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

<h4>Objectives</h4>To explore the association between changes in personal circumstances and shifts in pregnancy intentions.<h4>Study design</h4>New start contraceptive clients, who desired to prevent pregnancy for at least one year enrolled in the survey arm of the HER Salt L...

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Autores principales:	C Geist, B G Everett, R G Simmons, J N Sanders, L M Gawron, K Myers, D K Turok
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d1c8741e9bfa4cbfad533ed91ca74f45
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spelling	oai:doaj.org-article:d1c8741e9bfa4cbfad533ed91ca74f452021-12-02T20:14:31ZChanging lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.1932-620310.1371/journal.pone.0257411https://doaj.org/article/d1c8741e9bfa4cbfad533ed91ca74f452021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257411https://doaj.org/toc/1932-6203<h4>Objectives</h4>To explore the association between changes in personal circumstances and shifts in pregnancy intentions.<h4>Study design</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.C GeistB G EverettR G SimmonsJ N SandersL M GawronK MyersD K TurokPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257411 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q C Geist B G Everett R G Simmons J N Sanders L M Gawron K Myers D K Turok Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.
description	<h4>Objectives</h4>To explore the association between changes in personal circumstances and shifts in pregnancy intentions.<h4>Study design</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.
format	article
author	C Geist B G Everett R G Simmons J N Sanders L M Gawron K Myers D K Turok
author_facet	C Geist B G Everett R G Simmons J N Sanders L M Gawron K Myers D K Turok
author_sort	C Geist
title	Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.
title_short	Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.
title_full	Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.
title_fullStr	Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.
title_full_unstemmed	Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.
title_sort	changing lives, dynamic plans: prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from her salt lake.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/d1c8741e9bfa4cbfad533ed91ca74f45
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Changing lives, dynamic plans: Prospective assessment of 12-month changes in pregnancy timing intentions and personal circumstances using data from HER Salt Lake.

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