Pregnancy context and women's health-related quality of life

Aileen Gariepy, Lisbet S. Lundsberg, Nicole Vilardo, Nancy Stanwood, Kimberly Yonkers, Eleanor Schwarz

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective The objective was to quantify the association of pregnancy context and health-related quality of life (HRQoL). Study design English- or Spanish-speaking women, aged 16–44, with pregnancies <24 weeks’ gestation were enrolled in this cross-sectional study between June 2014 and June 2015. Participants completed self-assessments of pregnancy “context,” including timing, intention, wantedness, desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy). HRQoL was measured using the Patient Reported Outcomes Measurement Information System Global Short Form. Associations between measures of pregnancy context and HRQoL scores in the lowest tertile were examined using multivariable logistic regression to adjust for potential confounding variables. Results We enrolled 161 participants (mean age=27.2±6.6 years). Only 14% self-identified as White, non-Hispanic; 42% Hispanic; 37% Black, non-Hispanic; and 7% multiracial. Most (79%) participants were unmarried, and 75% were parenting. Mean gestational age was 9±4.6 weeks. In unadjusted models, women reporting mixed feelings about wanting to have a baby, an undesired pregnancy or feeling unhappy about learning of their pregnancy more frequently had low mental and physical HRQoL compared to women reporting wanted, desired, happy pregnancies. Women with an unplanned pregnancy or pregnancy occurring at the wrong time also had lower physical HRQoL than women reporting pregnancies that were planned or happened at the right time. However, after multivariate adjustment, including history of depression, pregnancy contexts were not associated with low mental or physical HRQoL. Conclusions After adjusting for multiple confounders, pregnancy context is not significantly associated with HRQoL. Implications The focus on pregnancy intention in public health programs may not sufficiently assess multidimensional aspects of pregnancy context and may not align with patient-centered outcomes such as HRQoL.

Original languageEnglish (US)
Pages (from-to)491-499
Number of pages9
JournalContraception
Volume95
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Women's Health
Quality of Life
Pregnancy
Unplanned Pregnancy
Emotions
Social Adjustment
Multiple Pregnancy
Reproductive History
Happiness
Confounding Factors (Epidemiology)
Parenting
Family Planning Services
Hispanic Americans
Information Systems
Gestational Age
Mental Health
Public Health
Cross-Sectional Studies
Logistic Models
Learning

Keywords

  • London Measure of Unplanned Pregnancy
  • Pregnancy intention
  • PROMIS
  • Quality of life
  • Unplanned pregnancy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Gariepy, A., Lundsberg, L. S., Vilardo, N., Stanwood, N., Yonkers, K., & Schwarz, E. (2017). Pregnancy context and women's health-related quality of life. Contraception, 95(5), 491-499. https://doi.org/10.1016/j.contraception.2017.02.001

Pregnancy context and women's health-related quality of life. / Gariepy, Aileen; Lundsberg, Lisbet S.; Vilardo, Nicole; Stanwood, Nancy; Yonkers, Kimberly; Schwarz, Eleanor.

In: Contraception, Vol. 95, No. 5, 01.05.2017, p. 491-499.

Research output: Contribution to journalArticle

Gariepy, A, Lundsberg, LS, Vilardo, N, Stanwood, N, Yonkers, K & Schwarz, E 2017, 'Pregnancy context and women's health-related quality of life', Contraception, vol. 95, no. 5, pp. 491-499. https://doi.org/10.1016/j.contraception.2017.02.001
Gariepy, Aileen ; Lundsberg, Lisbet S. ; Vilardo, Nicole ; Stanwood, Nancy ; Yonkers, Kimberly ; Schwarz, Eleanor. / Pregnancy context and women's health-related quality of life. In: Contraception. 2017 ; Vol. 95, No. 5. pp. 491-499.
@article{ee4862986c35416d937f64be6042d47a,
title = "Pregnancy context and women's health-related quality of life",
abstract = "Objective The objective was to quantify the association of pregnancy context and health-related quality of life (HRQoL). Study design English- or Spanish-speaking women, aged 16–44, with pregnancies <24 weeks’ gestation were enrolled in this cross-sectional study between June 2014 and June 2015. Participants completed self-assessments of pregnancy “context,” including timing, intention, wantedness, desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy). HRQoL was measured using the Patient Reported Outcomes Measurement Information System Global Short Form. Associations between measures of pregnancy context and HRQoL scores in the lowest tertile were examined using multivariable logistic regression to adjust for potential confounding variables. Results We enrolled 161 participants (mean age=27.2±6.6 years). Only 14{\%} self-identified as White, non-Hispanic; 42{\%} Hispanic; 37{\%} Black, non-Hispanic; and 7{\%} multiracial. Most (79{\%}) participants were unmarried, and 75{\%} were parenting. Mean gestational age was 9±4.6 weeks. In unadjusted models, women reporting mixed feelings about wanting to have a baby, an undesired pregnancy or feeling unhappy about learning of their pregnancy more frequently had low mental and physical HRQoL compared to women reporting wanted, desired, happy pregnancies. Women with an unplanned pregnancy or pregnancy occurring at the wrong time also had lower physical HRQoL than women reporting pregnancies that were planned or happened at the right time. However, after multivariate adjustment, including history of depression, pregnancy contexts were not associated with low mental or physical HRQoL. Conclusions After adjusting for multiple confounders, pregnancy context is not significantly associated with HRQoL. Implications The focus on pregnancy intention in public health programs may not sufficiently assess multidimensional aspects of pregnancy context and may not align with patient-centered outcomes such as HRQoL.",
keywords = "London Measure of Unplanned Pregnancy, Pregnancy intention, PROMIS, Quality of life, Unplanned pregnancy",
author = "Aileen Gariepy and Lundsberg, {Lisbet S.} and Nicole Vilardo and Nancy Stanwood and Kimberly Yonkers and Eleanor Schwarz",
year = "2017",
month = "5",
day = "1",
doi = "10.1016/j.contraception.2017.02.001",
language = "English (US)",
volume = "95",
pages = "491--499",
journal = "Contraception",
issn = "0010-7824",
publisher = "Elsevier USA",
number = "5",

