Intimate Relationship Dynamics and Changing Desire for Pregnancy Among Young Women

Intimate Relationship Dynamics and Changing Desire for Pregnancy Among Young Women
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DOI:
10.1363/psrh.12119
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发表时间:
2019-09-13
影响因子:
5.8
通讯作者:
Guzzo, Karen Benjamin
Guzzo, Karen Benjamin
中科院分区:
医学2区
文献类型:
--
作者:
Barber, Jennifer S.;Miller, Warren;Guzzo, Karen Benjamin

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背景:虽然大量研究集中在年轻女性中的意外怀孕,但对于在什么情况下需要怀孕的情况知之甚少。年轻女性的怀孕欲望是否会在她的不同关系中发生变化,或者随着时间的推移在一段关系中发生变化,还没有得到直接评估。方法对密歇根州某县(2008-2012年)895名18~22岁的女性进行每周一次的亲密关系和孕欲评估。Logistic回归模型被用来检验组内差异和组间差异--比较女性在一段关系中以及在不同关系中的怀孕愿望。结果年轻女性如果处于比临时关系更亲密和忠诚的关系中,她们更有可能想要怀孕(优势比1.6~9.2);长期关系中想要怀孕的几率也高于短期关系中的几率(2.1)。一般来说,随着时间的推移,怀孕的欲望会随着时间的推移而增加,因为一段关系会持续下去,变得更加严肃。在伴侣受教育程度较低的女性中,女性想要怀孕的几率较低(0.7),而在非一夫一妻制或暴力关系中的女性想要怀孕的几率高于一夫一妻制或非暴力关系中的女性(分别为1.6和1.9)。结论年轻女性的怀孕欲望取决于她们的亲密关系背景,以及她们在向成年过渡期间所经历的各种关系。
CONTEXT Although substantial research has focused on unintended pregnancy among young women, less is known about the circumstances under which pregnancy is desired. Whether a young woman's pregnancy desire changes across her different relationships, or over time within a relationship, has not been directly assessed. METHODS Data on intimate relationships and pregnancy desire were assessed weekly for 895 women aged 18-22 who participated in the Relationship Dynamics and Social Life study in a county in Michigan (2008-2012). Within-between logistic regression models were used to examine within-cluster and between-cluster differences-comparisons of a woman's pregnancy desire within a relationship over time as well as across a woman's different relationships. RESULTS Young women were more likely to desire pregnancy if they were in any relationship more intimate and committed than a casual relationship (odds ratios, 1.6-9.2); the odds of desiring pregnancy were also higher in long-term relationships rather than in short-term ones (2.1). In general, pregnancy desire increased over time as a relationship endured and became more serious. The odds of desiring pregnancy were lower among women with less educated, rather than equally educated, partners (0.7), while the odds were higher in nonmonogamous or violent relationships than in monogamous or nonviolent relationships (1.6 and 1.9, respectively). CONCLUSIONS Young women's pregnancy desire changes depending on their intimate relationship context, across the range of relationships they experience during the transition to adulthood.