Ian M. Bennett|Jennifer F. Culhane|Kelly F. McCollum|Irma T. Elo
Unintended rapid repeat pregnancy and low education status: Any role for depression and contraceptive use?
Drexel University|Drexel University|University of Pennsylvania
purpose study assess contribution depressive symptoms poor contraceptive use early first postpartum year risk unintended repeat pregnancy end year among adults low educational status 12th grade equivalencethis prospective observational cohort study 643 sexually active lowincome innercity adult women age 19 enrolled prenatally 147 69 weeks gestational age followed twice delivery 33 13 months 110 13 months associations assessed multivariate logistic regressionlow educational status odds ratio 232 95 ci 125433 less effective contraceptive use odds ratio 231 95 ci 105451 associated unintended pregnancy neither depressive symptoms contraceptive use reduced risk pregnancy associated low educational statuslow educational status associated twice risk unintended pregnancy 1 year delivery found evidence depression poor contraceptive use mediate relationship