}

TY - JOUR

T1 - Pregnancy context and women's health-related quality of life

AU - Gariepy, Aileen

AU - Lundsberg, Lisbet S.

AU - Vilardo, Nicole

AU - Stanwood, Nancy

AU - Yonkers, Kimberly

AU - Schwarz, Eleanor

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Objective The objective was to quantify the association of pregnancy context and health-related quality of life (HRQoL). Study design English- or Spanish-speaking women, aged 16–44, with pregnancies <24 weeks’ gestation were enrolled in this cross-sectional study between June 2014 and June 2015. Participants completed self-assessments of pregnancy “context,” including timing, intention, wantedness, desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy). HRQoL was measured using the Patient Reported Outcomes Measurement Information System Global Short Form. Associations between measures of pregnancy context and HRQoL scores in the lowest tertile were examined using multivariable logistic regression to adjust for potential confounding variables. Results We enrolled 161 participants (mean age=27.2±6.6 years). Only 14% self-identified as White, non-Hispanic; 42% Hispanic; 37% Black, non-Hispanic; and 7% multiracial. Most (79%) participants were unmarried, and 75% were parenting. Mean gestational age was 9±4.6 weeks. In unadjusted models, women reporting mixed feelings about wanting to have a baby, an undesired pregnancy or feeling unhappy about learning of their pregnancy more frequently had low mental and physical HRQoL compared to women reporting wanted, desired, happy pregnancies. Women with an unplanned pregnancy or pregnancy occurring at the wrong time also had lower physical HRQoL than women reporting pregnancies that were planned or happened at the right time. However, after multivariate adjustment, including history of depression, pregnancy contexts were not associated with low mental or physical HRQoL. Conclusions After adjusting for multiple confounders, pregnancy context is not significantly associated with HRQoL. Implications The focus on pregnancy intention in public health programs may not sufficiently assess multidimensional aspects of pregnancy context and may not align with patient-centered outcomes such as HRQoL.

AB - Objective The objective was to quantify the association of pregnancy context and health-related quality of life (HRQoL). Study design English- or Spanish-speaking women, aged 16–44, with pregnancies <24 weeks’ gestation were enrolled in this cross-sectional study between June 2014 and June 2015. Participants completed self-assessments of pregnancy “context,” including timing, intention, wantedness, desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy). HRQoL was measured using the Patient Reported Outcomes Measurement Information System Global Short Form. Associations between measures of pregnancy context and HRQoL scores in the lowest tertile were examined using multivariable logistic regression to adjust for potential confounding variables. Results We enrolled 161 participants (mean age=27.2±6.6 years). Only 14% self-identified as White, non-Hispanic; 42% Hispanic; 37% Black, non-Hispanic; and 7% multiracial. Most (79%) participants were unmarried, and 75% were parenting. Mean gestational age was 9±4.6 weeks. In unadjusted models, women reporting mixed feelings about wanting to have a baby, an undesired pregnancy or feeling unhappy about learning of their pregnancy more frequently had low mental and physical HRQoL compared to women reporting wanted, desired, happy pregnancies. Women with an unplanned pregnancy or pregnancy occurring at the wrong time also had lower physical HRQoL than women reporting pregnancies that were planned or happened at the right time. However, after multivariate adjustment, including history of depression, pregnancy contexts were not associated with low mental or physical HRQoL. Conclusions After adjusting for multiple confounders, pregnancy context is not significantly associated with HRQoL. Implications The focus on pregnancy intention in public health programs may not sufficiently assess multidimensional aspects of pregnancy context and may not align with patient-centered outcomes such as HRQoL.

KW - London Measure of Unplanned Pregnancy

KW - Pregnancy intention

KW - PROMIS

KW - Quality of life

KW - Unplanned pregnancy

UR - http://www.scopus.com/inward/record.url?scp=85013391772&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85013391772&partnerID=8YFLogxK

U2 - 10.1016/j.contraception.2017.02.001

DO - 10.1016/j.contraception.2017.02.001

M3 - Article

VL - 95

SP - 491

EP - 499

JO - Contraception

JF - Contraception

SN - 0010-7824

IS - 5

ER -