ArticleSocial science & medicine (1982)2014
The risk of unintended pregnancy among young women with mental health symptoms.
Article in Social science & medicine (1982), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 109 citations in OpenAlex.
- Psychiatric vulnerability and the risk for unintended pregnancies, a systematic review and meta-analysis.BMC pregnancy and childbirth · 2022Pooled it
- Human and economic resources for empowerment and pregnancy-related mental health in the Arab Middle East: a systematic review.Archives of women's mental health · 2019Pooled it
- Drug interactions between hormonal contraceptives and psychotropic drugs: a systematic review.Contraception · 2016Pooled it
- Efficacy of a Just-in-Time Adaptive Intervention to Promote HIV Risk Reduction Behaviors Among Young Adults Experiencing Homelessness: Pilot Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
- Assessing longitudinal patterns of depressive symptoms and the influence of symptom trajectories on HIV pre-exposure prophylaxis adherence among adolescent girls in the HPTN 082 randomized controlled trial.Journal of the International AIDS Society · 2021Trial
- Relationship between mental health and unmet need for contraception and method type among women living with HIV in Kenya.medRxiv : the preprint server for health sciences · 2026Article
- Relationship Between Psychological Well-Being and Reproductive Health Attitudes in Female Patients with Psychiatric Diagnoses: A Cross-Sectional Study.Florence Nightingale journal of nursing · 2026Article
- Prevalence and determinants of unintended pregnancy among female sex workers (FSW) in Jashore, Bangladesh.PloS one · 2026Article
- Exploring unintended pregnancy journeys among women with psychiatric vulnerability using interpretative phenomenological analysis.PloS one · 2026Article
- [Prevalence of Unwanted Pregnancies and Pregnancy Outcomes Among Women With Mental Illness. Findings from the ELSA Study].Psychiatrische Praxis · 2025Article
- Unplanned pregnancy and perinatal depression: secondary exploratory analyses from a racially and ethnically diverse, low-income sample of birthing people in the United States.BMC pregnancy and childbirth · 2025Article
- Depressive symptoms among women of reproductive age with and without HIV in the Southern United States.AIDS (London, England) · 2025Observational
- The Impact of a Structured Contraceptive Counseling Program on Reproductive Health Knowledge, Sexual Autonomy, and Mental Well-Being Among Romanian College Women.Healthcare (Basel, Switzerland) · 2025Article
- Interest in Contraceptive Information and Initiation Among Adolescents Hospitalized With Psychiatric Disorders.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Implementation of Contraception Care for Psychiatrically Hospitalized Adolescents: A Hybrid Type 2 Effectiveness-Implementation Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Observational
- Determinants of the desire to avoid pregnancy after the disaster of the century in Türkiye.BMC women's health · 2024Article
- Comparing pregnancy and pregnancy outcome rates between adolescents with and without pre-existing mental disorders.PloS one · 2024Article
- The Mental "Weight" of Discrimination: The Relationship between Perceived Interpersonal Weight Discrimination and Suicidality in the United States.Journal of health and social behavior · 2023Article
- Adapting a Counseling-Plus-mHealth Intervention for the Virtual Environment to Reduce Sexual and Reproductive Health Risk Among Young Women with Depression.Prevention science : the official journal of the Society for Prevention Research · 2023Article
- Exposure to Nearby Homicides and Young Women's Reproductive Lives During the Transition to Adulthood.AJS; American journal of sociology · 2023Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Depression and stress have been linked with poor contraceptive behavior, but whether existing mental health symptoms influence women's subsequent risk of unintended pregnancy is unclear. We prospectively examined the effect of depression and stress symptoms on young women's pregnancy risk over one year. We used panel data from a longitudinal study of 992 U.S. women ages 18-20 years who reported a strong desire to avoid pregnancy. Weekly journal surveys measured relationship, contraceptive use and pregnancy outcomes. We examined 27,572 journal surveys from 940 women over the first study year. Our outcome was self-reported pregnancy. At baseline, we assessed moderate/severe depression (CESD-5) and stress (PSS-4) symptoms. We estimated the effect of baseline mental health symptoms on pregnancy risk with discrete-time, mixed-effects, proportional hazard models using logistic regression. At baseline, 24% and 23% of women reported moderate/severe depression and stress symptoms, respectively. Ten percent of young women not intending pregnancy became pregnant during the study. Rates of pregnancy were higher among women with baseline depression (14% versus 9%, p = 0.04) and stress (15% versus 9%, p = 0.03) compared to women without symptoms. In multivariable models, the risk of pregnancy was 1.6 times higher among women with stress symptoms compared to those without stress (aRR 1.6, CI 1.1,2.7). Women with co-occurring stress and depression symptoms had over twice the risk of pregnancy (aRR 2.1, CI 1.1,3.8) compared to those without symptoms. Among women without a prior pregnancy, having co-occurring stress and depression symptoms was the strongest predictor of subsequent pregnancy (aRR 2.3, CI 1.2,4.3), while stress alone was the strongest predictor among women with a prior pregnancy (aRR 3.0, CI 1.1,8.8). Depression symptoms were not independently associated with young women's pregnancy risk. In conclusion, stress, and especially co-occurring stress and depression symptoms, consistently and adversely influenced these young women's risk of unintended pregnancy over one year.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.