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Journal of Population Research

, Volume 26, Issue 4, pp 327–357 | Cite as

The effects of preconception desires and intentions on pregnancy wantedness

  • Warren B. MillerEmail author
  • Jo Jones
Article

Abstract

Do preconception intentions to conceive add to the prediction of pregnancy wantedness beyond the effect of preconception desires? This paper addresses that question, using data regarding the most recent pregnancy of 2,299 women respondents to the 2002 U.S. National Survey of Family Growth. We test a structural equation model predicting a woman’s pregnancy wantedness with her preconception desires, her perception of her partner’s preconception desires, and her preconception intentions. In this multivariate setting, preconception intentions do not predict pregnancy wantedness in the overall sample. However, they do predict wantedness in certain demographic contexts. We identify three patterns of change in our model that occur in selected contexts. We then use these patterns to hypothesize three psychosocial mechanisms by which preconception intentions may increase the wantedness of a pregnancy beyond that resulting from the woman’s preconception desires to get pregnant and her perception of her partner’s preconception desires.

Keywords

Pregnancy wantedness Preconception intentions Preconception desires Partner preconception desires Couple decision commitment Concern with infertility Female empowerment 

Notes

Acknowledgments

We greatly appreciate the invaluable support of William D. Mosher, National Center for Health Statistics, who facilitated the development, execution, and reporting of this research. We also appreciate the guidance of David J. Pasta during data analysis and interpretation. We also thank the following individuals at the National Center for Health Statistics for their thoughtful reviews of earlier versions of this manuscript: Stephanie J. Ventura, Julia S. Holmes, and Jennifer H. Madans. Their comments and suggestions helped improve the conceptualization and focus of this paper. The findings and conclusions reported here are ours alone and do not necessarily represent the official position of the Centers for Disease Control and Prevention/National Center for Health Statistics.

