WEDNESDAY, Aug. 24 (HealthDay News) -- The overall rate of
unintended pregnancies in the United States is holding steady but
has risen dramatically among poor women -- even as it declines
among their more affluent peers, a new study finds.
After a steep decline between 1981 and 1994, the overall rate of
unplanned pregnancies in the U.S. has stalled at about 5 percent
per year. But the new analysis of 2006 federal government data also
revealed a growing disparity in pregnancy rates between poor and
high-income women, said researchers at the Guttmacher Institute, a
non-profit organization dedicated to sexual and reproductive
health.
By 2006, rates of unplanned pregnancies and births among poor
women were five and six times higher, respectively, than among
higher-income women, the researchers found.
"These data suggest that women who lead stable lives -- women who are older, more affluent and better-educated -- tend to have better reproductive health outcomes, while women whose lives are less stable, such as younger, poorer or less educated women, have higher rates of unplanned pregnancies, unwanted births and abortions," study co-author Lawrence B. Finer said in a Guttmacher news release.
In 2006, 49 percent of the 6.7 million pregnancies in the United
States were unintended, and 43 percent of those unintended
pregnancies ended in abortion. However, the rate of unplanned
pregnancy among women ages 15 to 44 with incomes below the federal
poverty line increased from 88 per 1,000 in 1994, to 120 in 2001
and 132 in 2006 -- a 50 percent rise.
At the same time, the rate among better-off women -- those with
incomes at or above 200 percent of the poverty line -- fell from 34
per 1,000 in 1994, to 28 in 2001 and 24 in 2006 -- a 29 percent
decrease.
The increase in unintended pregnancies among poor women is
associated with rising rates of abortions (52 per 1,000) and
unplanned births (66 per 1,000) among those women, the study
found.
Along with poor women, higher rates of unintended pregnancies
also occur among women ages 18 to 24, minority women, and
cohabitating women, the Guttmacher report found. Lower rates
occurred among higher-income women, white women, college graduates
and married women.
For example, the rate among higher-income white women is 17 per
1,000, one-third the national average of 52 per 1,000.
The new data "also show that marriage is not, in and of itself,
a solution to the problems women have in controlling their
fertility: In fact, poor women who are married have unintended
pregnancy rates more than twice as high as those of higher-income
women who are unmarried or cohabiting," the study authors said.
The study will appear in an upcoming issue of the journal
Contraception.
More information
The U.S. National Campaign to Prevent Teen and Unplanned
Pregnancy has more about the
issue.