ArticleSSM - population health2019
Adverse life experiences and risk of unintended pregnancy in adolescence and early adulthood: Implications for toxic stress and reproductive health.
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Post-traumatic stress disorder and adverse pregnancy outcomes: sexual orientation disparities in a prospective cohort study.BMC pregnancy and childbirth · 2026Article
- Childhood adversity and time to pregnancy in a preconception cohort.American journal of epidemiology · 2024Article
- The Association Between Adverse Childhood Experiences and Preterm Delivery: A Latent Class Approach.Journal of women's health (2002) · 2024Article
- Dimensions of Early Adversity and Sexual Behavior in a US Population-Based Adolescent Sample.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Article
- Assessing Stress Levels, Predictors and Management Strategies of Inmates at Ankaful Prison Complex in the Central Region, Ghana.Behavioral sciences (Basel, Switzerland) · 2023Article
- Sexual Behavior and Health From Adolescence to Adulthood: Illustrative Examples of 25 Years of Research From Add Health.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Review
- Social support reduces the risk of unintended pregnancy in a low-income population.Public health nursing (Boston, Mass.) · 2021Article
- Chronic Stress and Preconception Health Among Latina Women in Metro Atlanta.Maternal and child health journal · 2021Article
- Associations between Adverse Childhood Experiences and Sexual Risk among Postpartum Women.International journal of environmental research and public health · 2021Article
- Socio-Cultural Constraints in Protecting Child Rights in a Society in Transition: A Review and Synthesis from Oman.Child indicators research · 2021Review
- Adverse Childhood Experiences on Reproductive Plans and Adolescent Pregnancy in the Gulf Resilience on Women's Health Cohort.International journal of environmental research and public health · 2020Article
- A pilot study for exploring blood spot anti-mullerian hormone for population-based adolescent reproductive health research.Frontiers in women's health · 2020Article
- Homelessness in the Perinatal Period and Associations With Reproductive Interconception Care: 2016-2019 Pregnancy Risk Assessment Monitoring System.Public health reports (Washington, D.C. : 1974)Article
- Adverse Childhood Experiences and Pregnancy Intentions among Pregnant Women Seeking Prenatal Care.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveWe examined the effects of adverse life experiences (ALEs) on rates of unintended first pregnancy, including differential effects by race/ethnicity and socioeconomic status, among women in a national longitudinal cohort study.
methodsWe drew upon 15-years of data from 8810 adolescent and young adult females in the National Longitudinal Study of Adolescent to Adult Health. Using 40 different ALEs reported across childhood and adolescence, we created an additive ALE index, whereby higher scores indicated greater ALE exposure. We employed Cox proportional hazard models, including models stratified by racial/ethnic and socioeconomic groups, to estimate the effects of ALEs on time to first unintended pregnancy, controlling for time-varying sociodemographic, health and reproductive covariates.
resultsAmong all women, a 1-standard deviation increase in ALE scores was associated with an increased rate of unintended first pregnancy (adjusted Hazard Ratio 1.11, 95% Confidence Interval=1.04-1.17). In stratified models, associations between ALE scores and risk of unintended pregnancy varied across racial/ethnic, socioeconomic, and age groups and according to various elevated ALE thresholds. For example, the 1-standard deviation increase in ALE score indicator increased the unintended pregnancy risk for African-American (aHR=1.12, CI=1.01-1.25), Asian (aHR 1.69, CI=1.26-2.26), and White women (aHR=1.12, CI=1.03-1.22), women in the lowest ($0-$19,999; aHR=1.21, CI = 1.03-1.23) and highest (>$75,000; aHR=1.36, CI=1.12-1.66) income categories, and women aged 20-24 (aHR=1.13, CI=1.04-1.24) and >24 years (aHR 1.25, CI=1.06-1.47), but not among the other sociodemographic groups.
conclusionALEs increased the risk of unintended first pregnancy overall, and different levels of exposure impacting the risk of pregnancy differently for different sub-groups of women. Our ongoing research is further investigating the role of stress-associated adversity in shaping reproductive health outcomes and disparities in the United States.
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