References

  1. Bachrach, C. A., & Newcomer, S. (1999). Intended pregnancies and unintended pregnancies: Distinct categories or opposite ends of a continuum? Family Planning Perspectives, 31, 251–252.CrossRefGoogle Scholar
  2. Bagozzi, R. P. (1992). The self regulation of attitudes, intentions, and behavior. Social Psychology Quarterly, 55, 178–204.CrossRefGoogle Scholar
  3. Brown, S. S., & Eisenberg, L. (1995). The best of intentions: Unintended pregnancy and the well-being of children and families. Washington, DC: National Academy Press.Google Scholar
  4. Campbell, A. A., & Mosher, W. D. (2000). A history of the measurement of unintended pregnancies and births. Maternal and Child Health Journal, 4, 163–169.CrossRefGoogle Scholar
  5. David, H. P. (1973). Psychological studies on abortion. In J. T. Fawcett (Ed.), Psychological perspectives on population (pp. 241–273). New York: Basic Books.Google Scholar
  6. David, H. P. (2006). Born unwanted: 35 years later. The Prague study. Reproductive Health Matters, 14, 181–190.CrossRefGoogle Scholar
  7. David, H. P., Dytrych, Z., Matejcek, Z., & Schuller, V. (1988). Born unwanted: Developmental effects of denied abortion. New York: Springer.Google Scholar
  8. Edin, K., & Kefalas, M. J. (2005). Promises I can keep: Why poor women put motherhood before marriage. Berkeley, CA: University of California.Google Scholar
  9. Edin, K., & Reed, J. M. (2005). Why don’t they just get married? Barriers to marriage among the disadvantaged. The Future of Children, 15(2), 117–137.CrossRefGoogle Scholar
  10. Finer, L. B., & Henshaw, S. B. (2006). Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health, 38(2), 90–96.CrossRefGoogle Scholar
  11. Gipson, J. D., Koenig, M. A., & Hindin, M. J. (2008). The effects of unintended pregnancy on infant, child, and parental health: A review of the literature. Studies in Family Planning, 39(1), 18–38.CrossRefGoogle Scholar
  12. Groves, R. M., Benson, G., Mosher, W. D., Rosenbaum, J., Granda, P., Axinn, W., et al. (2005). Plan and operation of Cycle 6 of the National Survey of Family Growth. Vital and Health Statistics 1(42). Hyattsville, MD: National Center for Health Statistics.Google Scholar
  13. Joreskog, K. G., & Sorbom, D. (1996). LISREL 8: User’s reference guide. Chicago: Scientific Software International.Google Scholar
  14. Joyce, T., Kaestner, R., & Korenman, S. (2002). On the validity of retrospective assessments of pregnancy intention. Demography, 39, 199–213.CrossRefGoogle Scholar
  15. Kaufmann, R. B., Morris, L., & Spitz, A. M. (1997). Comparison of two sequences for assessing pregnancy intentions. American Journal of Epidemiology, 145, 810–816.Google Scholar
  16. Klerman, L. V. (2000). The intendedness of pregnancy: A concept in transition. Maternal and Child Health Journal, 4, 155–162.CrossRefGoogle Scholar
  17. Kroelinger, C. D., & Oths, K. S. (2000). Partner support and pregnancy wantedness. Birth, 27, 112–119.CrossRefGoogle Scholar
  18. Lepkowski, J. M., Mosher, W. D., Davis, K., Groves, R. M., van Hoewyk, J., & Willem, J. (2006). National Survey of Family Growth, Cycle 6: Sample design, weighting, imputation, and variance estimation. Vital and Health Statistics, Series 2, No. 142. Hyattsville, MD: National Center for Health Statistics.Google Scholar
  19. Miller, W. B. (1974). Relationships between the intendedness of conception and the wantedness of pregnancy. Journal of Nervous and Mental Disease, 159, 396–406.CrossRefGoogle Scholar
  20. Miller, W. B. (1981). The psychology of reproduction. Springfield, VA: National Technical Information Service.Google Scholar
  21. Miller, W. B. (1986). Proception: An important fertility behavior. Demography, 23, 579–594.CrossRefGoogle Scholar
  22. Miller, W. B. (1992). Personality traits and developmental experiences as antecedents of childbearing motivation. Demography, 29, 265–285.CrossRefGoogle Scholar
  23. Miller, W. B. (1994a). Reproductive decisions: How we make them and how they make us. In L. J. Severy (Ed.), Advances in population (Vol. 2, pp. 1–27). London: Jessica Kingsley.Google Scholar
  24. Miller, W. B. (1994b). Childbearing motivations, desires, and intentions: A theoretical framework. Genetic, Social, and General Psychological Monographs, 120, 223–258.Google Scholar
  25. Miller, W. B. (1995). Childbearing motivation and its measurement. Journal of Biosocial Science, 27, 473–487.CrossRefGoogle Scholar
  26. Miller, W. B. (2003). The role of nurturant schemas in human reproduction. In J. L. Rodgers & H.-P. Kohler (Eds.), The biodemography of human reproduction and fertility (pp. 43–55). Boston: Kluwer.Google Scholar
  27. Miller, W. B. & Jones, J. (2009). Modeling the Effects of Preconception Desires and Intentions on Pregnancy Wantedness in the 2002 NSFG—A Working Paper.pdf.Google Scholar
  28. Miller, W. B., & Pasta, D. P. (1993). Motivational and nonmotivational determinants of child-number desires. Population and Environment, 15, 113–138.CrossRefGoogle Scholar
  29. Miller, W. B., & Pasta, D. P. (1994). The psychology of child timing: A measurement instrument and a model. Journal of Applied Social Psychology, 24, 221–250.CrossRefGoogle Scholar
  30. Miller, W. B., & Pasta, D. P. (1995). Behavioral intentions: Which ones predict fertility behavior in married couples? Journal of Applied Social Psychology, 25, 530–555.CrossRefGoogle Scholar
  31. Miller, W. B., & Pasta, D. P. (2000). Early family environment, reproductive strategy, and contraceptive behavior: Testing a genetic hypothesis. In J. L. Rodgers, D. C. Rowe, & W. B. Miller (Eds.), Genetic influences on human fertility and sexuality: Theoretical and empirical contributions from the biological and behavioral sciences (pp. 183–230). Boston: Kluwer.Google Scholar
  32. Miller, W. B., & Pasta, D. P. (2002). The motivational substrate of unintended and unwanted pregnancy. Journal of Applied Biobehavioral Research, 7, 1–29.Google Scholar
  33. Miller, W. B., & Rodgers, J. L. (2001). The ontogeny of human bonding systems: Evolutionary origins, neural bases, and psychological manifestations. Boston: Kluwer.Google Scholar
  34. Miller, W. B., Sable, M. R., & Csizmadia, A. (2008). Pregnancy wantedness and child attachment security: Is there a relationship? Maternal and Child Health Journal, 12, 478–487.CrossRefGoogle Scholar
  35. Miller, W. B., Severy, L. J., & Pasta, D. J. (2004). A framework for modeling fertility motivation in the dyad. Population Studies, 58, 193–205.CrossRefGoogle Scholar
  36. Poole, V. L., Flowers, J. S., Goldenberg, R. L., Cliver, S. P., & McNeal, S. (2000). Changes in intendedness during pregnancy in a high-risk multiparous population. Maternal and Child Health Journal, 4, 179–182.CrossRefGoogle Scholar
  37. Rainwater, L. (1960). And the poor get children. Chicago: Quadrangle Books.Google Scholar
  38. Sanger, M. (1931). My fight for birth control. New York: Ferris Printing.Google Scholar
  39. Scanzoni, J. H. (1975). Sex roles, life styles, and childbearing. New York: The Free Press.Google Scholar
  40. Speizer, I. S., Santelli, J. S., Afable-Munsuz, A., & Kendall, C. (2004). Measuring factors underlying intendedness of women’s first and later pregnancies. Perspectives on Sexual and Reproductive Health, 36, 198–205.CrossRefGoogle Scholar
  41. Stanford, J. B., Hobbs, R., Jameson, P., DeWitt, M. J., & Fischer, R. C. (2000). Defining dimensions of pregnancy intendedness. Maternal and Child Health Journal, 4, 183–189.CrossRefGoogle Scholar
  42. The National Campaign to Prevent Teen and Unplanned Pregnancy. (2008). http://www.thenationalcampaign.org/.
  43. Trussell, J., & Vaughan, B. (1999). Contraceptive failure, method-related discontinuation, and resumption of use: Results from the 1995 National Survey of Family Growth. Family Planning Perspectives, 31, 64–72. See also 93.CrossRefGoogle Scholar
  44. U. S. Department of Health, Human Services. (2000). Healthy people 2010: Understanding and improving health (2nd ed.). Washington, DC: U.S. Government Printing Office.Google Scholar
  45. Williams, L., Piccinino, L., Abma, J., & Arguillas, F. (2001). Pregnancy wantedness: Attitude stability over time. Social Biology, 48, 212–233.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  1. 1.Transnational Family Research InstituteAptosUSA
  2. 2.National Center for Health StatisticsHyattsvilleUSA

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