A blessing I can't afford: Factors underlying the paradox of happiness about unintended pregnancy
A blessing I can't afford: Factors underlying the paradox of happiness about unintended pregnancy
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DOI：
10.1016/j.socscimed.2015.03.038
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发表时间：
2015-05-01
影响因子：
5.4
通讯作者：
Mevs-Korff, Natasha
中科院分区：
文献类型：
--
作者：
Aiken, Abigail R. A.;Dillaway, Chloe;Mevs-Korff, Natasha
在测量和解释意外怀孕方面一个尚未解决的悖论是，女性经常报告对她们也归类为意外怀孕的怀孕感到高兴（即她们的意图和感受不一致）。这项研究探讨了女性声称如此幸福的根本原因，以及这些原因与她们避免怀孕的动机之间的关系。 2013 年 9 月至 2014 年 2 月期间，我们对 27 名女性（8 名白人，19 名拉丁裔）进行了半结构化深度访谈，这些女性是从一项纵向研究中选出的，该研究测量了德克萨斯州奥斯汀 403 名女性的预期怀孕意图和感受。女性被选择接受采访的依据是不想再要孩子，并且始终表示对怀孕前景感到幸福（n = 17）或不幸福（n = 10）。根据扎根理论的原则对访谈进行编码和分析。我们发现，女性可以在表达怀孕想法的快乐的同时，认真努力阻止受孕。人们对意外怀孕感到高兴的原因是，对孩子的深切而真诚的感情优先于实际考虑，认为另一个孩子造成的社会心理压力会较低，以及将意外怀孕合理化为命运或上帝计划的结果的能力。真诚地宣称幸福的一个主要例外是，尽管存在真正的负面情绪，但这种幸福是社会压力的结果，主要是由外国出生的拉丁裔女性表达的。总体而言，将不一致与避免受孕的矛盾心理等同起来可能会损害女性意图的诚意及其对高效避孕的渴望。与此同时，与不幸的怀孕相比，幸福的意外怀孕可能会对孕产妇和儿童健康产生不同的影响。确定哪些意外怀孕最有可能导致不良后果是未来研究的目标。 (c) 2015 Elsevier Ltd. 保留所有权利。
An unresolved paradox in the measurement and interpretation of unintended pregnancy is that women frequently report feeling happy about pregnancies they also classify as unintended (Le. they have incongruent intentions and feelings). This study explores the underlying reasons why women profess such happiness and how these relate to their motivations to avoid pregnancy. Between September 2013 and February 2014, semi-structured in-depth interviews were conducted with 27 women (8 white, 19 Latina) selected from a longitudinal study measuring prospective pregnancy intentions and feelings among 403 women in Austin, Texas. Women were selected for interview on the basis of wanting no more children and consistently professing either happiness (n = 17) or unhappiness (n = 10) at the prospect of pregnancy. Interviews were coded and analyzed following the principles of grounded theory. We found that it is possible for women to express happiness at the idea of pregnancy while simultaneously earnestly trying to prevent conception. Happiness at the idea of an unintended pregnancy was explained as the result of deep and heartfelt feelings about children taking precedence over practical considerations, the perception that the psychosocial stress resulting from another child would be low, and the ability to rationalize an unintended pregnancy as the result of fate or God's plan. The major exception to the sincerity of professed happiness was that conveyed as a result of social pressure despite truly negative feelings, predominantly expressed by foreign-born Latina women. Overall, equating incongruence with ambivalence about avoiding conception may undermine the sincerity of women's intentions and their desires for highly-effective contraception. At the same time, unintended pregnancies that are greeted with happiness may have different implications for maternal and child health outcomes compared to pregnancies that are greeted with unhappiness. Identifying which unintended pregnancies are most likely to result in adverse outcomes is a target for future research. (c) 2015 Elsevier Ltd. All rights reserved.