IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v72y2011i1p72-82.html
   My bibliography  Save this article

Examining the association of abortion history and current mental health: A reanalysis of the National Comorbidity Survey using a common-risk-factors model

Author

Listed:
  • Steinberg, Julia R.
  • Finer, Lawrence B.

Abstract

Using the US National Comorbidity Survey (NCS), Coleman, Coyle, Shuping, and Rue (2009) published an analysis indicating that compared to women who had never had an abortion, women who had reported an abortion were at an increased risk of several anxiety, mood, and substance use disorders. Here, we show that those results are not replicable. That is, using the same data, sample, and codes as indicated by those authors, it is not possible to replicate the simple bivariate statistics testing the relationship of ever having had an abortion to each mental health disorder when no factors were controlled for in analyses (Table 2 in Coleman et al., 2009). Furthermore, among women with prior pregnancies in the NCS, we investigated whether having zero, one, or multiple abortions (abortion history) was associated with having a mood, anxiety, or substance use disorder at the time of the interview. In doing this, we tested two competing frameworks: the abortion-as-trauma versus the common-risk-factors approach. Our results support the latter framework. In the bivariate context when no other factors were included in models, abortion history was not related to having a mood disorder, but it was related to having an anxiety or substance use disorder. When prior mental health and violence experience were controlled in our models, no significant relation was found between abortion history and anxiety disorders. When these same risk factors and other background factors were controlled, women who had multiple abortions remained at an increased risk of having a substance use disorder compared to women who had no abortions, likely because we were unable to control for other risk factors associated with having an abortion and substance use. Policy, practice, and research should focus on assisting women at greatest risk of having unintended pregnancies and having poor mental health--those with violence in their lives and prior mental health problems.

Suggested Citation

  • Steinberg, Julia R. & Finer, Lawrence B., 2011. "Examining the association of abortion history and current mental health: A reanalysis of the National Comorbidity Survey using a common-risk-factors model," Social Science & Medicine, Elsevier, vol. 72(1), pages 72-82, January.
    • Handle: RePEc:eee:socmed:v:72:y:2011:i:1:p:72-82
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00729-X
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Steinberg, Julia Renee & Russo, Nancy F., 2008. "Abortion and anxiety: What's the relationship?," Social Science & Medicine, Elsevier, vol. 67(2), pages 238-252, July.
    2. Jagannathan, R., 2001. "Relying on surveys to understand abortion behavior: Some cautionary evidence," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1825-1831.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Steinberg, Julia R. & Tschann, Jeanne M., 2013. "Childhood adversities and subsequent risk of one or multiple abortions," Social Science & Medicine, Elsevier, vol. 81(C), pages 53-59.
    2. Kelly, Kimberly, 2014. "The spread of ‘Post Abortion Syndrome’ as social diagnosis," Social Science & Medicine, Elsevier, vol. 102(C), pages 18-25.
    3. Rocca, Corinne H. & Samari, Goleen & Foster, Diana G. & Gould, Heather & Kimport, Katrina, 2020. "Emotions and decision rightness over five years following an abortion: An examination of decision difficulty and abortion stigma," Social Science & Medicine, Elsevier, vol. 248(C).
    4. Steinberg, Julia R. & Tschann, Jeanne M. & Furgerson, Dorothy & Harper, Cynthia C., 2016. "Psychosocial factors and pre-abortion psychological health: The significance of stigma," Social Science & Medicine, Elsevier, vol. 150(C), pages 67-75.
    5. Björn Huss, 2021. "Well-Being Before and After Pregnancy Termination: The Consequences of Abortion and Miscarriage on Satisfaction With Various Domains of Life," Journal of Happiness Studies, Springer, vol. 22(6), pages 2803-2828, August.
    6. Hall, Kelli Stidham & Kusunoki, Yasamin & Gatny, Heather & Barber, Jennifer, 2014. "The risk of unintended pregnancy among young women with mental health symptoms," Social Science & Medicine, Elsevier, vol. 100(C), pages 62-71.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Steinberg, Julia R. & Tschann, Jeanne M., 2013. "Childhood adversities and subsequent risk of one or multiple abortions," Social Science & Medicine, Elsevier, vol. 81(C), pages 53-59.
    2. Vidhura Tennekoon, 2017. "Counting unreported abortions: A binomial-thinned zero-inflated Poisson model," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 36(2), pages 41-72.
    3. Laura Lindberg & Kathryn Kost & Isaac Maddow-Zimet & Sheila Desai & Mia Zolna, 2020. "Abortion Reporting in the United States: An Assessment of Three National Fertility Surveys," Demography, Springer;Population Association of America (PAA), vol. 57(3), pages 899-925, June.
    4. Kornelia Zaręba & Marta Makara-Studzińska & Michał Ciebiera & Jacek Gierus & Grzegorz Jakiel, 2018. "Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
    5. Jagannathan, Radha & Camasso, Michael J., 2011. "Message and price components of Family Caps: Experimental evidence from New Jersey," Evaluation and Program Planning, Elsevier, vol. 34(3), pages 292-302, August.
    6. Steinberg, Julia R. & Tschann, Jeanne M. & Furgerson, Dorothy & Harper, Cynthia C., 2016. "Psychosocial factors and pre-abortion psychological health: The significance of stigma," Social Science & Medicine, Elsevier, vol. 150(C), pages 67-75.
    7. Forsstrom, Matthew P., 2021. "Abortion Costs and Single Parenthood: A Life-Cycle Model of Fertility and Partnership Behavior," Labour Economics, Elsevier, vol. 69(C).
    8. Katherine I. Tierney, 2019. "Abortion Underreporting in Add Health: Findings and Implications," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 38(3), pages 417-428, June.
    9. Laura S. Hussey, 2006. "Are Social Welfare Policies "Pro-Life"? An Individual-Level Analysis of Low-Income Women," Working Papers 896, Princeton University, School of Public and International Affairs, Center for Research on Child Wellbeing..
    10. Kelly, Kimberly, 2014. "The spread of ‘Post Abortion Syndrome’ as social diagnosis," Social Science & Medicine, Elsevier, vol. 102(C), pages 18-25.
    11. repec:pri:crcwel:wp07-12-ff is not listed on IDEAS
    12. Yujin Kim & R. Raley, 2015. "Race-Ethnic Differences in the Non-marital Fertility Rates in 2006–2010," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 34(1), pages 141-159, February.
    13. Michael J. Camasso, 2004. "Isolating the Family Cap Effect on Fertility Behavior: Evidence From New Jersey's Family Development Program Experiment," Contemporary Economic Policy, Western Economic Association International, vol. 22(4), pages 453-467, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:72:y:2011:i:1:p:72-82. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.