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Trends and inequalities in unplanned pregnancy in three population-based birth cohorts in Pelotas, Brazil

Author

Listed:
  • Laísa Rodrigues Moreira

    (Federal University of Pelotas)

  • Fernanda Ewerling

    (Federal University of Pelotas
    Federal University of Pelotas)

  • Iná S. Santos

    (Federal University of Pelotas)

  • Fernando César Wehrmeister

    (Federal University of Pelotas
    Federal University of Pelotas)

  • Alicia Matijasevich

    (Federal University of Pelotas
    University of São Paulo)

  • Aluisio J. D. Barros

    (Federal University of Pelotas
    Federal University of Pelotas)

  • Ana M. B. Menezes

    (Federal University of Pelotas)

  • Helen Gonçalves

    (Federal University of Pelotas)

  • Joseph Murray

    (Federal University of Pelotas)

  • Marlos R. Domingues

    (Federal University of Pelotas)

  • Mariângela Freitas Silveira

    (Federal University of Pelotas)

Abstract

Objectives To assess time trends in unplanned pregnancy, stratified by sociodemographic status, reproductive history, and inequalities in family income and women’s skin color, in Pelotas, Brazil. Methods Data from mothers of participants of the 1993 (N = 5264), 2004 (N = 4243), and 2015 (N = 4268) Pelotas birth cohorts were analyzed. Unplanned pregnancy was investigated in the perinatal period, with tests to assess changes over time among different sociodemographic and reproductive history subgroups and inequalities as a function of family income and skin color. Results The prevalence of unplanned pregnancy was 62.7% (3299/ 5264), 65.9% (2794/ 4243), and 52.2% (2226/ 4268) in the 1993, 2004, and 2015 cohorts, respectively. Black or brown women and women of lower socioeconomic status had a higher prevalence of unplanned pregnancy in all cohorts. The overall rate of unplanned pregnancy decreased over time in most subgroups. Inequality as a function of family income and skin color increased during the time frame of assessment. Conclusions The prevalence of unplanned pregnancies decreased in the period analyzed, but it is still unjustifiably high. Efforts aimed at reducing unplanned pregnancy are vital and will require special attention to the most vulnerable groups.

Suggested Citation

  • Laísa Rodrigues Moreira & Fernanda Ewerling & Iná S. Santos & Fernando César Wehrmeister & Alicia Matijasevich & Aluisio J. D. Barros & Ana M. B. Menezes & Helen Gonçalves & Joseph Murray & Marlos R. , 2020. "Trends and inequalities in unplanned pregnancy in three population-based birth cohorts in Pelotas, Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(9), pages 1635-1645, December.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:9:d:10.1007_s00038-020-01505-0
    DOI: 10.1007/s00038-020-01505-0
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    References listed on IDEAS

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    1. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    2. Md Nuruzzaman Khan & Melissa L. Harris & Desalegn Markos Shifti & Alexander Suuk Laar & Deborah Loxton, 2019. "Effects of unintended pregnancy on maternal healthcare services utilization in low- and lower-middle-income countries: systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(5), pages 743-754, June.
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