IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0257411.html
   My bibliography  Save this article

Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake

Author

Listed:
  • C Geist
  • B G Everett
  • R G Simmons
  • J N Sanders
  • L M Gawron
  • K Myers
  • D K Turok

Abstract

Objectives: To explore the association between changes in personal circumstances and shifts in pregnancy intentions. Study design: New start contraceptive clients, who desired to prevent pregnancy for at least one year enrolled in the survey arm of the HER Salt Lake Contraceptive Initiative (September 2015 –March 2017) and responded to the question “What are your future pregnancy plans?” at enrollment and 12-month follow-up. We estimated multivariable binary logistic fixed-effects regressions to examine the association between changes in personal circumstances and a change from never desiring a pregnancy at enrollment to considering one in the future at 12-month follow-up. Results: The majority of the 2825 participants (2246, 79%) maintained their pregnancy timing intention over the 12-month study period. Multivariable analyses of the 208 participants who changed from never desiring a pregnancy to considering pregnancy in the future at 12-month follow-up indicated that entering cohabitation (aOR 3.14, 95% CI 1.30–7.58), increased household income (aOR 1.06, 95% CI 1.00–1.13), and changes from unemployment to full-time employment (aOR 5.94, 95% CI 1.29–27.36) are associated with increased the odds of desiring a future pregnancy after never wanting one a year prior. Conclusions: Pregnancy intentions are dynamic over twelve months and covary with partner status, household income, and employment status. Pregnancy intentions are linked to changes in life circumstances. Health care providers need to frequently assess pregnancy intentions and resulting contraceptive or preconception needs.

Suggested Citation

  • C Geist & B G Everett & R G Simmons & J N Sanders & L M Gawron & K Myers & D K Turok, 2021. "Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-11, September.
    • Handle: RePEc:plo:pone00:0257411
    DOI: 10.1371/journal.pone.0257411
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0257411
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0257411&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0257411?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sarah Hayford, 2009. "The evolution of fertility expectations over the life course," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 765-783, November.
    2. Higgins, J.A. & Kramer, R.D. & Ryder, K.M., 2016. "Provider bias in long-Acting reversible contraception (LARC) promotion and removal: Perceptions of young adult women," American Journal of Public Health, American Public Health Association, vol. 106(11), pages 1932-1937.
    3. Fady Mansour, 2018. "Economic Insecurity and Fertility: Does Income Volatility Impact the Decision to Remain a One-Child Family?," Journal of Family and Economic Issues, Springer, vol. 39(2), pages 243-257, June.
    4. Thomas A. DiPrete & S. Philip Morgan & Henriette Engelhardt & Hana Pacalova, 2003. "Do Cross-National Differences in the Costs of Children Generate Cross-National Differences in Fertility Rates?," Discussion Papers of DIW Berlin 355, DIW Berlin, German Institute for Economic Research.
    5. Maria Iacovou & Lara Patrício Tavares, 2011. "Yearning, Learning, and Conceding: Reasons Men and Women Change Their Childbearing Intentions," Population and Development Review, The Population Council, Inc., vol. 37(1), pages 89-123, March.
    6. Sarah R. Brauner-Otto & Claudia Geist, 2018. "Uncertainty, Doubts, and Delays: Economic Circumstances and Childbearing Expectations Among Emerging Adults," Journal of Family and Economic Issues, Springer, vol. 39(1), pages 88-102, March.
    7. Sanders, J.N. & Myers, K. & Gawron, L.M. & Simmons, R.G. & Turok, D.K., 2018. "Contraceptive method use during the community-wide HER salt lake contraceptive initiative," American Journal of Public Health, American Public Health Association, vol. 108(4), pages 550-556.
    8. Frank Heiland & Alexia Prskawetz & Warren C. Sanderson, 2008. "Are Individuals’ Desired Family Sizes Stable? Evidence from West German Panel Data," European Journal of Population, Springer;European Association for Population Studies, vol. 24(2), pages 129-156, June.
    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. Jennifer Yarger & Sarah R. Brauner-Otto, 2024. "Women’s Work Characteristics and Fertility Expectations," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 43(2), pages 1-21, April.

