major Pregnancy, Unplanned major depression

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-79957474670&doi=10.1007%2fs10903-011-9437-x&partnerID=40&md5=1719a70f79cb005084cf35f11c13cb77

DOI: 10.1007/s10903-011-9437-x
ISSN: 15571912
Cited by: 8
Original Language: English