Journal of Immigrant and Minority Health

, Volume 17, Issue 2, pp 527–534

The Border of Reproductive Control: Undocumented Immigration as a Risk Factor for Unintended Pregnancy in Switzerland

  • Alejandra Casillas
  • Patrick Bodenmann
  • Manuella Epiney
  • Laurent Gétaz
  • Olivier Irion
  • Jean-Michel Gaspoz
  • Hans Wolff
Original Paper

DOI: 10.1007/s10903-013-9939-9

Cite this article as:
Casillas, A., Bodenmann, P., Epiney, M. et al. J Immigrant Minority Health (2015) 17: 527. doi:10.1007/s10903-013-9939-9

Abstract

Unintended pregnancies reflect an unmet need for family planning, and are part of health disparities. Using the only database to inquire about pregnancy intention among women in Switzerland, this study examined the relationship between immigrant documentation and unintended pregnancy (UP). Among pregnant women presenting to a Swiss hospital, we compared pregnancy intention between documented and undocumented women. We used logistic regression to examine whether undocumented status was associated with UP after adjusting for other significant predictors. Undocumented women had more unintended pregnancies (75.2 vs. 20.6 %, p = 0.00). Undocumented status was associated with UP after adjustment (OR 6.23, 95 % CI 1.83–21.2), as was a history of psychological problems (OR 4.09, 95 % CI 1.32–12.7). Contraception non-use was notably associated with lower odds of UP (OR 0.01, 95 % CI 0.004–0.04). Undocumented status was significantly associated with UP, even after adjusting for well-recognized risk factors. This highlights the tremendous risk of undocumented status on UP among women in Switzerland.

Keywords

Unintended pregnancy Women’s health Immigrant health Undocumented immigrants Health disparities 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Alejandra Casillas
    • 1
    • 4
  • Patrick Bodenmann
    • 2
  • Manuella Epiney
    • 3
  • Laurent Gétaz
    • 1
  • Olivier Irion
    • 3
  • Jean-Michel Gaspoz
    • 1
  • Hans Wolff
    • 1
  1. 1.Penitentiary Medicine ServiceGeneva University HospitalsGenevaSwitzerland
  2. 2.Policlinique Médicale UniversitaireCHUV, Lausanne University HospitalLausanneSwitzerland
  3. 3.Department of Gynecology and ObstetricsGeneva University HospitalsGenevaSwitzerland
  4. 4.Service de Médecine de Premier Recours, 9 étage, aile Jura, bureau 7A-9-731.3Hôpitaux Universitaires de GenèveGeneva 14Switzerland

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