ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2015
Social discrimination, stress, and risk of unintended pregnancy among young women.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- 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
- 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
- Psychosocial status and prenatal care of unintended pregnancies among low-income women.BMC pregnancy and childbirth · 2020Trial
- Global burden of depression and anxiety among women of reproductive age: socioeconomic disparities and policy implications.Social psychiatry and psychiatric epidemiology · 2026Article
- 'You may be a mother, but you're also a child.'- the importance of unintended pregnancy of underaged women in Germany for sexual and reproductive health: a biographical narrative analysis.Reproductive health · 2026Article
- Differences in Abortion Use by Sexual Orientation in 3 National Cohorts.JAMA network open · 2025Article
- Just in case: undergraduate students identifying and mitigating barriers to their sexual and reproductive health needs.BMC women's health · 2024Article
- Adapting an evidence-based mindfulness-based intervention for sheltered youth experiencing homelessness.BMC complementary medicine and therapies · 2023Article
- A Dyadic Analysis Exploring the Mediating Role of Relationship Quality on Discrimination and HIV/STI Risk Among Young Black and Latino Expecting Couples.AIDS and behavior · 2023Article
- Psychological Well-being across the Perinatal Period: Life Satisfaction and Flourishing in a Longitudinal Study of Black and White American Women.Journal of happiness studies · 2023Article
- A human-centered designed outreach strategy for a youth contraception navigator program.PEC innovation · 2022Article
- The Social Determinants of Perinatal Maternal Distress.Rural mental health · 2022Article
- Developing a Youth Contraception Navigator Program: A Human-Centered Design Approach.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
- Social support reduces the risk of unintended pregnancy in a low-income population.Public health nursing (Boston, Mass.) · 2021Article
- Associations Between Reproductive Coercion, Partner Violence, and Mental Health Symptoms Among Young Black Women in Baltimore, Maryland.Journal of interpersonal violence · 2021Article
- Pregnancy-specific stress and sensitive caregiving during the transition to motherhood in adolescents.BMC pregnancy and childbirth · 2021Article
- Post-traumatic Stress Disorder Symptoms in COVID-19 Survivors 6 Months After Hospital Discharge: An Application of the Conservation of Resource Theory.Frontiers in psychiatry · 2021Article
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- Fertility intentions and long-acting reversible contraceptive use among HIV-negative single mothers in Zambia.American journal of obstetrics and gynecology · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
purposePrior research linking young women's mental health to family planning outcomes has often failed to consider their social circumstances and the intersecting biosocial mechanisms that shape stress and depression as well as reproductive outcomes during adolescence and young adulthood. We extend our previous work to investigate relationships between social discrimination, stress and depression symptoms, and unintended pregnancy among adolescent and young adult women.
methodsData were drawn from 794 women aged 18-20 years in a longitudinal cohort study. Baseline and weekly surveys assessed psychosocial information including discrimination (Everyday Discrimination Scale), stress (Perceived Stress Scale), depression (Center for Epidemiologic Studies-Depression Scale), and reproductive outcomes. Multilevel, mixed-effects logistic regression and discrete-time hazard models estimated associations between discrimination, mental health, and pregnancy. Baron and Kenny's method was used to test mediation effects of stress and depression on discrimination and pregnancy.
resultsThe mean discrimination score was 19/45 points; 20% reported moderate/high discrimination. Discrimination scores were higher among women with stress and depression symptoms versus those without symptoms (21 vs. 18 points for both, p < .001). Pregnancy rates (14% overall) were higher among women with moderate/high (23%) versus low (11%) discrimination (p < .001). Discrimination was associated with stress (adjusted relative risk ratio, [aRR], 2.2; 95% confidence interval [CI], 1.4-3.4), depression (aRR, 2.4; CI, 1.5-3.7), and subsequent pregnancy (aRR, 1.8; CI, 1.1-3.0). Stress and depression symptoms did not mediate discrimination's effect on pregnancy.
conclusionsDiscrimination was associated with an increased risk of mental health symptoms and unintended pregnancy among these young women. The interactive social and biological influences on reproductive outcomes during adolescence and young adulthood warrant further study.
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Registered trials
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.