Racial/Ethnic Differences in Unintended Pregnancy Evidence From a National Sample of US Women
Racial/Ethnic Differences in Unintended Pregnancy Evidence From a National Sample of US Women
复制标题
DOI：
10.1016/j.amepre.2015.09.027
复制
发表时间：
2016-04-01
影响因子：
5.5
通讯作者：
Chen, Jie
中科院分区：
文献类型：
--
作者：
Kim, Theresa Y.;Dagher, Rada K.;Chen, Jie
简介：种族和少数民族的经验更大的负担，意外怀孕在美国本研究探讨了与种族和民族的差异，在美国妇女之间的意外怀孕的因素，使用社会生态model.Methods：本研究利用了全国家庭增长调查数据从2006年至2010年。2014年秋季和2015年冬季分析了数据。分解分析探讨了哪些内在的，人际的，机构，社区和公共政策因素解释了种族和民族的差异在unintended pregnancy.Results：未经调整的分析发现，黑人和西班牙裔妇女有更大的可能性，意外怀孕相比，白色妇女。分解模型解释了黑人和白色妇女之间意外怀孕差异的51%，以及西班牙裔和白色妇女之间意外怀孕差异的73%。造成黑人和白色妇女之间差异的因素包括年龄、关系状况、受访者母亲的第一次生育年龄、联邦贫困水平和保险状况。在西班牙裔和白色女性之间，这些因素包括年龄、美国-出生状况，教育，和relationshipstatus.Conclusions：鉴于结果表明，在不同层次的社会生态模型的因素有助于种族和民族的差异在意外怀孕，干预措施，旨在减少这些差异应针对高危群体的妇女，如年轻，未婚，低收入，教育程度低，非美国出生的妇女和无保险或公共保险的妇女。(C)2016年美国预防医学杂志
Introduction: Racial and ethnic minorities experience greater burden of unintended pregnancy in the U.S. This study examined the factors associated with racial and ethnic disparities in unintended pregnancy among women in the U.S. using the social ecological model.Methods: This study utilized the National Survey of Family Growth data from 2006 to 2010. Data were analyzed in Autumn 2014 and Winter 2015. Decomposition analyses examined which intrapersonal, interpersonal, institutional, community, and public policy factors explained racial and ethnic disparities in unintended pregnancy.Results: Unadjusted analyses found that black and Hispanic women had a greater likelihood of unintended pregnancy compared with white women. Decomposition models explained 51% of the disparity in unintended pregnancy between black and white women and 73% of that between Hispanic and white women. Factors contributing to the disparity between black and white women included age, relationship status, respondent's mother's age at first birth, Federal Poverty Level, and insurance status. Between Hispanic and white women, these factors included age, U.S.-born status, education, and relationship status.Conclusions: Given that the results showed factors at different levels of the social ecological model contribute to racial and ethnic disparities in unintended pregnancy, interventions that aim to reduce these disparities should target at-risk groups of women such as younger, unmarried, lower-income, less-educated, non-U.S. born women and uninsured or publicly insured women. (C) 2016 American Journal of Preventive Medicine