The risk of unintended pregnancy among young women with mental health symptoms.

摘要: Depression and stress have been linked with poor contraceptive behavior but whether existing mental health symptoms influence womens subsequent risk of unintended pregnancy is unclear. We prospectively examined the effect depression on young over one year. used panel data from a longitudinal study 992 U.S. women ages 18-20 years who reported strong desire to avoid pregnancy. Weekly journal surveys measured relationship use outcomes. 27572 940 first Our outcome was self-reported At baseline we assessed moderate/severe (CESD-5) (PSS-4) symptoms. estimated discrete-time mixed-effects proportional hazard models using logistic regression. 24% 23% respectively. Ten percent not intending became pregnant during study. Rates were higher among (14% versus 9% p = 0.04) (15% 0.03) compared without In multivariable 1.6 times those (aRR CI 1.12.7). Women co-occurring had twice 2.1 1.13.8) Among prior having strongest predictor 2.3 1.24.3) while alone 3.0 1.18.8). independently associated risk. conclusion especially consistently adversely influenced these Copyright (c) 2013 Elsevier Ltd. All rights reserved.