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American Journal of Public Health
Volume 104, Issue 1
February 2014 Pages 43 - 48

Shifts in Intended and Unintended Pregnancies in the United States, 2001–2008

Lawrence B. Finer
Mia R. Zolna,Guttmacher Institute
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First published online: February 1, 2014 DOI: https://doi.org/10.2105/AJPH.2013.301416

Objectives: We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationally and for key subgroups between 2001 and 2008.

Methods: Data on pregnancy intentions from the National Survey of Family Growth (NSFG) and a nationally representative survey of abortion patients were combined with counts of births (from the National Center for Health Statistics), counts of abortions (from a census of abortion providers), estimates of miscarriages (from the NSFG), and population denominators from the US Census Bureau to obtain pregnancy rates by intendedness.

Results: In 2008, 51% of pregnancies in the United States were unintended, and the unintended pregnancy rate was 54 per 1000 women ages 15 to 44 years. Between 2001 and 2008, intended pregnancies decreased and unintended pregnancies increased, a shift previously unobserved. Large disparities in unintended pregnancy by relationship status, income, and education increased; the percentage of unintended pregnancies ending in abortion decreased; and the rate of unintended pregnancies ending in birth increased, reaching 27 per 1000 women.

Conclusions: Reducing unintended pregnancy likely requires addressing fundamental socioeconomic inequities, as well as increasing contraceptive use and the uptake of highly effective methods.

Shifts in Intended and Unintended Pregnancies in the United States, 2001–2008

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Lawrence B. Finer
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Topic

United States

  • Pregnancy: Unintended Pregnancy

Geography

  • Northern America: United States
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