PMID- 37361931
OWN - NLM
STAT- Publisher
LR  - 20230928
IS  - 2196-8799 (Print)
IS  - 2196-8799 (Electronic)
IS  - 2196-8799 (Linking)
DP  - 2023 Jun 8
TI  - Changes in Socioeconomic Inequalities in Unintended Pregnancies Among Currently 
      Married Women in India.
PG  - 1-12
LID - 10.1007/s40609-023-00291-w [doi]
AB  - BACKGROUND: Despite the consistent prevalence of unintended pregnancies in India 
      and its adverse impact on maternal and neonatal mortality, the literature 
      discussing socioeconomic inequality remains scarce. This study aims to assess the 
      change in wealth-related inequalities in unintended pregnancy in India from 
      2005-2006 to 2019-20 and to quantify the contribution of various factors towards 
      inequality. METHODS: The present study analyzed cross-sectional data from the 
      third and fifth rounds of the National Family Health Survey (NFHS). The 
      information on fertility preferences and pregnancy intention of most recent live 
      birth during the five years preceding the survey was collected from eligible 
      women. The concentration index and Wagstaff decomposition were used to analyze 
      wealth-related inequality and the contributing factors. RESULTS: Our results show 
      that the prevalence of unintended pregnancy has declined in 2019-20 to 8% from 
      22% in 2005-2006. With the increase in education and wealth status, unintended 
      pregnancy decreases significantly. The results of the concentration index depict 
      that unintended pregnancy is more concentrated among the poor than the rich in 
      India, and the individual's wealth status has the highest contribution to 
      unintended pregnancy inequality. Other factors like mothers' BMI, place of 
      residence and education also contribute majorly to the inequality. CONCLUSIONS: 
      The study results are critical and increase the need for strategies and policies. 
      Disadvantaged women need education and family planning information, plus access 
      to reproductive health resources. Governments should improve accessibility and 
      quality of care in family planning methods to prevent unsafe abortions, unwanted 
      births, and miscarriages. Further research is needed to investigate the impact of 
      social and economic status on unintended pregnancies.
CI  - (c) The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. 
      Springer Nature or its licensor (e.g. a society or other partner) holds exclusive 
      rights to this article under a publishing agreement with the author(s) or other 
      rightsholder(s); author self-archiving of the accepted manuscript version of this 
      article is solely governed by the terms of such publishing agreement and 
      applicable law.
FAU - Anand, Abhishek
AU  - Anand A
AD  - International Institute for Population Sciences, Govandi Station Road, Deonar, 
      Mumbai, 400088 Maharashtra India. GRID: grid.419349.2. ISNI: 0000 0001 0613 2600
FAU - Mondal, Sourav
AU  - Mondal S
AD  - International Institute for Population Sciences, Govandi Station Road, Deonar, 
      Mumbai, 400088 Maharashtra India. GRID: grid.419349.2. ISNI: 0000 0001 0613 2600
FAU - Singh, Bharti
AU  - Singh B
AUID- ORCID: 0000-0002-4605-1634
AD  - International Institute for Population Sciences, Govandi Station Road, Deonar, 
      Mumbai, 400088 Maharashtra India. GRID: grid.419349.2. ISNI: 0000 0001 0613 2600
LA  - eng
PT  - Journal Article
DEP - 20230608
PL  - Switzerland
TA  - Glob Soc Welf
JT  - Global social welfare : research, policy & practice
JID - 101632247
PMC - PMC10248333
OTO - NOTNLM
OT  - Contraception
OT  - Family planning
OT  - Unintended pregnancy
COIS- Conflict of InterestsThe authors declare that they have no competing interests.
EDAT- 2023/06/26 19:07
MHDA- 2023/06/26 19:07
PMCR- 2023/06/08
CRDT- 2023/06/26 12:58
PHST- 2023/05/23 00:00 [accepted]
PHST- 2023/06/26 19:07 [pubmed]
PHST- 2023/06/26 19:07 [medline]
PHST- 2023/06/26 12:58 [entrez]
PHST- 2023/06/08 00:00 [pmc-release]
AID - 291 [pii]
AID - 10.1007/s40609-023-00291-w [doi]
PST - aheadofprint
SO  - Glob Soc Welf. 2023 Jun 8:1-12. doi: 10.1007/s40609-023-00291-w.