title: Pregnancy intention and use of contraception among Hispanic women in the United States: data from the National Survey of Family Growth, 2006-2010.
abstract: BACKGROUND
  Both unintended and adolescent childbearing disproportionately impact the Hispanic population of the United States.
  
  
  METHODS
  We used the 2006-2010 National Survey of Family Growth (NSFG) to provide the most recent, nationally representative description of pregnancy, childbearing, and contraception for Hispanic females aged 15-44. We determined baseline fertility data for self-identified Hispanic female respondents. Among those reporting a pregnancy history, we calculated the proportion of pregnancies identified as unintended and their association with sociodemographic variables. We also assessed outcomes and estimates of relative risk for unintended pregnancy. Finally, we examined contraceptive use prior to self-reported unintended pregnancies.
  
  
  RESULTS
  Approximately 70% of Hispanic women reported ever being pregnant, including 18% of teenagers. Over half (51%) of those pregnancies were unintended, including 81% among teenagers. The adjusted risk of unintended pregnancy was highest in women 15 to 19 years old and those with three or more pregnancies (incidence rate ratio [IRR] 1.64, 95% confidence interval [CI]: 1.44-1.88 and IRR 1.77, 95% CI: 1.53-2.06, respectively). Half of unintended pregnancies were preceded by no contraception. The most common reason for unintended pregnancy preceded by contraception was "improper use" (45%) and among pregnancies without use, the most common response (37%) was "I did not think I could get pregnant."
  
  
  CONCLUSIONS
  There is a high frequency of unintended pregnancy and lack of contraceptive use among Hispanic women. These findings highlight the need for improved reproductive education and contraceptive counseling in this population.
authors.affiliation: 1 Center for Healthcare Studies, Northwestern University Feinberg School of Medicine , Chicago, Illinois.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Masinter
authors.forename: Joe
authors.initials: J
authors.lastname: Feinglass
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Simon
mesh_terms: D000293:Adolescent; D000328:Adult; D003268:Contraception Behavior / Q000208:ethnology* / Q000523:psychology; D003430:Cross-Sectional Studies; D005193:Family Planning Services / Q000706:statistics & numerical data*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D033182:Intention; D007407:Interviews as Topic; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000208:ethnology* / Q000523:psychology; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult