Evidence map›Paper›PMID 28109736›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2017

Social Disparities in the Relationship Between Depression and Unintended Pregnancy During Adolescence and Young Adulthood.

Kelli Stidham Hall, Jennifer L Richards, Kathleen Mullan Harris

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Association Between First Depressive Episode in the Same Year as Sexual Debut and Teenage Pregnancy.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kelli Stidham HallDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia. Electronic address: kelli.s.hall@emory.edu.
Jennifer L RichardsDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Kathleen Mullan HarrisDepartment of Sociology, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Funding

Wave IV Data CollectionP01HD031921 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HARRIS, KATHLEEN MULLAN · 1994 to 2020
$86.1M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Training in Reproductive, Perinatal, Pediatric EpidemiologyT32HD052460 · NICHD · EMORY UNIVERSITY · PI DREWS-BOTSCH, CAROLYN DAWSON · 2006 to 2015
$2.2M
Stress and Unintended Pregnancy in Adolescence and Young AdulthoodK01HD080722 · NICHD · EMORY UNIVERSITY · PI HALL, KELLI STIDHAM · 2015 to 2018
$512k
NICHD NIH HHS K01 HD080722NICHD NIH HHS P01 HD031921NICHD NIH HHS P2C HD050924NICHD NIH HHS T32 HD052460
6 · The paper itself

Abstract

purposeWe investigated the influence of depression on subsequent risk of unintended pregnancy and social disparities within this relationship, during adolescence and young adulthood.

methodsDrawing upon 15-year, nationally representative data from 8,810 young U.S. women in the National Longitudinal Study of Adolescent to Adult Health, we estimated associations between depression and time to first pregnancies reported as unintended, overall and stratified by race/ethnicity, socioeconomic status, and age with Cox proportional hazard models.

resultsModerate/severe depression symptoms were associated with an increased risk of unintended first pregnancy (hazard ratio [HR], 1.21; confidence interval [CI], 1.02-1.44). In stratified models, depression increased the pregnancy risk for all minority groups (HRs, 1.36-3.25) but not white women. Depression increased the pregnancy risk for women with $0-$19,999 (HR, 1.48; CI, 1.11-1.98) and $20,000-$49,999 (HR, 1.33; CI, 1.05-1.68) income levels but not those at higher levels. Depression increased the pregnancy risk for adolescents <20 years (HR, 1.35; CI, 1.07-1.71) but decreased the risk for women >24 years (HR, .47; CI, .25-.86).

conclusionsFindings may inform more equitable, holistic public health strategies that target depression as a modifiable risk factor for adverse reproductive outcomes during adolescence and young adulthood.

Indexed as

Social ClassAdolescentAdultDepressionEthnicityFemaleHealth SurveysHumansPregnancyPregnancy, UnplannedRacial GroupsReproductive HealthTime FactorsUnited StatesYoung AdultDepressionRace/ethnicityReproductive healthSocial disparitiesSocioeconomic statusUnintended pregnancy

Identifiers

PMID28109736
PMCPMC5441928

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Registered trials

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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.