title: Prevalence and distribution of unintended pregnancy: the Understanding Fertility Management in Australia National Survey.
abstract: OBJECTIVE
  Mistimed, unexpected or unwanted pregnancies occur in Australia, despite widespread contraception use. The objective was to estimate prevalence and ascertain modifiable social factors for prevention of unintended pregnancy.
  
  
  METHODS
  National population-based survey of women and men aged 18-51 years recruited from a random sample of electors on the Australian Electoral Roll in 2013. Data were weighted to reduce non-response bias. Factors associated with unintended pregnancy were identified in multivariable analyses.
  
  
  RESULTS
  Data from 2,235 completed questionnaires were analysed (Women: 69%; Men: 31%). Of those ever pregnant or partner in pregnancy (59%), 40% had experienced an unintended pregnancy. Adjusting for other risks, ever having experienced sexual coercion (AOR, 95%CI=Women 1.948; 1.458-2.601; Men 1.657, 1.014-2.708); socioeconomic disadvantage (AOR, 95%CI=Women 1.808, 1.373, 2.381; Men 1.360, 1.004-1.841), living in a rural area (AOR, 95%CI=Women 1.403, 1.056-1.864; Men 1.583, 1.161-2.159), and for men being born overseas (AOR, 95%CI 1.989, 1.317-3.002) were significantly associated with unintended pregnancy.
  
  
  CONCLUSIONS
  Experiences of sexual coercion, social disadvantage, rural residence and overseas birth are independently associated with unintended pregnancy in Australia.
  
  
  CONCLUSIONS
  Public health policy and health service initiatives should prioritise prevention of sexual coercion, reduction of social inequality and reduction of geographic inequality for those in rural areas.
authors.affiliation: Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Victoria.
authors.forename: Heather
authors.initials: H
authors.lastname: Rowe
authors.affiliation: Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Victoria.
authors.forename: Sara
authors.initials: S
authors.lastname: Holton
authors.affiliation: Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Victoria.
authors.forename: Maggie
authors.initials: M
authors.lastname: Kirkman
authors.affiliation: The Royal Women's Hospital, Victoria.
authors.forename: Christine
authors.initials: C
authors.lastname: Bayly
authors.affiliation: Family Planning Victoria.
authors.forename: Lynne
authors.initials: L
authors.lastname: Jordan
authors.affiliation: Family Planning Victoria.|Department of Obstetrics and Gynaecology, Monash University, Victoria.
authors.forename: Kathleen
authors.initials: K
authors.lastname: McNamee
authors.affiliation: Melbourne IVF, Victoria.
authors.forename: John
authors.initials: J
authors.lastname: McBain
authors.affiliation: Victorian Government Department of Health.
authors.forename: Vikki
authors.initials: V
authors.lastname: Sinnott
authors.affiliation: Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Victoria.
authors.forename: Jane
authors.initials: J
authors.lastname: Fisher
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia / Q000453:epidemiology; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D005260:Female; D005298:Fertility; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000208:ethnology*; D011275:Pregnancy, Unwanted; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population; D012747:Sexual Partners; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Australia; prevention; unintended pregnancy