Consequences for infants of parental disagreement in pregnancy intention

Consequences for infants of parental disagreement in pregnancy intention
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DOI:
10.2307/3097730
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发表时间:
2002-07-01
影响因子:
5.8
通讯作者:
Joyce, T
Joyce, T
中科院分区:
医学2区
文献类型:
--
作者:
Korenman, S;Kaestner, R;Joyce, T

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背景:尽管有关于夫妇怀孕意图和意外怀孕后果的成熟文献,但尚未探讨父母在生育意图上的分歧的影响。父母不同意怀孕的意图,以及父亲的怀孕意图,可能会影响婴儿health.METHODS:Logistic回归分析,使用1979-1992年的数据,从全国青年纵向调查评估的影响无意和父母的不同意有关婴儿的健康和发展的结果。分别进行分析,已婚和未婚妇女;每个婚姻状况的妇女,一组分析包括广泛的社会经济背景的控制,第二个比较的影响,有意和无意怀孕在同一family.RESULTS:婴儿的概念是由他们的母亲,但不是他们的父亲是在不良健康事件的风险升高。当母亲不是有意怀孕时,风险高于父母双方有意怀孕的风险,但根据父亲的意图,风险差别不大。因此,将怀孕分类为父母双方有意或至少一方无意可能是有用的。在比较的兄弟姐妹,意外生育(如此定义)与延迟产前护理和减少母乳喂养initiationofbreastfeed.CONCLUSION:父母双方的生育意图的信息是必要的,以确定婴儿的健康和发育不良后果的风险。
CONTEXT: Despite the well-established literature on couples' pregnancy intentions and on the consequences of unintended pregnancy, the effects of parents' disagreement in fertility intentions has not been explored. Parental disagreement in pregnancy intention, as well as a father's pregnancy intention; may affect infant health.METHODS: Logistic regression analyses using 1979-1992 data from the National Longitudinal Survey of Youth assess effects of unintendedness and parents' disagreement on outcomes related to infants' health and development. Analyses are conducted separately for married and unmarried women; for women of each marital status, one set of analyses includes extensive controls for socioeconomic background, and a second compares effects of intended and unintended pregnancies within the same family.RESULTS: Infants whose conception was intended by their mother but not their father are at elevated risk of adverse health events. When a pregnancy was not intended by the mother, risks are higher than they are if both parents intended the pregnancy, but they differ little according to father's intention. Thus, it may be useful to classify pregnancies as intended by both parents or not intended by at least one. In comparisons of siblings, unintended fertility (so defined) is associated with delayed prenatal care and reduced initiation of breastfeeding.CONCLUSION: Information on both parents' fertility intentions is needed to identify infants at risk of adverse health and developmental outcomes.