ArticleBMC public health2022
Clustering of characteristics associated with unplanned pregnancies: the generation R study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- The influence of rurality on women's decision making and pregnancy choices following an unintended pregnancy: A systematic review.Women's health (London, England)Pooled it
- Unintended Pregnancy Among Tanzanian Women: Prevalence and Risk Factors From the 2022 Demographic and Health Survey.Health science reports · 2026Article
- Fetal Head Growth and Head Circumference at Birth in Children of Women with Psychotic Disorders and Population-Based Controls.Schizophrenia bulletin · 2026Article
- Exploring unintended pregnancy journeys among women with psychiatric vulnerability using interpretative phenomenological analysis.PloS one · 2026Article
- Prevalence of and factors associated with unintended pregnancy and association with depressive symptoms among pregnant women in Guangdong, China: a multicentre cross-sectional study.BMC psychiatry · 2025Article
- Health Insurance Coverage and Unplanned Births in Rotterdam, the Netherlands: A Natural Experiment in the Generation R Study.Perspectives on sexual and reproductive health · 2025Article
- Perspectives on Contraceptives: Insights From Care Providers and Women With Lived Experiences of Unintended Pregnancy in the Netherlands.Perspectives on sexual and reproductive health · 2025Article
- Experiences of discrimination across the life course among pregnancy planners in the United States and Canada.SSM - population health · 2025Article
- Attention Deficit Hyperactivity Disorder in Girls and the Risk of Unplanned Pregnancies.Children (Basel, Switzerland) · 2025Review
- Reducing behavior problems in children born after an unintended pregnancy: the generation R study.Social psychiatry and psychiatric epidemiology · 2024Article
- Article
- Family planning decision-making in relation to psychiatric disorders in women: a qualitative focus group study.Reproductive health · 2024Article
- Comparing Relationship Satisfaction and Body-Image-Related Quality of Life in Pregnant Women with Planned and Unplanned Pregnancies.Diseases (Basel, Switzerland) · 2024Article
- Diagnostic utility of clinicodemographic, biochemical and metabolite variables to identify viable pregnancies in a symptomatic cohort during early gestation.Scientific reports · 2024Article
- Appropriateness of small molecule agents for patients with IBD of childbearing age - a RAND/UCLA appropriateness panel.Therapeutic advances in gastroenterology · 2024Article
- Article
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnplanned or unintended pregnancies form a major public health concern because they are associated with unfavorable birth outcomes as well as social adversity, stress and depression among parents-to-be. Several risk factors for unplanned pregnancies in women have previously been identified, but studies usually take a unidimensional approach by focusing on only one or few factors, disregarding the possibility that predictors might cluster. Furthermore, data on predictors in men are largely overlooked. The purpose of this study is to determine predictors of unplanned versus planned pregnancy, to determine predictors of ambivalent feelings regarding pregnancy, and to investigate how characteristics of men and women with an unplanned pregnancy cluster together.
methodsThis study was embedded in Generation R, a multiethnic population-based prospective cohort from fetal life onwards. Pregnancy intention was reported by 7702 women and 5367 partners. Information on demographic, mental, physical, social, and sexual characteristics was obtained. Logistic regression, multinomial regression and cluster analyses were performed to determine characteristics that were associated with an unplanned pregnancy, with ambivalent feelings regarding the unplanned pregnancy and the co-occurrence of characteristics in women and men with unplanned pregnancy.
resultsTwenty nine percent of the pregnancies were unplanned. Logistic regression analyses showed that 42 of 44 studied predictors were significantly associated with unplanned pregnancy. The most important predictors were young age, migration background, lower educational level, lower household income, financial difficulties, being single, lower cognitive ability, drug use prior to pregnancy, having multiple sexual partners in the year prior to the pregnancy, younger age of first sexual contact and a history of abortion. Multinomial regression analyses showed that a Turkish or Moroccan background, Islamic religion, little financial opportunities, being married, having ≥3 children, high educational level, more mental health and social problems and older age of first sexual contact were associated with prolonged ambivalent feelings regarding pregnancy. Different combinations of characteristics were observed in the four clusters of women and men with unplanned pregnancy.
conclusionsMany predictors are related with unplanned pregnancies, ambivalent feelings toward the pregnancy, and we identified very heterogeneous groups of women and men with unplanned pregnancies. This calls for heterogeneous measures to prevent unplanned pregnancies.
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