Abstract

To identify individual and interpersonal level associations to pregnancy intention to use as leverage points to build resilience. A cross-sectional, secondary analysis of Medicaid eligible pregnant women in Kentucky (n=309). Sixty-two percent reported their current pregnancy was unintended. Older age, partnered, negative drug screen, and increased social support were associated with decreased odds of unintended pregnancy. For every 1 unit increase of belonging and tangible social support, women were 13% and 14% (respectively) less likely to have an unintended pregnancy (OR=0.87, 95% CI=0.78-0.97, p=.011, OR=0.86, 95% CI=0.77-0.95, p=.005). A positive drug screen was associated with an almost three-fold increase in the odds of unintended pregnancy (OR=2.88, 95% CI=1.49-5.58, p=.002). Public health nurses can play a critical role in reducing unintended pregnancy rates by promoting social support, inclusion, and acceptance. There remains a critical need to identify barriers and facilitators to pregnancy planning for persons who use illicit drugs.

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