Abstract
Reducing unintended pregnancies—particularly among Hispanic and Black women, who have relatively high rates—is a key public health goal in the United States. However, descriptive literature has suggested that Hispanic women are happier about these pregnancies compared with White and Black women, which could mean that there is variation across groups in the consequences of the resulting births. The purpose of this study was to examine variations in happiness about unintended births by race–ethnicity and to assess possible explanations for these differences. Using data from the National Survey of Family Growth (N = 1,462 births) I find that Hispanic women report being happier about unintended births compared with White and Black women. Higher happiness among Hispanics was particularly pronounced among a subgroup of women: those who were foreign-born and very religious. Overall, results confirm previous findings that intention status alone is incomplete for capturing pregnancy experiences. Happiness offers complementary information that is important when making comparisons by race–ethnicity and nativity.
Similar content being viewed by others
Notes
In Spanish, this question is translated as, “Por favor mire la escala en la Tarjeta 39. En esta escala, el uno significa que usted estaba muy descontenta de estar embarazada y el diez significa que estaba muy contenta de estar embarazada. Dígame qué número en la tarjeta describe mejor cómo se sintió cuando se enteró que estaba embarazada.
In prior research, Medicaid (rather than insurance) has often been used as an indicator of socioeconomic status but foreign-born Hispanic women who are undocumented do not have access to Medicaid. As a result, non-Medicaid health insurance is used as an indicator of advantage. Estimating the model with a dummy variable for Medicaid rather than (non-Medicaid) insurance does not change the results.
Sensitivity analyses in which the models were estimated using ordered logistic regressions did not change the substantive results. In these tests, several specifications of the dependent variable were tested, including the full 10-point scale and a simplified 5-point scale (combining 1 and 2, 3, and 4, etc.).
Models estimated separately by religious denomination revealed a pattern of results consistent with those presented in Table 3. The difference in pregnancy happiness between Whites and foreign-born Hispanic women was larger among the very religious compared with those who are less religious, and this held when examining Catholics and non-Catholics separately.
References
Abrahamse, A. P., Morrison, L., & Waite, L. (1988). Beyond stereotypes. Who becomes a single teenage mother?. Santa Monica, CA: RAND.
Alba, R., & Nee, V. (2003). Remaking the American mainstream. Cambridge, MA: Harvard University Press.
Bachrach, C. A., & Newcomer, S. (1999). Forum: Intended pregnancies and unintended pregnancies: Distinct categories or opposite ends of a continuum? Family Planning Perspectives, 31(5), 251.
Bean, F. D., & Swicegood, G. (1985). Mexican American fertility patterns. Austin, TX: University of Texas Press.
Bean, F. D., Swicegood, C. G., & Berg, R. (2000). Mexican-origin fertility: New patterns and interpretations. Social Science Quarterly, 81(1), 404–420.
Becker, G. S. (1991). A treatise on the family. Cambridge, MA: Harvard University Press.
Blake, S. M., Kiely, M., Gard, C. C., El-Mohandes, A. A. E., et al. (2007). Pregnancy intentions and happiness among pregnant black women at high risk for adverse infant health outcomes. Perspectives on Sexual and Reproductive Health, 39(4), 194–205.
Chandra, A., Martinez, G. M., Mosher, W. D., Abma, J. C., et al. (2005). Fertility, family planning, and reproductive health of US women: Data from the 2002 National Survey of Family Growth. Hyattsville, MD: National Center for Health Statistics.
Chatters, L. M., Levin, J. S., & Taylor, R. J. (1992). Antecedents and dimensions of religious involvement among older black adults. Journal of Gerontology, 47(6), S269–S278.
Chatters, L. M., Taylor, R. J., Jackson, J. S., & Lincoln, K. D. (2008). Religious coping among African Americans, Caribbean Blacks and Non-Hispanic Whites. Journal of Community Psychology, 36(3), 371–386.
