The impact of the COVID-19 pandemic on economic security and pregnancy intentions among people at risk of pregnancy.
The impact of the COVID-19 pandemic on economic security and pregnancy intentions among people at risk of pregnancy.
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DOI：
10.1016/j.contraception.2021.02.001
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发表时间：
2021-06
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
了解 COVID-19 大流行如何影响育龄妇女，特别是她们的经济状况、怀孕愿望以及大流行期间获得避孕服务的情况。 2020 年 5 月 16 日至 2020 年 6 月 16 日期间，通过社交媒体招募了总共 554 名居住在美国、年龄在 18 岁至 49 岁之间的女性受访者。逻辑回归模型评估了报告与流行病相关的经济状况、怀孕愿望和避孕药具变化的预测因素。与白人/白种人受访者相比，西班牙裔/拉丁裔和黑人/非裔美国人在大流行期间无力负担食物、交通和/或住房的几率是白人/白人受访者的 4 倍 (p < 0.01)；西班牙裔/拉丁裔经历粮食不安全的几率是其两倍 (p < 0.05)。无力负担食物、交通和/或住房与怀孕意愿下降相关（p < 0.01）。尽管 25% 的参与者表示怀孕意愿下降，但六分之一的参与者表示难以获得避孕药具，特别是那些收入减少的人 (p < 0.01)。在我们的样本中，这一流行病对不同社会经济群体的影响不均衡。许多人同时经历了收入减少、难以获得避孕药具以及更强烈的避免怀孕的愿望。这些因素的结合增加了人们意外怀孕的机会。这一流行病造成了经济困难，增加了人们推迟或预防怀孕的愿望，同时也给避孕服务带来了新的障碍。这种模式可能会导致意外怀孕增加的潜在净效应，特别是对于在大流行期间难以负担食物、交通和/或住房的人来说。
To understand how the COVID-19 pandemic affected women of reproductive age, specifically their economic conditions, desire for pregnancy, and access to contraceptive services during the pandemic. A total of 554 women respondents age 18 to 49 and reside in the United States were recruited using social media between May 16, 2020 and June 16, 2020. Logistic regression models assessed predictors of reporting pandemic-related changes in economic conditions, desire for pregnancy, and contraceptive access. Compared to White/Caucasian respondents, Hispanics/Latinx and Black/African Americans have 4 times the odds of experiencing inability to afford food, transportation, and/or housing (p < 0.01) during the pandemic; Hispanics/Latinx have twice the odds of experiencing food insecurity (p < 0.05). Inability to afford food, transportation, and/or housing was associated with drop in desire to be pregnant (p < 0.01). Despite the 25% of participants who reported a drop in desire for pregnancy, 1 in 6 reported difficulty accessing contraceptives, particularly those who experienced reduced income (p < 0.01). In our sample, the pandemic unevenly affected people from different socioeconomic groups. Many simultaneously experienced reduced income, difficulties in accessing contraception, and a greater desire to avoid a pregnancy. This combination of factors increases the chance that people will experience unintended pregnancies. The pandemic caused economic hardship and an increased desire to postpone or prevent pregnancy at the same time that it created new barriers to contraceptive services. This pattern may lead to a potential net effect of an increase in unintended pregnancy, particularly among people who had difficulty affording food, transportation, and/or housing during the pandemic.
影响因子：
10.7
作者：
Greenwood, J;Seshadri, A;Vandenbroucke, G
通讯作者：
Vandenbroucke, G
影响因子：
8.5
作者：
Autor, David;Dorn, David;Hanson, Gordon
通讯作者：
Hanson, Gordon
DOI：
10.1016/j.physa.2018.06.057
发表时间：
2018-11-01
影响因子：
3.3
作者：
Herteliu, Claudiu;Richmond, Peter;Roehner, Bertrand M.
通讯作者：
Roehner, Bertrand M.