Department of Population, Family & Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
J Immigr Minor Health. 2011 Jun;13(3):478-86. doi: 10.1007/s10903-011-9437-x.
Hispanic women, a large and growing ethnic minority group in the U.S., have an unintended birth rate over twice the national average. However, little is known about unintended birth among Hispanic immigrants. The purpose of this study is to determine the sociodemographic, including immigration-related, correlates of unintended birth in this population. Data were collected as part of a preventive intervention among pregnant Hispanic immigrants at increased risk for depression (n = 215). The correlates of women's self-reported pregnancy intention (intended, mistimed, unwanted) were examined using multinomial logistic regression. Similar to nationally representative findings, unintended birth was more common among younger women, single women and women not cohabiting with their partners, and women with more children. Additionally, women who had immigrated to the U.S. less than 1 year ago had almost a 4 times greater risk of a mistimed birth (RRR = 3.82, P < 0.05) compared to women who immigrated 1-4 years ago. Women with greater social support scores had a reduced chance of mistimed (RRR = 0.98, P < 0.10) and unwanted (RRR = 0.97, P < 0.05) birth. The findings have implications for development of effective and culturally appropriate family planning programs. They suggest that interventions should target young women, women who have achieved their desired family size, and very recent immigrants.
美国的西班牙裔女性是一个庞大且不断增长的少数民族群体，她们的意外生育率是全国平均水平的两倍多。然而，对于西班牙裔移民中的意外生育情况，人们知之甚少。本研究旨在确定这一人群中与社会人口统计学相关的、包括与移民相关的意外生育的因素。数据是作为一项针对有抑郁风险的西班牙裔移民孕妇的预防干预措施的一部分收集的（n=215）。使用多项逻辑回归分析了女性自我报告的怀孕意向（计划内、时机不当、不想要）的相关因素。与全国代表性研究结果相似，意外生育在较年轻、单身、与伴侣不同居、子女较多的女性中更为常见。此外，与移民美国 1-4 年的女性相比，移民不到 1 年的女性出现时机不当生育的风险几乎高出 4 倍（RRR=3.82，P<0.05）。社会支持评分较高的女性出现时机不当（RRR=0.98，P<0.10）和不想要生育（RRR=0.97，P<0.05）的几率降低。这些发现对制定有效和文化上适当的计划生育方案具有启示意义。它们表明干预措施应针对年轻女性、已经达到理想家庭规模的女性和最近移民。
