Evidence map›Paper›PMID 42285839›Full record

ArticleDisability and health journal2026

Pregnancy occurrence, intendedness, and outcomes among U.S. females with and without disability, 2011-2019.

J Dalton Stevens, Anne Valentine, Frank S Li, Jessica Hoyle, Kelsey Zionskowski, John A Harris, Ilhom Akobirshoev, Monika Mitra, Willi Horner-Johnson

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Article in Disability and health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

J Dalton StevensDepartment of Sociology, Anthropology, and Social Work, Texas Tech University, 2400 Broadway W, Lubbock, TX, 79409, USA; Lurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA. Electronic address: dalton.stevens@ttu.edu.
Anne ValentineLurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Frank S LiLurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Jessica HoyleLurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Kelsey ZionskowskiInstitute on Development and Disability, Oregon Health Science University, 3181 Sam Jackson Park Road, Portland, OR, 97239, USA.
John A HarrisMagee-Womens Research Institute, Department of Obstetrics, Gynecology, and Reproductive Science, School of Medicine, University of Pittsburgh, 204 Craft Avenue, Pittsburgh, PA, 15213, USA.
Ilhom AkobirshoevLurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Monika MitraLurie Institute for Disability Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA, 02453, USA.
Willi Horner-JohnsonInstitute on Development and Disability, Oregon Health Science University, 3181 Sam Jackson Park Road, Portland, OR, 97239, USA; OHSU-PSU School of Public Health, 1810 SW 5th Avenue, Portland, OR, 97201, USA.

Funding

Addressing Sexual and Reproductive Health Care Disparities and Barriers among Adolescents and Young Adults with DisabilitiesR01HD111038 · NICHD · BRANDEIS UNIVERSITY · PI Willi HORNER-JOHNSON, Monika Mitra · 2023 to 2026
$3.3M
ACL HHS 90ARHF0005NICHD NIH HHS R01 HD111038
6 · The paper itself

Abstract

backgroundFemales with disability have higher risk for unintended pregnancy and adverse pregnancy outcomes compared to those without disability. Yet, prior research has not considered within-group and between-group differences by disability status and age.

objectivesAssess nationally representative patterns and compare prevalence of pregnancy occurrence, intendedness, and outcomes across disability status and age among females aged 15-44.

methodsWe analyzed pooled National Survey of Family Growth (2011-2019) data using designed-based F-tests to provide nationally representative estimates and modified Poisson regression to compare differences across disability and age-group of pregnancy occurrence, intendedness, and outcomes.

resultsAmong females aged 15-44, females with (59.9%) and without (59.6%) disability were equally as likely to become pregnant in the last five years, but our bivariate and multivariate analyses showed females with disability reported higher prevalence of unintended pregnancy, non-live births, and miscarriage. These patterns persisted for females aged 26-44. Among females aged 15-25, females with disability had higher prevalence of non-live births and miscarriage. However, compared to females with disability aged 26-44, females with disability aged 15-25 had higher prevalence of unintended pregnancy and miscarriage but lower prevalence of stillbirth.

conclusionsOur findings add to the literature on pregnancy occurrence, intendedness, and outcomes, providing insights to differences in the reproductive life course through our disability and age stratified analyses. These findings can help direct public health, clinical practice, and educational interventions to address higher rates of unintended pregnancy and non-live births, particularly miscarriage, for females with disability with consideration for differences across the age spectrum.

Indexed as

Persons with DisabilitiesPregnancy OutcomePregnancy, UnplannedAbortion, SpontaneousAdolescentAdultAge FactorsFemaleHumansPregnancyPrevalenceUnited StatesYoung AdultAgeDisabilityIntendednessMiscarriagePregnancyReproductive health

Identifiers

PMID42285839
PMCPMC13398259

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