Crowley, C., & Farley, T. (2001). Adolescent girls’ attitudes toward pregnancy: The importance of asking what the boyfriend wants. Journal of Family Practice, 50(7), 603–607.
East, P. L. (1998). Racial and ethnic differences in girls’ sexual, marital, and birth expectations. Journal of Marriage and the Family, 60(1), 150–162.
Edin, K., & Kefalas, M. (2005). Promises I can keep: Why poor women put motherhood before marriage. Berkeley, CA: University of California Press.
England, P., McClintock, E. A., & Shafer, E. F. (2011). Birth control use and early, unintended births. In M. Carlson & P. England (Eds.), Social class and changing families in an unequal America (p. 21). Stanford, CA: Stanford University Press.
Finer, L. B., & Zolna, M. R. (2011). Unintended pregnancy in the United States: Incidence and disparities, 2006. Contraception, 84(5), 478–485.
Fischer, C. S., & Mattson, G. (2009). Is America fragmenting? Annual Review of Sociology, 35, 435–455.
Fischer, R. C., Stanford, J. B., Jameson, P., & DeWitt, M. J. (1999). Exploring the concepts of intended, planned, and wanted pregnancy. The Journal of Family Practice, 48(2), 117.
Forte, D. J., & Judd, K. (1998). The South within the North: Reproductive choice within three US communities. In R. P. Petchesky & K. Judd (Eds.), Negotiating reproductive rights: Women’s perspectives across countries and cultures (pp. 256–294). London: Zed Books.
Furstenberg, F. F., Brooks-Gunn, J., & Morgan, S. P. (1987). Adolescent mothers in later life. Cambridge: Cambridge University Press.
Goldscheider, C., & Goldscheider, F. K. (1988). Ethnicity, religiosity and leaving home: The structural and cultural bases of traditional family values. Sociological Forum, 3, 525–547.
Guzman, L., Wildsmith, E., Manlove, J., & Franzetta, K. (2010). Unintended births: Patterns by race and ethnicity and relationship type. Perspectives on Sexual and Reproductive Health, 42(3), 176–185.
Heckman, J. J., & Walker, J. R. (1990). The relationship between wages and income and the timing and spacing of births: Evidence from Swedish longitudinal data. Econometrica: Journal of the Econometric Society, 58(6), 1411–1441.
Hirsch, J. S. (2003). A courtship after marriage: Sexuality and love in Mexican transnational families. Berkeley, CA: University of California Press.
Hotz, J. V., Klerman, J. A., & Willis, R. J. (1997). The economics of fertility in developed countries. In M. R. Rosenzweig & O. Stark (Eds.), Handbook of population and family economics (pp. 275–347). Amsterdam: Elsevier.
Jones, R. K., & Kost, K. (2007). Underreporting of induced and spontaneous abortion in the United States: An analysis of the 2002 National Survey of Family Growth. Studies in Family Planning, 38(3), 187–197.
Kaufmann, R. B., Morris, L., & Spitz, A. M. (1997). Comparison of two question sequences for assessing pregnancy intentions. American Journal of Epidemiology, 145(9), 810–816.
Kearney, M. S., & Levine, P. B. (2012). Why is the teen birth rate in the United States so high and why does it matter? Working Paper 17965. Cambridge, MA: National Bureau of Economic Research.
Kendall, C., Afable-Munsuz, A., Speizer, I., Avery, A., et al. (2005). Understanding pregnancy in a population of inner-city women in New Orleans: Results of qualitative research. Social Science and Medicine, 60(2), 297–311.
Kerns, J., Westhoff, C., Morroni, C., & Murphy, P. A. (2003). Partner influence on early discontinuation of the pill in a predominantly Hispanic population. Perspectives on Sexual and Reproductive Health, 35(6), 256–260.
Kochhar, R. (2007). 1995–2005: Foreign-born Latinos make progress on wages. Washington, DC: Pew Hispanic Center.