    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. Najat Bazah & A. Jesús Sánchez Fuentes, 2024. "Fertility as a variable for tackling the demographic challenge, is having children in Spain an unfulfilled desire?," Working Papers REM 2024/0317, ISEG - Lisbon School of Economics and Management, REM, Universidade de Lisboa.
    2. Jennifer Yarger & Sarah R. Brauner-Otto, 2024. "Women’s Work Characteristics and Fertility Expectations," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 43(2), pages 1-21, April.
    3. Natalie Nitsche & Sarah Hayford, 2018. "Preferences, Partners, and Parenthood: Linking Early Fertility Desires, Union Formation Timing, and Achieved Fertility," VID Working Papers 1810, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna.
    4. Sarah R. Brauner-Otto & Claudia Geist, 2018. "Uncertainty, Doubts, and Delays: Economic Circumstances and Childbearing Expectations Among Emerging Adults," Journal of Family and Economic Issues, Springer, vol. 39(1), pages 88-102, March.
    5. Maria Rita Testa, 2017. "Will highly educated women have more children in the future? Looking at reproductive plans and outcomes," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 15(1), pages 033-40.
    6. Zuzanna Brzozowska & Isabella Buber-Ennser & Bernhard Riederer, 2021. "Didn’t Plan One but got One: Unintended and sooner-than-intended Parents in the East and the West of Europe," European Journal of Population, Springer;European Association for Population Studies, vol. 37(3), pages 727-767, July.
    7. Francesca Fiori & Francesca Rinesi & Elspeth Graham, 2017. "Choosing to Remain Childless? A Comparative Study of Fertility Intentions Among Women and Men in Italy and Britain," European Journal of Population, Springer;European Association for Population Studies, vol. 33(3), pages 319-350, July.
    8. Sara Yeatman & Christie Sennott & Steven Culpepper, 2013. "Young Women’s Dynamic Family Size Preferences in the Context of Transitioning Fertility," Demography, Springer;Population Association of America (PAA), vol. 50(5), pages 1715-1737, October.
    9. Wright, Kelsey Q., 2020. "Contraceptive selection and practice: Associations with self-identified race and socioeconomic disadvantage," Social Science & Medicine, Elsevier, vol. 266(C).
    10. Natalie Nitsche & Sarah R. Hayford, 2020. "Preferences, Partners, and Parenthood: Linking Early Fertility Desires, Marriage Timing, and Achieved Fertility," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 1975-2001, December.
    11. Tomáš Sobotka & Éva Beaujouan, 2014. "Two Is Best? The Persistence of a Two-Child Family Ideal in Europe," Population and Development Review, The Population Council, Inc., vol. 40(3), pages 391-419, September.
    12. Alison Gemmill, 2019. "From Some to None? Fertility Expectation Dynamics of Permanently Childless Women," Demography, Springer;Population Association of America (PAA), vol. 56(1), pages 129-149, February.
    13. Maryam Moeeni & Arash Rashidian & Akbar Aghajanian, 2018. "Women’s relative status and childbearing intentions: Empirical evidence from Iran," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-10, April.
    14. Mar Llorente-Marrón & Montserrat Díaz-Fernández & Paz Méndez-Rodríguez, 2022. "Ranking fertility predictors in Spain: a multicriteria decision approach," Annals of Operations Research, Springer, vol. 311(2), pages 771-798, April.
    15. Eva Beaujouan, 2018. "Late Fertility Intentions and Fertility in Austria," VID Working Papers 1806, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna.
    16. Youngcho Lee, 2022. "Is Leave for Fathers Pronatalist? A Mixed-Methods Study of the Impact of Fathers’ Uptake of Parental Leave on Couples’ Childbearing Intentions in South Korea," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(4), pages 1471-1500, August.
    17. Christine A. Bachrach & S. Philip Morgan, 2013. "A Cognitive–Social Model of Fertility Intentions," Population and Development Review, The Population Council, Inc., vol. 39(3), pages 459-485, September.
    18. Vida Maralani & Samuel Stabler, 2018. "Intensive Parenting: Fertility and Breastfeeding Duration in the United States," Demography, Springer;Population Association of America (PAA), vol. 55(5), pages 1681-1704, October.
    19. Victor Agadjanian & Lesia Nedoluzhko, 2022. "Group Normative Propensities, Societal Positioning, and Childbearing: Ethno-linguistic Variation in Completed and Desired Fertility in Transitional Central Asia," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(4), pages 1571-1596, August.
    20. Francesca Luppi & Letizia Mencarini, 2018. "Parents’ subjective well-being after their first child and declining fertility expectations," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 39(9), pages 285-314.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0257411. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.