ArticlePerspectives on sexual and reproductive health2019
The Misclassification of Ambivalence in Pregnancy Intentions: A Mixed-Methods Analysis.
Article in Perspectives on sexual and reproductive health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
What it found
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Who cites it
31 citing papers in PubMed.
- Pregnancy intentions and contraceptive uptake after miscarriage.Contraception · 2020Trial
- Wanting, Yet Doubting: Moderating Role of Gender on the Relationship Between Ambivalence and Childbearing Desires.International journal of psychology : Journal international de psychologie · 2026Article
- Contraceptive Alignment: A Descriptive Study of Concordance between Preferred and Actual Contraceptive Method Use.Studies in family planning · 2026Article
- Pregnancy, Birth, Neonatal, and Mental Health Outcomes Are Minimally Associated with Pregnancy Ambivalence.Studies in family planning · 2026Article
- Consistent Reports of Pregnancy/Birth Contexts and Links to Parental Experiences.Population research and policy review · 2026Article
- Women's Reproductive Health Conditions and Fertility Goals.Population research and policy review · 2026Article
- Representation of unplanned pregnancy in contemporary Spanish cinema: from voluntary abortion to unwanted motherhood.Sexual and reproductive health matters · 2025Article
- Pregnancy Preferences and Incident Pregnancy in the US.JAMA network open · 2025Article
- Association Between State Abortion Restrictiveness and Perinatal Depression.Journal of women's health (2002) · 2025Article
- Pregnancy intention, preconception health, health behaviours, and information and health advice seeking among expectant male partners.BMC primary care · 2025Article
- Abortion After Pregnancy Occurrence with Contraceptive Use Among Veterans.Journal of women's health (2002) · 2025Article
- Integrating Sexual and Reproductive Health Equity Into Public Health Goals and Metrics: Comparative Analysis of Healthy People 2030's Approach and a Person-Centered Approach to Contraceptive Access Using Population-Based Data.JMIR public health and surveillance · 2024Article
- Maternal childhood adversity and pregnancy intentions as predictors of pregnancy happiness.Journal of reproductive and infant psychology · 2024Article
- Supply-Side Versus Demand-Side Unmet Need: Implications for Family Planning Programs.Population and development review · 2022Article
- Development and psychometric properties of the maternal ambivalence scale in spanish women.BMC pregnancy and childbirth · 2022Observational
- Association of pregnancy attitudes and intentions with sexual activity and psychiatric symptoms in justice-involved youth.Children and youth services review · 2022Article
- Contraceptive Care Using Reproductive Justice Principles: Beyond Access.American journal of public health · 2022Article
- What Do We Demand? Responding to the Call for Precision and Definitional Agreement in Family Planning's "Demand" and "Need" Jargon.Global health, science and practice · 2022Article
- Changes in pregnancy desire after a pregnancy scare in a random sample of young adult women in a Michigan county.Contraception · 2021Article
- Thematic Co-occurrence Analysis: Advancing a Theory and Qualitative Method to Illuminate Ambivalent Experiences.The Journal of communication · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
contextResearchers have developed various measures of pregnancy ambivalence in an effort to capture the nuance overlooked by conventional, binary measures of pregnancy intention. However, the conceptualization and operationalization of the concept of ambivalence vary widely and may miss the complexity inherent in pregnancy intentions, particularly for young people, among whom unintended pregnancy rates are highest.
methodsTo investigate the utility and accuracy of current measures of pregnancy ambivalence, a mixed-methods study was conducted with 50 young women and their male partners in northern California in 2015-2016. Survey data were used to descriptively analyze six existing pregnancy ambivalence measures; in-depth interviews addressing pregnancy desires and plans were deductively coded and thematically analyzed to understand why some participants appeared to be ambivalent from the survey data when their interview responses suggested otherwise.
resultsEighty participants would be considered ambivalent by at least one measure. After assessment of the interview data, however, these measures were deemed to have misclassified almost all (78) participants. Qualitative analysis revealed several themes regarding misclassification: conflation of current pregnancy desires with expected postconception emotional responses; acceptability of an undesired pregnancy; tempering of survey responses to account for partners' desires; perceived lack of control regarding pregnancy; and, among participants with medical conditions perceived to impact fertility, subjugation of pregnancy desires in the interest of self-protection.
conclusionsCurrent approaches to measuring pregnancy ambivalence may fail to capture the intricacies of pregnancy intentions and may be ineffective if they do not account for young people's experiences, especially when used to inform clinical practice, programs and policy.
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