Koenig, H. G., George, L. K., & Siegler, I. C. (1988). The use of religion and other emotion-regulating coping strategies among older adults. The Gerontologist, 28(3), 303.
Krause, N. (1992). Stress, religiosity, and psychological well-being among older blacks. Journal of Aging and Health, 4(3), 412–439.
Lifflander, A., Gaydos, L. M., & Hogue, C. J. (2007). Circumstances of pregnancy: Low income women in Georgia describe the difference between planned and unplanned pregnancies. Maternal and Child Health Journal, 11(1), 81–89.
Luker, K. C. (1999). Forum: A reminder that human behavior frequently refuses to conform to models created by researchers. Family Planning Perspectives, 31(5), 248–249.
McQuillan, J., Greil, A. L., & Shreffler, K. M. (2010). Pregnancy intentions among women who do not try: Focusing on women who are okay either way. Maternal and Child Health Journal, 15(2), 178–187.
Miller, W. B. (1986). Why some women fail to use their contraceptive method: A psychological investigation. Family Planning Perspectives, 18(1), 27–32.
Miller, W. B. (1994). Reproductive decisions: How we make them and how they make us. Advances in Population: Psychosocial Perspectives, 2, 1–27.
Montgomery, M. R. (1996). Comments on men, women, and unintended pregnancy. Population and Development Review, 22, 100–106.
Moos, M. K., Petersen, R., Meadows, K., Melvin, C. L., et al. (1997). Pregnant women’s perspectives on intendedness of pregnancy. Women’s Health Issues, 7(6), 385.
Musick, K., England, P., Edgington, S., & Kangas, N. (2010). Education differences in intended and unintended fertility. Social Forces, 88(2), 543–572.
National Center for Health Statistics. (2010). NSFG 2006–2008 Female Pregnancy File Codebook. Hyattsville, MD: National Center for Health Statistics. http://www.cdc.gov/NCHS/data/nsfg/codebooks/NSFG_2006-08_FemPreg_Codebook.pdf. Cited 1 May 2011.
Neff, J. A., & Hoppe, S. K. (1993). Race/ethnicity, acculturation, and psychological distress: Fatalism and religiosity as cultural resources. Journal of Community Psychology, 21(1), 3–20.
Newman, L. A. (2009). Do socioeconomic differences in family size reflect cultural differences in confidence and social support for parenting? Population Research and Policy Review, 28(5), 661–691.
Oropesa, R. S., & Landale, N. S. (2004). The future of marriage and Hispanics. Journal of Marriage and family, 66(4), 901–920.
Pargament, K. I. (2001). The psychology of religion and coping: Theory, research, practice. New York: Guilford Press.
Parrado, E. A., & Morgan, S. P. (2008). Intergenerational fertility among Hispanic women: New evidence of immigrant assimilation. Demography, 45(3), 651–671.
Peterson, R., & Moos, M. K. (1997). Defining and measuring unintended pregnancy: Issues and concerns. Women’s Health Issues, 7(4), 234–240.
Pollak, R. A., & Watkins, S. C. (1993). Cultural and economic approaches to fertility: Proper marriage or mesalliance? Population and Development Review, 19, 467–496.
Portes, A. (2007). Migration, development, and segmented assimilation: A conceptual review of the evidence. The Annals of the American Academy of Political and Social Science, 610(1), 73–97.
Portes, A., & Zhou, M. (1993). The new second generation: Segmented assimilation and its variants. The Annals of the American Academy of Political and Social Science, 530, 74–96.
Pulley, L. V., Klerman, L. V., Tang, H., & Baker, B. A. (2002). The extent of pregnancy mistiming and its association with maternal characteristics and behaviors and pregnancy outcomes. Perspectives on Sexual and Reproductive Health, 34(4), 206–211.
Rew, L., & Wong, Y. J. (2006). A systematic review of associations among religiosity/spirituality and adolescent health attitudes and behaviors. Journal of Adolescent Health, 38(4), 433–442.
Rosen, C. C. (1982). Ethnic differences among impoverished rural elderly in use of religion as a coping mechanism. Journal of Rural Community Psychology, 3(2), 27–34.
Rumbaut, R. G. (1994). Origins and destinies: Immigration to the United States since World War II. Sociological Forum, 9, 583–621.
Sable, M. R., Campbell, J. D., Schwarz, L. R., Brandt, J., et al. (2006). Male Hispanic immigrants talk about family planning. Journal of Health Care for the Poor and Underserved, 17(2), 386–399.
Sable, M. R., Havig, K., Schwartz, L. R., & Shaw, A. (2009). Hispanic immigrant women talk about family planning. Affilia, 24(2), 137–151.
Sable, M. R., Spencer, J. C., Stockbauer, J. W., Schramm, W. F., et al. (1997). Pregnancy wantedness and adverse pregnancy outcomes: Differences by race and Medicaid status. Family Planning Perspectives, 29(2), 76–81.
Sable, M. R., & Wilkinson, D. S. (1998). Pregnancy intentions, pregnancy attitudes, and the use of prenatal care in Missouri. Maternal and Child Health Journal, 2(3), 155–165.
Santelli, J. S., Lindberg, L. D., Orr, M. G., Finer, L. B., et al. (2009). Toward a multidimensional measure of pregnancy intentions: Evidence from the United States. Studies in Family Planning, 40(2), 87–100.
Santelli, J., Rochat, R., Hatfield-Timajchy, K., Gilbert, B. C., et al. (2003). The measurement and meaning of unintended pregnancy. Perspectives on Sexual and Reproductive Health, 35(2), 94–101.
Smith, C., Denton, M. L., Faris, R., & Regnerus, M. (2002). Mapping American adolescent religious participation. Journal for the Scientific Study of Religion, 41(4), 597–612.
Stanford, J., & Dewitt, J. (1998). Defining the dimensions of pregnancy intendedness. Paper presented at the Research Conference on the 1995 National Survey of Family Growth, Hyattsville, MD.
Stanford, J. B., Hobbs, R., Jameson, P., DeWitt, M. J., et al. (2000). Defining dimensions of pregnancy intendedness. Maternal and Child Health Journal, 4(3), 183–189.
Thornton, A. (1985). Reciprocal influences of family and religion in a changing world. Journal of Marriage and the Family, 47(2), 381–394.
Thornton, A., & Camburn, D. (1989). Religious participation and adolescent sexual behavior and attitudes. Journal of Marriage and the Family, 51(3), 641–653.
Trussell, J., Vaughan, B., & Stanford, J. (1999). Are all contraceptive failures unintended pregnancies? Evidence from the 1995 National Survey of Family Growth. Family Planning Perspectives, 31(5), 246–260.
United States Department of Health and Human Services. (2010). Healthy People 2020. Washington, DC: United States Department of Health and Human Services.
Vatican. (1968). Humanae vitae. The Vatican: Ediciones Paulinas.
Willis, R. J. (1999). A theory of out-of-wedlock childbearing. Journal of Political Economy, 107(S6), 33–64.
Willis, R. J., & Haaga, J. G. (1996). Economic approaches to understanding nonmarital fertility. Population and Development Review, 22, 67–86.
Wilson, E. K. (2008). Acculturation and changes in the likelihood of pregnancy and feelings about pregnancy among women of Mexican origin. Women and Health, 47(1), 45–64.
Zabin, L. S. (1999). Ambivalent feelings about parenthood may lead to inconsistent contraceptive use-and pregnancy. Family Planning Perspectives, 31(5), 250–251.
Acknowledgments
This research was supported by an NSF Graduate Fellowship as well as an NIA training grant to the Population Studies Center at the University of Michigan (T32 AG000221).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hartnett, C.S. Are Hispanic Women Happier About Unintended Births?. Popul Res Policy Rev 31, 683–701 (2012). https://doi.org/10.1007/s11113-012-9252-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11113-012-9252-7